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Mothers' Outcomes After Delivery (MOAD) Study

Logo for the MOAD study

Started in 2008, the Mothers' Outcomes After Delivery (MOAD) study is a collaborative research effort of physicians at Greater Baltimore Medical Center (GBMC) and The Johns Hopkins University School of Medicine. The study focuses on whether health problems are affected by the events that occur during pregnancy and delivery. The primary goal of the study (in its first year) is to find whether "pelvic floor problems" (including bladder control issues and sagging vaginal walls) are affected by events during childbirth. Additionally, this research has addressed other important health outcomes, including obesity, fertility, breastfeeding, pelvic muscle strength, menstrual problems and pelvic pain.

During the first five years of the study, more than 1500 mothers joined the research (with more joining the study every year). Since joining, more than 80 percent of study members have continued with the study each year. This research has led to many important scientific findings and a 2011 award from the American Congress of Ob/Gyn. Visit the Results Update section to find out more about what we've found.

In 2013, this study was selected by the NIH to be continued for a second term (through 2018). Additional research will focus on other aspects of mothers' health after childbirth, specifically whether health and gynecologic problems are related to either cesarean or vaginal birth. Information gained from the MOAD study could help women and their obstetricians make more informed childbirth decisions. It also will establish whether or not obstetrical care can be modified to prevent women's health problems later in life.

Between May 2015 and March 2017, many MOAD members will be invited to participate in UltraMOAD, a National Institutes of Health (NIH)-funded study for 3-dimensional ultrasound of the pelvic floor. UltraMOAD focuses on the impact of childbirth on pelvic muscles. Trained sonographers will take pictures of the pelvic floor muscles at the time of the annual MOAD study physical exam. The goal is to investigate whether different types of childbirth might affect the muscles differently.​

Thank you for your help with this important study!

For more information about pelvic health research happening at GBMC, please visit GBMC's Current Research Web site.

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