Will I Stop Leaking Pee Once I Deliver My Baby?
What is urinary incontinence?
Leaking urine (called 'urinary incontinence') after childbirth is very common. One in 3 women who have had a baby may feel leakage at some signal. Information technology won't get away if yous merely ignore information technology, but thankfully there are ways to improve float weakness.
What causes urinary incontinence?
When you are pregnant, you produce hormones that stretch the muscles and tissues that support the bladder, the bowel and the uterus. This group of muscles and tissues is called the pelvic floor.
When your infant moves down through your vagina to exist born, your pelvic floor stretches and it remains stretched for some time.
The combination of hormones and stretched muscles means the muscles that command your bladder are weakened. This can lead to your accidentally leaking urine.
How common is urinary incontinence?
It's common for a new female parent to accidentally leak urine when she laughs, sneezes, coughs or exercises. This is known as stress incontinence.
Y'all are more likely to develop stress incontinence after birth if you:
- have bladder or bowel problems before pregnancy – they are likely to get worse after the birth
- bladder bug during the pregnancy
- are having your start baby
- are having a large babe
- have a long labour, especially a long second phase of labour
- have a difficult delivery, such equally needing stitches, vehement, or needing a vacuum cup or forceps during the delivery
Women who have a caesarean tin can also develop bladder problems. Having a caesarean tin reduce the take chances of astringent incontinence from 10% to 5% for the start baby, but afterward the third caesarean women are simply equally likely to develop float issues equally women who requite birth vaginally.
When should I see my doctor?
Near women who leak urine after childbirth find that information technology goes away in the first few weeks, as the stretched muscles and tissues recover.
Nevertheless, for some women it can take months while other women find their pelvic floor never recovers fully.
If you are still experiencing leakage after half-dozen months, talk to your midwife or dr.. Dealing with it early on can reduce the risk of information technology becoming a life-long problem.
Stress incontinence is common, but many women are too embarrassed to talk about information technology. However, doctors, midwives, maternal and child wellness nurses and continence nurses are used to talking about it. If you are experiencing leakage, they will have suggestions that can help.
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How is urinary incontinence treated?
The handling volition depend on what kind of incontinence you have and how severe it is.
Straight after the birth, you will need to requite the pelvic flooring fourth dimension to recover. Ice the perineal surface area for the outset few days and have plenty of rest.
Then you lot tin can start with gentle pelvic floor contractions while y'all are lying down. Hold for 3 seconds, residual for 15 seconds, and repeat 3 times. Try to build up longer holds when you can. Doing these exercises may aid prevent longer term bladder bug.
Unproblematic changes to your lifestyle may also help, such as losing your pregnancy weight, eating more than fibre, drinking more h2o and lifting less.
If your urinary incontinence doesn't get better, talk to your doctor. They may refer y'all to a physiotherapist or continence nurse. Longer term treatments for float weakness are exercises, medication or surgery.
Pelvic floor exercises
The muscles around the bladder, bowel and uterus tin be exercised, toned and trained like any other muscles in the trunk. Doing this before, during and after pregnancy will help prevent urinary incontinence during pregnancy and later on the birth of your baby. They're like shooting fish in a barrel to do, in any place and at whatever time.
Here's an example:
- Breathe in and breathe out.
- Pull the pelvic floor muscles upwardly and in every bit though you are trying to stop yourself from urinating.
- Hold the squeeze for 10 seconds while breathing normally.
- Relax and repeat in 10 seconds.
- Repeat the squeeze and release 10 times.
- Do this exercise 3 times a day.
The Continence Foundation of Australia have produced this video on how to do pelvic floor exercises:
You can likewise find out more than well-nigh pelvic floor forcefulness on the Jean Hailes website, or larn about the function and role of the pelvic flooring muscles on healthdirect.
Yous can also find out more about pelvic floor force on the Jean Hailes website, or larn well-nigh the role and part of the pelvic floor muscles on healthdirect.
Bladder preparation
When you lot're pregnant, your growing infant puts pressure on your bladder. This causes the bladder to feel total more quickly than usual, meaning you need more frequent trips to the toilet.
After your baby's birth, it is a adept idea to retrain your bladder. You tin can exercise this by trying to hold off from going to the toilet for equally long as you can, until your bladder is full.
Medication
If you take urge incontinence, or an overactive float, medication tin help to relax the bladder muscles.
Surgery
If all else fails, surgery might be an choice for some women. If you need to, talk to your doctor about what's best for you.
Living with urinary incontinence
Urinary incontinence does, unfortunately, become a long-term problem for some women. Here are some tips on living with it:
- Use incontinence pads, which are fabricated for urine leakage, rather than sanitary pads.
- Take a change of underwear or ready of wearing apparel when you go out.
- Know where toilets are located so you can notice them quickly (at that place are smartphone apps to aid y'all practise this).
- Cross your legs when sneezing or laughing.
- Modify your exercise routine to avoid high impact exercises such every bit jumping.
What can I exercise to prevent float problems later on nativity?
There are some simple steps y'all tin can accept during pregnancy to help foreclose incontinence.
- Drink 6 to 8 cups of fluid a day, unless your doctor tells you otherwise. Avoid drinks containing sugar or caffeine, every bit these tin irritate the bladder.
- Eat a high fibre diet with 2 pieces of fruit, 5 serves of vegetables and 5 serves of cereals/bread per day.
- Brand certain you have a healthy weight.
- Stop smoking.
- Exercise for at least 30 minutes nigh days (see below).
- Do regular pelvic flooring exercises.
- Become to the toilet when you take the urge to open up your bowels (poo).
- Sit properly on the toilet.
- Avert constipation, as this strains your pelvic floor muscles.
- Don't become to the toilet 'just in instance'.
- Encounter your physician straight away if yous have a urinary tract infection.
Information technology's as well important to exercise safely while you are meaning and later on the birth to avoid incontinence. Platonic exercises are walking, low impact aerobics, water aerobics, cycling on a stationary bike, swimming, light weight grooming or pregnancy exercise classes. To protect your pelvic flooring, avoid:
- heavy weights
- high impact or jerky movements
- billowy
- contact sports
- excessive twisting and turning activities
- exercises that require you to hold your breath
- exercises that require sudden changes of management or intensity
- exercises that make you apply i leg more than the other, or lifting your hip while you are on your easily or knees
- exercises that involve standing on one leg for a menstruation of fourth dimension
- activities involving sudden changes in intensity
- exercises that increase the bend in your lower dorsum
Resource and support
Speak to your doc or midwife or call the National Continence Helpline on 1800 33 00 66 for more information and support.
Source: https://www.pregnancybirthbaby.org.au/bladder-weakness-after-birth
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