URINARY INCONTINENCE DURING PREGNANCY AND AFTER BIRTH

Urinary incontinence during pregnancy is a fairly common condition. Frequent urination during pregnancy is always a condition and is considered normal. This condition can sometimes be accompanied by incontinence. In some pregnant women, occasional and small amounts of urinary incontinence occur, while in some pregnant women it may be more serious. Urinary incontinence is rarely encountered in the first 3 months of pregnancy, it starts to increase after the 4th month and is common in the last months of pregnancy. Approximately 50 percent of all pregnant women face urinary incontinence. Usually after birth, incontinence, urinary incontinence disappears by itself, but may rarely continue.
Causes of incontinence in pregnant women:
- The uterus (uterus), which grows during pregnancy, pressures on 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 "stress incontinence". In other words, urinary incontinence that occurs in situations that increase pressure on the bladder, such as coughing, sneezing, laughing, exercise, sudden movement.
During pregnancy, urinary incontinence, which is rarely called "urge incontinence", 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 with the toilet and passes some urine before it can sit 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 do 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. Benefits should not be expected as soon as you start Kegel exercise. People who exercise regularly every day usually 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 incontinence during the day are determined and if the urine is planned as these hours approach, urinary incontinence can be prevented.
Urınary Incontinence 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.
Patients undergoing spinal or epidural anesthesia during delivery may experience temporary urinary incontinence in the first days after birth. This type of anesthesia has no permanent effect in the form of urinary incontinence.
It is beneficial to continue Kegel exercises during pregnancy and postpartum, to prevent urinary incontinence after birth. It is recommended to do it regularly for at least 3 months after birth.
Drinking excessive tea, coffee, cola drinks and alcohol consumption in the months after birth reduces bladder control. Avoiding such beverages facilitates urine control. Urinary incontinence (urinary incontinence), which does not pass despite these precautions, should definitely be evaluated by a doctor.


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