Leaking urine in pregnancy: why it happens and when to worry

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Catherine Le Nevez
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Leaking urine in pregnancy: why it happens and when to worry

Every woman experiences pregnancy differently, indeed: every woman lives every pregnancy otherwise! In fact, the body reacts differently to gestations, and it can happen that they arise disorders or problems that have never been experienced before or that are not common to all. The urine leakage in pregnancy, for example, are among them. Let's see when and why they happen and how to manage them.





In this article

  • Pregnancy, a big change
  • Amniotic fluid or urine leakage?
  • Pregnancy incontinence, why?
  • When urine leaks occur
  • How to avoid pregnancy incontinence
  • Prevent urine leaks

Pregnancy, a big change

Although the pregnancy is a physiological state for which the body is prepared since his birth in the womb, it is not uncommon for more or less serious disorders and problems to arise. For example, there are those who suffer from hyperemesis gravidarum, those with high blood pressure or even preeclampsia, those who instead experience the nine months as the best time of their life: you can never predict how it will go! This is why there is no need to worry if small disturbances arise, and among these there is also incontinence



Amniotic fluid or urine leakage?

The first question women ask themselves when they find wet briefs is: will it be pee or will the amniotic sac be ruptured? If the liquid is transparent, especially on black or colored briefs, it might seem difficult to distinguish the two types of losses, but you just need to wear white underwear, or recognize the smell, to have no more doubts. If you still have any doubts, do a quick medical check-up.



Read also: Amniotic fluid leaks: how to notice the rupture of the sac and what to do

Pregnancy incontinence, why?

The causes of urine leakage are many and to be traced back to different aspects, for the most part related to physiology e anatomy of the woman. In the primipare, that is, in women at the first pregnancy, are less frequent and generally arise towards the end, in the third trimester, due to the weight that the uterus exerts on the organs and in particular on the bladder. In women who have already had children or in those with old ageinstead, the urinary leakage can be caused by a muscle release, poor tone or, in the worst cases, prolapse, and for this they can suffer from it already in the first weeks. 

When urine leaks occur

As we said, the onset of this disorder can vary from case to case, and it is much more frequent in women who have it already given birth and in those more mature. They could therefore appear as early as the first quarter, not so much due to the weight of the uterus, as for the increase in progesterone which acts as muscle relaxant and causes the muscles to lose tone. Others, however, have no problems until final stages of pregnancy (others never!), but it is a rather common disorder that affects many pregnant women. Typically the involuntary release of pee-pee it manifests itself when you cough, laugh, sneeze, make an effort, when the body is required to contract, even unconsciously, by pressing on the perineum. Try to cough and you will find that the perineal muscle it moves without you wanting it!

Read also: Perineum: what it is and what it is used for

How to avoid pregnancy incontinence

If you pregnant and you suffer from urine leakage, there isn't much you can do. Surely training the perineum (with specific exercises, pilates is also fine) can help you limit the problem or prevent it if you do not suffer from it yet, but it is not necessarily a definitive solution. Some women are tempted not to drink, but it is very wrong: you have to hydrate and hydrate the baby that grows inside your belly, so do not follow this advice which in any case would not be conclusive. 

Prevent urine leaks

There is something you can do, however, before looking for one pregnancy or after having given birth, namely one re-educational gymnastics of the perineum. Due to the weight of the uterus, the effect of the hormones and delivery (possibly with laceration or episiotomy), most of have recently given birth he finds himself with not very toned muscles, unable to "squeeze" to hold back the pee. It is very important, therefore, to consult a specialist if you find that you are unable to contract the perineum, both to avoid incontinence to the next possible pregnancy is to avoid it altogether, even in everyday life.

Le urine leakage during pregnancy they are quite common, particularly for those who have had multiple children and are at the end of their pregnancy. But they can be prevented by trying to keep the perineum trained, even with one gym specific.

SOURCES

Prolapse of the anterior and posterior vaginal wall

Updated on 28.10.2022

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  • pregnancy losses
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