Approximately one third of all new moms face the problem of urinary incontinence after childbirth. Some ladies not really care about this issue as they only from time to time notice leakage of a few drops of urine and this doesn’t really changes their lives. But some of them experience huge problems. Most ladies consider urinary incontinence after birth as a norm and do not seek medical help. Some generally consider the problem to be delicate and prefer to keep it a secret. It is important to understand that this postpartum condition is pathological and requires correction.
This illness is characterized by spontaneous release of urine. Currently, pathology is not uncommon, most often it occurs in the postpartum period in women who have reached the age of 40 years.
The disease does not pose a serious threat to health, but significantly reduces the quality of life and negatively affects the psycho-emotional state. Many women believe that incontinence after childbirth is normal. Contrary to popular belief, it must necessarily be treated.
It is important to understand that isolated cases of urinary incontinence in women after childbirth are not always indicative of pathology. One-off episodes may also occur in a completely healthy person. But there are reasons to be alert if you have the following symptoms of urinary incontinence in women after childbirth:
- Urinary leakage occurs regularly, including at night time. It cannot be controlled
- The volume of the leaked pee is usually significant
- Incontinence episodes occur during exercise, sexual intercourse, being in a state of stress
- After emptying of the bladder, residual secretions continue to leak
- Frequent and sudden urges to go to the toilet
Nevertheless, even if the described above situations happen to you regularly, it is necessary to consult a physician in order to confirm or exclude the presence of an inflammatory process in the body.
There are several types of this illness, each of which has a characteristic symptom.
Urgent. It is impossible to control it; urges to urinate are very strong and appear suddenly
Stress. It often happens with sneezing, laughter, cough, during exercise of both low and high intensity, etc.
Paradoxical. Inadvertent leakage occurs when filling the bladder. It is impossible to control the process
Reflexive. The act of involuntary urination happens because of being scared. It can also happen if a person has heard the noise of pouring water
This complication is associated with changes in the body of a woman during pregnancy and after it. The main causes of urinary incontinence after childbirth are the following:
- Weak ligaments and weak pelvic floor muscles. The less time left before childbirth, the higher the concentration in the blood of the hormone relaxin. This substance is necessary in order to weaken the muscles and ligaments of the pelvic floor and to increase the degree of bone dynamics
- Extension of pelvic tissue. Bone divergence in the process of labor activity is necessary in order to prevent the child from receiving injuries
- Raptures. They are not uncommon during childbirth. In addition, doctors can resort to episiotomy — a method of facilitating the passage of a child, consisting in the cut of the perineum. The natural consequence of the discontinuities and this surgical manipulation is the incontinence of urine after childbirth with cough, sports, sneezes, and the like
The following factors also influence the increase in the likelihood of complications:
- Hereditary predisposition
- Excess body weight
- Abnormalities of pelvic organs development
- Psycho-emotional disorders
- Hormonal failure
- Nervous system disorders
- In the past, a person was exposed to radiation
- Previously surgical intervention in the pelvic organs
When the first disturbing symptoms appear, you must visit an urologist. This specialist will find out the causes of urinary incontinence after childbirth, and will prescribe as efficiently as possible treatment. It is important to understand: this illness is dangerous because it develops gradually. The earlier you ask for help, the less time will take the period of treatment, as well as the possibility that surgical intervention will be avoided.
In the course of a conversation with a patient, a physician should determine the type of pathology and determine the degree of its manifestation. When collecting a history, he or she must get answers to the following questions:
- How many births a woman has given
- Were there any complications
- Whether she has any chronic diseases
- Whether or not ever there were disorders of the hormonal background
- Has she any surgical interventions
- Are there any pathologies of the nervous system
In addition, the doctor can ask other questions that may seem to be quite inappropriate, as they relate to her personal life. It is necessary to understand that this information is required for correct diagnose, so it is important to provide it and not to be shy.
Urinary incontinence after pregnancy and childbirth is pathology, for the treatment of which medications are prescribed extremely rarely. The only exceptions are cases when the patient diagnosed with enuresis. To reduce the severity of symptoms recommend vitamins and drugs that have a positive effect on the state of blood vessels, blood circulation and nervous system. Fortunately for modern mothers there are a lot of such medications, many traditional pharmacies sell it and also practically any online pharmacy around the world.
Basic conservative methods of treatment of urinary incontinence after childbirth often include special muscle exercises. A good effect is achieved with the regular performance of Kegel exercises. To understand which muscles you need to strain, it is necessary in the process of urination to stop peeing and remember these feelings. Thus, you need to constantly strain the muscles of the rectum and vagina. To achieve the best result you need to do at least 200 times a day.
Also, sometimes physicians recommend urinating according to the schedule. Basically, a patient should go to the toilet at certain times during day and night. This method helps to improve the functioning of the bladder and the emergence of control over the situation. For each woman, the schedule is developed on an individual basis. This therapy lasts at least 2 months.
Also, often electromagnetic waves are used. Combined with exercises, this method brings the best results.
Upon completion of the course of treatment, the doctor evaluates the changes. If they are insignificant or absent altogether, surgical intervention is prescribed.
Postpartum urinary incontinence is a complication that at the initial stage is not dangerous. But it significantly impairs the quality of life and the emotional state of every woman. Ignoring this problem leads not only to its progression, but also to the occurrence of inflammatory processes in the organs of the genitourinary system.
For preventing urinary incontinence after childbirth, it is necessary throughout life to follow the simple recommendations:
- Regularly train the muscles of the pelvic floor and the vagina
- Do not hold your pee
- Eat healthy, do not abuse alcohol-based drinks and do not smoke
- Keep body weight under control
- Regularly empty the intestines;
- Adhere to the drinking regime
Cautious attention to your health significantly reduces the risk of developing this illness.