URINARY INCONTINENC DURING PREGNANCY AND AFTER BIRTH

Urinary incontinence during pregnancy is a fairly common condition. Frequent urination during pregnancy is almost always a condition and is considered a normal condition; this can sometimes be accompanied by incontinence. While some pregnant women occasionally and in a small amount of urinary incontinence, they may be more serious in some pregnant women. Urinary incontinence is rarely encountered in the first 3 months of pregnancy, it starts to increase after the 4th month, it is also common in the last months of pregnancy. Approximately 50 percent of all pregnant women face urinary incontinence. Usually, the problem of incontinence disappears by itself in the postpartum period after birth, but it may rarely continue.
Causes of incontinence in pregnant women:
- The uterus growing during pregnancy pressures the bladder
- Anatomical displacement of the sphincter in the bladder and bladder neck
- Increased progesterone hormone during pregnancy causes relaxation in bladder sphincter muscles
 Urinary incontinence during pregnancy is usually in the form of "stress incontinence", that is, urinary incontinence that occurs in situations that increase pressure on the bladder, such as coughing, sneezing, laughing, exercise, sudden movement.
Urine incontinence, which is rarely called "urge incontinence" during pregnancy, may occur as a result of sudden compression and inability to reach the toilet. In this case, the patient immediately feels the need for a toilet and tries to catch up to the toilet and passes some urine before sitting on the toilet. This type of urinary incontinence is rarely seen during pregnancy.
Treatment and precaution:
The easiest and most useful method to prevent urinary incontinence during pregnancy is to perform Kegel exercise. Kegel exercise is a simple and effective method that anyone can do on their own in a short time at home. It strengthens the muscles around the urine bag and the pelvic floor, preventing involuntary urine leakage. You can find detailed information about Kegel exercises by clicking here. Benefits should not be expected as soon as you start Kegel exercise, and the person who regularly exercises every day will generally benefit after 4-6 weeks. If Kegel exercise has been performed for 6 weeks but no benefit has been seen, the doctor should be consulted for other treatment methods.
Note the times of incontinence and create a schedule. Accordingly, the hours of urinary incontinence are determined during the day, and if these are planned, urinary incontinence can be prevented.
URINARY AFTER BIRTH
In the months immediately after birth, the complaint of incontinence is approximately 20-30% (postpartum urinary incontinence). Although urinary incontinence is more common after normal delivery, it can also be seen after cesarean surgery. In some studies, it has been stated that the stress urinary incontinence after elective cesarean delivery is less than normal birth, but the rate appears to be similar to normal delivery after cesarean delivery due to non-progressive delivery. In such studies, it was emphasized that stress incontinence develops due to damage to the pelvic floor tissues and muscles during labor.
Patients undergoing spinal or epidural anesthesia during delivery may experience temporary urinary incontinence problems in the first days after birth, this type of anesthesia does not have a permanent effect in the form of urinary incontinence.
Continuing Kegel exercises during pregnancy and postpartum is beneficial to prevent urinary incontinence after birth. It is recommended to do it regularly for at least 3 months after birth.
Drinking excessive tea, drinking coffee, cola drinks and alcohol in the months after birth reduces bladder control; avoiding such beverages facilitates urine control. Despite these measures, urinary incontinence must be evaluated by a doctor.


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