Causes and treatment of urinary incontinence during pregnancy

Causes and treatment of urinary incontinence during pregnancy

During pregnancy frequent urination, burning when urinating, urinary incontinence Various problems such as can be encountered. These problems can be seen both in the first weeks of pregnancy and in the last weeks. Your pregnancy to different trimesters Experts make various warnings about specific urinary tract problems.

Approximately 35-67 percent of pregnant women leak urine. The problem is not only limited to this period, 30 percent of women have had this problem. after the birth also continues. Urinary incontinence is defined by the International Continence Association (ICS) as involuntary urination that negatively affects a person’s social life and quality of life. Istanbul University Istanbul Medical Faculty Gynecology and Obstetrics Department Lecturer Assoc. Dr. Funda Gungor UgurlucanAccording to the information given to Ceyda Erenoğlu, some women have complaints of urinary incontinence during pregnancy, and some of them have reached a level that requires treatment. Complaints sometimes after the birth can also continue. Most common during pregnancy; monitored in cases where intra-abdominal pressure increases such as coughing, sneezing, heavy lifting stress urinary incontinence is seen.

Urinary incontinence problem affects life

People with urinary incontinence often have a feeling of embarrassment. These people prefer social isolation to prevent the possibility of urinary incontinence in public. Those who have this problem often avoid visiting new places and learn all the toilets in their places in advance.

Women who have increased urinary incontinence while exercising may try to alleviate their complaints by not exercising. The working lives of women who have urinary incontinence problems in various situations in business life can also be negatively affected. Assoc. Dr. Uğurlucan says, “The person can try to reduce the possibility of urinary incontinence by going to the toilet frequently. This situation can cause a loss of concentration. Another striking fact is that the relationships of the couples are negatively affected by urinary incontinence. In a study, 38 percent of women and 32 percent of men stated that their relationships were negatively affected and their emotional and physical intimacy decreased due to urinary incontinence in women. Negative developments in relationships can lead to the breakdown of marriages and sometimes divorces.

35 years old attention!

It is stated that approximately 35-67 percent of women have urinary incontinence during pregnancy, and approximately 17-54 percent of women experience urinary incontinence for the first time during their pregnancy. Approximately 30 percent of women have urinary incontinence after birth. It is stated that women lose 1 percent of the striated muscle of the urethra each year. This situation causes a decrease in urethral pressure. “In more than 20 studies, it has been determined that maternal age is a risk factor for urinary incontinence during pregnancy and in the postpartum period,” Assoc. Dr. Uğurlucan, Women who are pregnant after 35 years of age He points out that the probability of urinary incontinence after birth is 2.5 times higher and gives the following important message: “Although the risk of urinary incontinence increases with age, this problem should not be seen as a part of normal aging.”

Causes of urinary incontinence during pregnancy

• The growing uterus putting pressure on the bladder.

• A weakening of the support of the urethra and the hip base over time due to increased intra-abdominal pressure.

• Weakening of the muscles of the hip floor due to previous births.

• Changes in the position of the urethra and bladder during pregnancy.

• Damage to the nerves that control the bladder.

Conditions that increase urinary incontinence during pregnancy

• Age

Excess weight


• Large amount caffeine consumption


• Too much baby weight

Bladder training: Training consisting of going to the toilet at regular intervals, consuming sufficient amount of water and minimizing caffeinated beverages.

Kegel exercises: Exercising the levator muscles that support the hip floor and surround the vagina. Urinary incontinence during pregnancy It is the first-line approach to prevention and treatment. Kegel exercises Thanks to this, the strength of these muscles at rest increases and in cases of sudden increase in intra-abdominal pressure such as cough, urinary incontinence can be prevented thanks to strong contractions.

In addition to the problem of urinary incontinence during pregnancy, frequent urination can be experienced during pregnancy. In addition to frequent urination, burning, pain and even bleeding while urinating can be encountered during pregnancy urinary tract infection pointing out.

Frequent urination and causes of infection during pregnancy

What are the causes of frequent urination during pregnancy? When does it start? Is it a sign of birth? What are the symptoms of urinary tract infection during pregnancy? Dr. Ebru Alper answered.

Is it normal to urinate frequently in the first weeks of pregnancy?

This condition, which is also among the early symptoms of pregnancy, is often in the second trimester, about 12-16. It is followed up until the week of gestation. During pregnancy, kidney size and glomerular filtration rate begin to increase immediately in the first month, and after an increase of approximately 40-50% until the second trimester, it begins to decrease again. Therefore, the frequency of urination increases in the first months. However, it is not a normal finding to have burning, stinging and blood while urinating. If there are such complaints, urinary tract infection should be examined in terms of.

When does frequent urination during pregnancy begin?

In the first months of pregnancy frequent urination He may have a complaint. After this situation improves, no special finding is expected during pregnancy. In the last month, when the baby’s head is placed in the birth canal, there is pressure on the bladder. Pregnant women often have to go to the toilet due to this situation, which reduces bladder capacity.

What causes frequent urination during pregnancy?

In the first 3 months hormonal changes due to pregnancy The fluid volume and glomerular filtration rate of the blood increase due to the increase. This situation increases the amount of urine and to urinate frequently causes. In the next process, risk of premature birth or near birth Because of the pressure of the baby’s head on the bladder, there will be frequent urination.

What are the symptoms of urinary tract infections during pregnancy? How to distinguish between frequent urination due to pregnancy?

Pain when urinating, pain in the groin, waist and cavities, burning while urinating, urinary incontinence, inability to reach the toilet, darkening in the color of the urine, difference in odor, blood in the urine, even spasm in the uterus, It is among the symptoms of urinary tract infection during pregnancy. If the complaint of frequent urination is alone and does not accompany the others, it should be evaluated separately from the infection. Fever in simple cystitis If there are complaints of accompanying fever and pain in the side spaces, it should be considered that the infection has progressed to the kidney. However, it should not be forgotten that there may be bacteria in the urine without any symptoms. We call this “asymptomatic bacteriuria”. This situation also needs treatment. If left untreated, the infection progresses to the kidney and is called “pyelonephritis”. kidney infection can develop. In addition, untreatable urinary tract infections can initiate uterine contractions in pregnant women and cause premature birth.

How is the treatment of urinary tract infection during pregnancy?

Drinking plenty of water and suitable for bacteria growing in culture, compatible with pregnancy antibiotic use. Urinary tract antiseptics or prevent bacteria from adhering to the bladder epithelium herbal extracts can also be used. However, if pyelonephritis is suspected, the pregnant woman should be hospitalized and receive antibiotic treatment.

Is urinary incontinence during pregnancy a sign of infection? In the near term, urinary incontinence can be confused with the flow of water. What should be considered?

Yes, urinary incontinence your infection There may be a symptom. Sometimes, without infection, the bladder capacity decreases due to the pressure of the baby, and urine can be incontinent, especially when laughing and coughing. The coming of the water It can be mixed with. It may not be distinguished by color and odor. Urine can usually be retained as soon as it is noticed. Water arrival it comes spontaneously, uncontrollably, without the sensation of urine. But the real distinction can be made by the detailed vaginal examination of the obstetrician. Appearance of water in speculum examination, litmus test or special kits amniotic fluid It is diagnosed with detection.

What should be considered in order to avoid urinary tract infection during pregnancy?

First of all, it is necessary to drink plenty of water, at least 2.5 liters of water. It will be useful not to hold urine, to go to the toilet frequently and empty the bladder, to pay attention to the symptoms and to take early precautions. Cranberry tablets or extracts can be drunk as a preservative.

Changes in your body during your pregnancy and your baby’s stages of development to follow Pregnancy Week by Week You can visit our section.

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