Incontinencia urinaria durante el embarazo ¿Cómo tratarla?

Urinary incontinence or bladder is when a person unintentionally may not prevent urine from leaking from your urethra, who is responsible for transporting the urination through a conduit up to release it from the body.

Expert: Ximena Hodar and Danielle Maisto, kinesiólogas ProMater

This disorder also occurs in some pregnant women; a research carried out in Catalonia – Spain, it was found that at least 40% of women suffer from urinary incontinence during pregnancy. Usually occurs when the gain of the tube exerts some type of pressure on the bladder and although it should not be seen as something normal during pregnancy, experts are optimistic and claim that the great majority of cases are not serious, and while it severely affects the quality of life of women, with a query time it is possible to reverse it or prevent it even from the first trimester of gestation.

When does occur the inadvertent loss of urine during pregnancy?

  • When sneezing.
  • Cough.
  • Jump.
  • Laughing.
  • Walk.

Taking into account the above, the nurse, Diana Mist explains that: “the incontinence should be taken as a condition of the natural process of gestation in the large number of cases it is a transitional period”. In addition, he suggested to pregnant women to monitor their intake of fluids and perform Kegel exercises to strengthen the pelvic floor muscles.

In this regard, the kinesiologist ProMater Danielle Maisto says: “it is amazing the amount of women that live with this without talking to you, thinking that it is normal and not knowing the treatment alternatives that exist for this pathology”. Also explains that 45% of women experience urinary incontinence 7 years after childbirth, but can be treated by specialists and to improve favorably their condition.

Incidence or causes of this pathology:

Increases by:

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  • The number of children.
  • The onset of menopause.
  • Certain habits urinary.
  • The consumption of some drugs (antidepressants, diuretics, among others).
  • The presence of systemic diseases such as diabetes or neurological diseases.
  • Age > 30 years.
  • Urinary tract infections to repetition.
  • History of UI effort in the mother.
  • Episiotomy (a surgical incision in the area of the perineum at the time of delivery) or tears (injury to a muscle) during labor.
  • Multiparidad (more than one child).
  • Prolonged labor.
  • Delivery instrumental or forceps delivery.
  • Children of high birth weight (≥ 4 Kg).
  • Constipation.

For prevention and treatment during and after pregnancy training of the muscles of the pelvic floor has been commonly recommended: “The UI affects the lives of many women that they come to think that it is normal, what leads them to not consult; incontinence yes it has a solution and is essential that you make a proper handling for their speedy recovery”, says Ximena Hodar C., Kinesiologist of ProMater.

The benefits of this training are:

  • Achieved rates of cure and/or improvement in 97%
  • Manages to speed up the process of recovery of incontinence, and decrease it to 6 months postpartum, 12 months.
  • It achieves a better control of this muscle throughout pregnancy and also during the phase expulsiva delivery.
  • Decreases the prevalence of UI (percentage of the population that gets the disease) in later life pregnancy and the early postpartum.

In the case of pregnant women when to consult your doctor?

  • When the dripping of urine is present before the first trimester of gestation.
  • If the dripping of urine persist after six weeks of delivery, talk with your doctor. Without treatment, the loss of bladder control can bring long-term consequences. The output of urine can also indicate any abnormality in your body.
  • The problems of control of the bladder may appear months or years after delivery, in these cases you should immediately consult.
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