Why can not I control my urine?
The tissue and muscles that support your uterus, bowel and bladder are stretched during pregnancy. This is related on the one hand with the hormones and on the other hand with the increasing weight of the baby. This tissue and associated muscles are referred to as the pelvic floor.
When you give birth to your baby, the pelvic floor muscles become extremely stretched, further weakening the muscles.
Having a weak pelvic floor makes it harder for you to tense your muscles to the sphincter muscle below the bladder. As a result, you may have problems with controlled urination. It can happen that you lose urine while sneezing, laughing, coughing, exercising, or lifting. This can only be a few drops or even larger amounts that require deposits. Sometimes the bladder is overactive during pregnancy, it is to blame the hormones. You can tell from the frequency of your toilet trips and the urgency when the urge to urinate. Something can sometimes go wrong. This usually happens again when your baby is born.
Do many mothers have problems controlling their urine after giving birth?
Involuntary urination, which often occurs when laughing, sneezing, coughing, or exercising, is called stress incontinence. This problem affects about one third of all women in the first year after the birth of their child (Thom and Rorveit 2010).
If you lose only small amounts of urine in the first few days after birth, this can easily be absorbed by the insole that you are already wearing because of the weekly flow. If the incontinence lasts longer than the bleeding, special pads for weak blisters are recommended.
When do I tend to stress incontinence?
If you have not always been in control of your bladder in the first and second trimesters of pregnancy (Lemon et al., 2004, Wesnes et al., 2009), you are more likely to have a postpartum problem Stress incontinence to be faced. There is also a greater tendency for bladder weakness if the delivery phase has taken a long time at birth or even pliers have been used (Gartland et al, 2012).
If you have epidural anesthesia or spinal anesthesia, you may have so few sensations in the first few days after birth that you can not tell when you need to go to the bathroom (Carley et al 2002). Your midwife or sister will remind you and help you.
How long will incontinence persist after birth?
That is different. In some women, there is no incontinence, in some women, incontinence is a matter of days or weeks, in others, it may take months and a few may last long. When you first check your health, that is about six to eight weeks After giving birth, you do not feel any improvement, this is a good opportunity to talk to your doctor about it. Stress incontinence can be treated. It is not part of your motherhood that you endure.
How can I regain control of my bladder after birth?
The best way to regain control of the bladder is to do regular pelvic floor exercises. The effect of the exercises on the pelvic floor muscles, preventive or incontinence, has been confirmed by studies (Boyle et al 2012).
Prerequisite for this is regularity and stamina - two to three times a day for at least three months. After a few days you will do these exercises almost automatically. You can do it anytime, anywhere - on the go, just like home (NICE 2006). If you stop exercising prematurely, the bladder weakness may recur because the muscles are not yet strong enough.
These exercises help your body to regenerate, so you can not start too early. The tensing of the pelvic floor also reduces the swelling caused by any sutures or tears, because the blood circulation is stimulated (Reilly et al 2002, Dumoulin and Hay-Smith 2010). The earlier you start with the exercises the better.
What are pelvic floor exercises?
Breathe relaxed in the stomach. As you breathe in, your stomach lifts, and when you breathe out, it lowers. As you exhale, you contract your pelvic floor muscles. As if you wanted to interrupt the stream of urine or want to hold back a flatulence. You should feel a tightening around your anus and vagina. Do not hold your breath and do not move your stomach!
Good to know: Every woman is entitled to re-training gymnastics courses from about six to eight weeks after birth, which are covered by health insurance!
Do not worry if you can not stretch your muscles for long. You should only work to increase - starting with 2-3 seconds to 4-5 seconds.
With regular exercise you should be able to hold the tension after some time up to 10 seconds with normal breathing. Then short relaxation and repeat the exercise.
Do this exercise three times a day, eight to ten times each.
How can I additionally train my bladder?
In addition to the pelvic floor exercises, you can also train your bladder.
You may be tempted to drink less so you do not have to go to the bathroom all the time. This is a fallacy, you have to drink a lot, especially if you are breastfeeding.
In the last third of your pregnancy, your baby's bladder squeezed your bladder, so there was less room for urine in the bladder, and therefore more urinary urgency. Now after birth, the bladder has enough space again and must be accustomed to be able to absorb more urine again, until urgency arises. Therefore, you should drink up to eight glasses a day - still water (tap water), herbal teas or very diluted fruit juice.
Go to the bathroom regularly, but try to resist the first urination. If you have a very overactive bladder, it may only take a few minutes at the beginning. Nevertheless, you can slowly increase the control of your bladder for half an hour to an hour. So your bubble learns to fill up completely until it has to be emptied. At the same time you train with retention (contracting) your pelvic floor muscles. If possible, avoid drinks containing caffeine - coffee, tea, cola, hot chocolate, energy drinks. These irritate the bladder and make it difficult to tense the muscles. If the pelvic floor exercises do not help, talk to your doctor or midwife about what else can be done.
If you can not control urination at all, you may be suffering from urinary tract infection. If you have a urinary tract infection, then you probably also feel the following symptoms:
- Urination causes pain
- Her urine is clouded
- Your urine smells bad
- You have a fever
- You often need to use the bathroom
Contact your doctor immediately if you experience any of these symptoms. You will then need antibiotics if bacteria are found in your urine (CKS 2009).