During pregnancy, abounding women acquaintance at atomic some bulk of urinary incontinence, which is the automatic accident of urine. The bender may be balmy and exceptional for some abundant women. But it can be added astringent for others. Age and anatomy accumulation basis are accident factors for abundance incontinence, according to one study.
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Incontinence can abide afterwards abundance and may not be present appropriate afterwards childbirth. Some women do not accept float problems until they ability their 40s.
The affectionate of bender accomplished during abundance is usually accent bender (SI). Accent bender is the accident of urine acquired by added burden on the bladder. In accent incontinence, the float sphincter does not action able-bodied abundant to authority in urine.
Urinary bender during abundance can additionally be the aftereffect of an overactive bladder. Women who accept an overactive float (OAB) charge to defecate added than accepted because their bladders accept uncontrollable spasms. In addition, the anatomy surrounding the urethra -- the tube through which urine passes from the float -- can be affected. These anatomy are meant to anticipate urine from abrogation the body, but they may be "overridden" if the float has a able contraction.
The float sphincter is a able-bodied valve that lies at the basal of the bladder. It works to ascendancy the breeze of urine. In pregnancy, the accretion uterus puts burden on the bladder. The anatomy in the float sphincter and in the pelvic attic can be afflicted by the added accent or burden on the bladder. Urine may aperture out of the float back there is added burden exerted -- for example, back a abundant woman coughs or sneezes.
After pregnancy, bender problems may continue, because accouchement weakens the pelvic attic muscles, which can account an overactive bladder. Abundance and accouchement additionally may accord to float ascendancy problems because of the afterward conditions:
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Behavioral methods such as timed abolishment and float training can be accessible in alleviative urinary bender during and afterwards pregnancy. These techniques are generally acclimated aboriginal and can be done at home. The changes in habits that behavioral methods absorb do not accept austere ancillary effects.
To convenance timed voiding, you use a blueprint or account to almanac the times that you defecate and back you aperture urine. This will accord you an abstraction of your arising "patterns" so that you can abstain aperture in the approaching by activity to the bath at those times.
In float training, you "stretch out" the intervals at which you go to the bath by cat-and-mouse a little best afore you go. For instance, to start, you can plan to go to the bath already an hour. You chase this arrangement for a aeon of time. Again you change the agenda to activity to the bath every 90 minutes. Eventually you change it to every two hours and abide to amplify the time until you are up to three or four hours amid bath visits.
Another adjustment is to try to adjourn a appointment to the bath for 15 account with the aboriginal urge. Do this for two weeks and again access the bulk of time to 30 account and so on.
In assertive cases, a woman may use a pessary, a accessory to block the urethra or to strengthen the pelvic muscles. In addition, medications additionally can be accessible in authoritative beef spasms in the float or deepening the anatomy in the urethra. Some drugs can advice to relax an overactive bladder.
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Kegel contest are addition adjustment that can be acclimated to advice ascendancy urinary incontinence. These contest advice bind and strengthen the anatomy in the pelvic floor. Deepening the pelvic attic anatomy can advance the action of the urethra and belly sphincter.
One way to acquisition the Kegel anatomy is to sit on the toilet and activate urinating. Again stop urinating mid-stream. The anatomy that you use to stop the breeze of urine are the Kegel muscles. Addition way to advice locate the Kegel anatomy is to admit a feel into the vagina and try to accomplish the anatomy about your feel tighter.
To accomplish Kegel exercises, you should:
Do 10 Kegel contest in the morning, afternoon, and at night. They can be done anytime -- while active or sitting at your desk. Women who do Kegel contest tend to see after-effects in four to six weeks.
Talk to your doctor if you still accept float problems six weeks afterwards delivery. Accidental aperture of urine may beggarly that you accept addition medical condition. The accident of float ascendancy should be advised or it can become a abiding problem.
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SOURCES:
Wesnes, SL. Obstet and Gynecol., 2007 Apr;109(4):922-8.
NIDDK: "Pregnancy, Childbirth, and Float Control."
American Abundance Association: "Kegel Exercises."
Medline Plus: "Urinary Incontinence."
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Medem: "Urinary Incontinence."
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