The primary aim of phase 1 of the Maternal Health Study is to investigate changes in women’s health from the early stages of pregnancy through to eighteen months after the birth of a first child.

Specific aims in phase 1 of the study are:

1. To investigate the incidence and natural history (onset, severity, and duration) of maternal health problems - in particular urinary and anal incontinence, perineal pain, sexual health issues and depression among women following the birth of their first child;
2. To explore the contribution of obstetric risk factors – in particular obstructed labour, method of birth, and degree of perineal trauma – to postpartum health problems;
3. To investigate reasons for non-disclosure of maternal health problems, and for the limited use of primary and specialist health services for specific postpartum health issues.

Phase 1 of the study will provide a comprehensive picture of the relationship between physical health problems, sexual health, depression and changes in intimate partner relationships from early pregnancy through to eighteen months postpartum.

The findings will be used to inform clinical midwifery and obstetric practice and strengthen primary care strategies for supporting women during and after pregnancy.