Hi This is Dr. Nidhi Sharma.
Today, I am talking about incontinence related to a normal pregnancy.
Incontinence is leakage of urination and/or bowel movement without warning. This may happen while you are coughing, laughing and lifting.
We cannot talk about incontinence without mentioning about the pelvic floor. There is a big bowl like muscle underneath of your pelvis which called the pelvic floor.
The function of the pelvic floor is to contract and to support the organs such as the bladder.
During pregnancy, the uterus is getting bigger and is pushing the other organs such as the bladder. This is one of the reasons of an urge to go to the bathroom or of incontinence.
The pelvic floor contracts to close the urethra and rectum opening to hold urine and bowel. When these muscles are relaxed, you release them.
If the pelvic floor muscles are weak, which often happens in women, these muscles are not able to hold the closure of urethra and rectum opening. Then you have a leakage.
During pregnancy, the uterus is bigger and heavier and pushes the other organs, therefore the pelvic floor should be very strong to be able to support the changes.
Nidhi Sharma PT, DPT, WCS, OCS
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