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Obstetric‐induced incontinence: A black hole of preventable morbidity? An ‘alternative’ opinion

The recent article by Thornton and Lubowski 1 in this journal outlined a range of issues associated with obstetric injury and subsequent incontinence. The paper raised a number of issues, including the level of information provided to women about risk factors for postnatal incontinence and the safety of midwifery care, birth centres and home birth in relation to safety and quality of care. The aim of this paper is to expand the debate. We argue that the issue of ‘obstetric-induced incontinence’ is not as straightforward as presented in the paper by Thornton and Lubowski 1 and, in fact, midwifery care is often associated with practices that can lessen this morbidity.