Based on this scheme, 4,352 eligible women were approached for recruitment. Of those, we were able to contact 2,090 (48.0%). We excluded 41 women who were found to be ineligible, were currently pregnant, had delivered a child within the past 6 months, reported pelvic surgery within the past 6 months, or who were unable to complete written questionnaires in English. Of the 2,049 who were contacted and eligible, 1,030 (50.3%) declined to participate. At the time of analysis, 858 women were enrolled in MOAD, including 351 whose index birth was a vaginal delivery and 507 whose index birth was a cesarean delivery.