Episiotomy implied a higher risk for double incontinence.

Age over 35 years, and family history of UI were associated to a higher risk of double incontinence.

Instrumental vaginal deliveries carried 2.2 times more risk of double incontinence than spontaneous ones.

Aims: To estimate the frequency of double incontinence, and to identify associated risk factors during pregnancy and postpartum in previously continent nulliparous women.

The worst thing for Mary (73, not her real name)) about the symphysiotomy she underwent in 1968 is the double incontinence she still suffers.

Double incontinence was defined as a situation in which participants reported simultaneously urinary incontinence (UI) and anal incontinence with the help of a self-administered questionnaire.