Urinary Incontinence and Pregnancy

Urinary incontinence and pregnancy have a close relation. Studies reveal that many women experience the first symptoms of urinary incontinence during pregnancy or just after delivery.  

 

Many pregnant women experience leaking of urine, called stress urinary incontinence, when they cough or sneeze. There’s a reason for this.  

 

In the normal course, the pelvic floor muscles work together with nerves and ligaments to keep the urinary bladder tightly shut even when it is full. This prevents involuntary or sudden leaks. However, when a woman is pregnant, the expanding uterus puts a lot of pressure on the bladder. Childbirth puts additional pressure and trauma on the pelvic floor muscles. Prolonged pushing or a large baby can also stretch the muscles too much thus causing incontinence problems after delivery.  

 

According to studies, women who undergo vaginal childbirth are more vulnerable than women who deliver by cesarean section. Assisted vaginal delivery, like a delivery by forceps can cause nerve damages which lead to urinary problems after childbirth. Obviously, chances of developing urinary incontinence rise with the number of childbirths.  

 

Stress urinary incontinence caused by pregnancy is a temporary phenomenon. For a few women, leaks continue for some time, becoming less frequent and disappearing altogether after a while. But, in some women, leaks persist in varying degrees even long after childbirth. This happens if the muscles of the pelvic floor have been weakened considerably or if there has been extensive nerve damage.  

 

Here are some handy tips that can help reduce stress urinary incontinence after delivery:

  • Kegel exercises are a must as they improve the continence mechanism by strengthening the pelvic floor muscles. Work up to 100 Kegels a day.
  • Weight gain should be brought under control because additional weight puts pressure on the bladder
  • Train the bladder by scheduling urination helps
  • Never cut down on fluids. Drink eight glasses of water
  • Eat foods rich in fiber so as to avoid constipation
  • Avoid foodstuffs that irritate your bladder
  • Smoking makes the problem worse 

Women who experience urinary incontinence during or after pregnancy may experience a recurrence of symptoms years later. This is because the problem has a tendency to grow with age. That is why it is important to arrest UI in its earliest stages.