OBJECTIVE To establish and implement a women-centred continuity of midwifery care service specifically focused on urogynecological conditions. DESIGN Observational study was conducted. SETTING R. Guzzardi Hospital – Vittoria (Italy) POPULATION 441 women received midwifery care in the first 40 days after childbirth. The target population consisted of low-risk mothers and newborns who delivered in our hospital during January and December 2022. METHODS. 122 quantitative variables were extracted. A preliminary statistical analysis was conducted, allowing us to describe our sample of women and the results obtained during the first and second check-ups for comparison. Subsequently, using the statistical software, it was possible to correlate the variables, identifying those that were statistically significant. MAIN OUTCOME MEASURES Improved pelvic floor function, reduced urinary incontinence, and enhanced postnatal care continuity, particularly for immigrant women. RESULTS The cesarean section is associated with a high score in the pelvic-perineal assessment (p value = 0.0069). Higher values of lacerations and/or episiotomy were recorded in induced deliveries (p value= 0.0097). Urgency urinary incontinence, and stress urinary incontinence, are associated with a pelvic floor with poor tone and functionality (I assessment: p value = 0,00371) (II assessment: p value 8.843 e-06). Over 10% of women with urinary disorders at the first check-up achieved complete recovery, while the remaining 4% persisted with urogynaecology symptoms. The tone and functionality of the pelvic floor improved in 15% of cases initially marked by a low score. CONCLUSION Midwife-led care improves women’s well-being and empowerment, particularly in postpartum urogynaecological health, supporting recovery and personal development.