What should I do if I sneeze and have urinary incontinence after childbirth?

Urinary incontinence is a very common phenomenon in normal times. It is usually more common in women after giving birth. Postpartum urinary incontinence is a very embarrassing thing. In fact, there are many reasons for urinary incontinence in women after giving birth. After giving birth, women need to repair themselves well to restore their health. They can do some exercises to relieve urinary incontinence. Urinary incontinence has a great impact on the human body.

Pregnancy and vaginal delivery are the main causes of stress urinary incontinence. During pregnancy and delivery, excessive pressure on the pelvic floor muscles by the presenting fetus, vaginal delivery using a vacuum extractor and breech traction, and increased abdominal pressure after delivery can all cause relaxation of the pelvic floor tissue. A multivariate regression analysis of a case-control study by Van et al. found that stress urinary incontinence was not associated with prolonged second stage of labor in the first pregnancy, but was significantly associated with forceps delivery. Persson found that the occurrence of stress urinary incontinence was significantly correlated with age at first birth, parity, fetal birth weight and perineal anesthesia.

Patients with stress urinary incontinence have pelvic floor relaxation, which causes 2/3 of the proximal urethra to move outside the abdominal cavity. When at rest, the urethral pressure decreases (still higher than the intra-bladder pressure). However, when the intra-abdominal pressure increases, the pressure can only be transmitted to the bladder but not to the urethra, making the urethral resistance insufficient to counteract the bladder pressure, thereby causing urine overflow. The mechanism of stress urinary incontinence caused by bladder neck hypermotility is explained.

What to do if you have urinary incontinence due to sneezing?

For sneezing and urinary incontinence, we recommend that patients take an appropriate amount of vitamin E capsules orally. In fact, our urine storage and urination are carried out under the bladder pressure and urethra pressure of the human body. Patients with sneezing incontinence in daily life should cultivate the awareness of exercising the pelvic floor muscles. That is, the patient should lie flat and forcefully tighten and lift the anus 80 times to restore the patient's relaxed urethra to normal function. Especially for mothers, we recommend continuous exercise within one year after delivery to relieve and improve sneezing incontinence.

Patients with sneezing incontinence are advised not to drink a large amount of water at one time, and to do pelvic floor muscle exercises in daily life. We recommend that patients do it 4 times a day, at least 10-20 times each time, which will help the patient's urethral sphincter function recover. Patients with sneezing urinary incontinence are advised to exercise bladder function in their daily life, that is, patients urinate at the prescribed time. If the urination time is prolonged, the bladder capacity will be increased to help themselves restore normal urination methods. Patients with sneezing incontinence are advised to perform pelvic biofeedback therapy in their daily lives. This method can enhance the contraction of the patient's vagina. In addition, the hospital's urinary control surgery aims to elevate the position of the patient's bladder neck to treat sneezing incontinence.

The number of female patients with urinary incontinence is higher than that of male patients. We recommend that everyone develop good living habits, such as not holding urine, controlling the degree of coughing and sneezing, eating more fiber-rich foods, and drinking more water.