Understanding Postpartum “Urinary Leakage” with Effective Rehabilitation Methods
Postpartum urinary incontinence is something many mothers face, yet it’s rarely discussed as much as it should be. This condition occurs when pelvic floor muscles weaken after pregnancy and childbirth, especially after natural delivery. When these muscles weaken, controlling urination becomes difficult, particularly when laughing, coughing, sneezing, or exerting significant effort. Although this condition often improves on its own within a few months after delivery, some mothers experience persistent urinary leakage. Today, I’ll introduce rehabilitation and prevention methods that can help mothers regain confidence and improve their daily lives.
Causes of Postpartum Urinary Incontinence
- Weakened pelvic floor muscles – During pregnancy and childbirth, pelvic floor muscles support the baby’s weight for 9 months and may experience significant pressure during natural delivery.
- Stretched or injured pelvic nerves – The pelvic area contains many organs, resulting in numerous nerves in that region. When pelvic nerves are injured, they affect the full functioning of urinary sphincter muscles.
- Hormonal changes – Especially the rapid decrease in estrogen after childbirth, which weakens pelvic floor tissues.
- Constipation and abdominal pressure – Straining during bowel movements or high abdominal pressure can worsen urinary incontinence symptoms.
Methods to Rehabilitate Postpartum Urinary Incontinence
- Pelvic floor exercises: Contracting the vaginal and urethral sphincter muscles is highly effective in strengthening pelvic floor muscles. Do this by contracting muscles as if holding urine, holding for 5-10 seconds, then releasing. Repeat 10-15 times per set, 3 sets daily.
- Bladder training: Helps the body gradually adapt and improve urinary control by scheduling bathroom visits at regular intervals, such as every 2-3 hours, then gradually increasing the time by 15 minutes as control improves. Avoid rushing to the bathroom immediately when feeling the urge to urinate.
- Low-impact exercise: Such as yoga, Pilates, and swimming to help strengthen pelvic floor and core muscles.
- Adjust fluid intake and diet: Drink appropriate amounts of water, neither too much nor too little. Avoid caffeinated and alcoholic beverages as they may stimulate frequent urination. Consume high-fiber foods to prevent constipation.
- Use pelvic support devices: For severe cases, doctors may recommend devices such as a Pessary, which supports the vagina to reduce pressure on the bladder.
How to Prevent Postpartum Urinary Incontinence
- Start pelvic floor exercises during pregnancy – Exercising from pregnancy can help prepare muscles to be strong before delivery.
- Control weight during pregnancy – Excessive body weight may increase pressure on the bladder.
- Avoid lifting heavy objects after childbirth – Too much exertion may slow down pelvic floor muscle recovery.
- Exercise regularly after childbirth – Choose activities that strengthen the pelvic floor, such as yoga or Pilates.
- Consult a doctor if symptoms don’t improve – If urinary incontinence persists for several months after childbirth or is severe, see a doctor for additional treatment recommendations.
Postpartum urinary incontinence is a condition that can be rehabilitated and prevented through pelvic floor exercises, lifestyle adjustments, and overall health care. If mothers begin taking care of themselves during pregnancy and rehabilitate appropriately after childbirth, this condition will gradually improve, and they can return to living confidently again. But if you still don’t know how to contract properly or lack contraction strength, you can use a “Kegel chair” at both branches of Dr. Aomthong Clinic.
Aomthong Clinic
Tha It – Nonthaburi Branch: Tel. 098-271-3301
The Walk Kaset-Nawamin Branch: Tel. 082-172-7898
Email : DrAomthongClinic@Gmail.com
Facebook : DR. Aomthong Clinic
Line: @936wkzgn
Instagram : dr.aomthong
Tiktok : dr.aomthongclinic
Youtube : DR.Aomthong Clinic
