Four "often" reported symptoms were urinary frequency (52.2 ), tiredness (45.5 ), poor sleep (27.5 ) and back pain (19.5 ). Among the women surveyed, 16.2 claimed to sometimes or often be incontinent. Referrals to the incontinence nurse increased > 8 fold during the study period. Conclusions: The PSI provides a comprehensive inventory of pregnancy related symptoms, with a mechanism for assessing