{"id":16753,"date":"2018-03-20T13:31:17","date_gmt":"2018-03-20T18:31:17","guid":{"rendered":"http:\/\/inspiremouvement.com\/?p=16753"},"modified":"2021-02-08T09:23:11","modified_gmt":"2021-02-08T14:23:11","slug":"your-pelvic-floor-after-giving-birth-its-common-to-have-the-urge-to-pee","status":"publish","type":"post","link":"https:\/\/testim.weblibre.ca\/en\/your-pelvic-floor-after-giving-birth-its-common-to-have-the-urge-to-pee\/","title":{"rendered":"Your Pelvic Floor After Giving Birth : It&#8217;s Common to Have the Urge to Pee!"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<br \/>\n<strong>Par Melanie Kusznireckyj, naturopath, doula and dancer<\/strong><\/p>\n<p>So you\u2019ve had a child? Or you\u2019re pregnant? I want to congratulate you for this exciting and self-affirming adventure!<\/p>\n<p>I can imagine that you\u2019ve learned a lot during this period : psychologically during the birth, emotionally with the arrival of baby, and physically with all the changes your body has gone through during pregnancy.<br \/>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\n<blockquote class=\"mkd-blockquote-shortcode\" style=\"width: 90%\" >\n\t<span class=\"mkd-icon-quotations-holder\">\n\t\t<span aria-hidden=\"true\" class=\"icon_quotations\"><\/span>\n\t<\/span>\n    <h6 class=\"mkd-blockquote-text\">\n        <span>Psychologically you\u2019ve overcome your fears and the unknown, and emotionally the highs and lows of motherhood has taught you how to deal with this new routine.<\/span>\n    <\/h6>\n<\/blockquote>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3>Accepting and dealing with changes<\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]In speaking with mothers, I\u2019ve noticed that women often have a particularly <strong>hard time accepting and dealing with all of the physical changes in their body<\/strong>. I\u2019ve noticed that at least half of the women I speak with will not mention a condition that can develop during or after giving birth : <strong>incontinence and its associated symptoms<\/strong>. I have the impression that women tend to accept this as normal after giving birth.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\n<blockquote class=\"mkd-blockquote-shortcode\" style=\"width: 90%\" >\n\t<span class=\"mkd-icon-quotations-holder\">\n\t\t<span aria-hidden=\"true\" class=\"icon_quotations\"><\/span>\n\t<\/span>\n    <h6 class=\"mkd-blockquote-text\">\n        <span>And yes, up until 6 weeks postpartum it is quite common, the body needs some time after giving birth to heal.<\/span>\n    <\/h6>\n<\/blockquote>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] However many women\u2019s <strong>quality of life<\/strong> continues to be affected long-after.<\/p>\n<p>A study in Great-Britain found that <strong>85% of women will suffer from trauma to the perineum during birth<\/strong> (1). This trauma can contribute to incontinence (2). The pertinence of incontinence during first year post-partum, according to a scientific journal of cohorts of populations, was 33% (for any kind of incontinence), and women having weekly symptoms is 12% and women who have daily difficulties is at 3% (3)<\/p>\n<p>If we look at the causes of incontinence, scientific obstetrics hasn\u2019t identified one single cause, but a combination of contributors such as : the size of the baby, the birth length and pushing phase, the use of tools (4). The connected problems include vaginal or bladder prolapse and fecal incontinence.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\n<blockquote class=\"mkd-blockquote-shortcode\" style=\"width: 90%\" >\n\t<span class=\"mkd-icon-quotations-holder\">\n\t\t<span aria-hidden=\"true\" class=\"icon_quotations\"><\/span>\n\t<\/span>\n    <h6 class=\"mkd-blockquote-text\">\n        <span>Problems associated with pelvic floor disorders can greatly affect a woman\u2019s quality of life, such as during exercise, during social settings and by increasing pain in the perineum, pelvis or during sexual relations.<\/span>\n    <\/h6>\n<\/blockquote>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3>There are 3 common types of incontinence :<\/h3>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li><strong>stress incontinence :<\/strong> most often linked to birth, and felt when there is effort such as during exercise, when we laugh, cough, sneeze,&#8230;<\/li>\n<li><strong>urge incontinence : <\/strong> lthe sudden and uncontrollable loss of urine when we get an urge to go. This is be caused by nerve signals that can affect the contraction of the bladder<\/li>\n<li><strong>hyperactive bladder :<\/strong> frequent urination, urge<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&lt;\/ol<br \/>\n*It is also possible to have mixed incontinence, which combines the different types of incontinence.<\/p>\n<p>&nbsp;<\/p>\n<h3>Prevention<\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Prevention has been discovered through scientific observation and several analytical studies. One study by Wesnes and Lose in 2013 (5) published a study with many different levels of proof (grade A being the greatest proof) for the prevention of urinary incontinence associated with pregnancy :[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3>Greatest proof (grade A) :<\/h3>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>strengthening of pelvic floor and after pregnancy (6)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>Medium proof (grade B) :<\/h3>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Refraining from smoking during pregnancy<\/li>\n<li>Having a normal weight before pregnancy (not losing nor gaining weight just before becoming pregnant) and returning to a normal weight after birth<\/li>\n<li>Using hot compresses on the perineum during birth (having a doula)<\/li>\n<li>Avoiding constipation during pregnancy<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>Weak proof (grade C)<\/h3>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Avoiding constipation post-partum<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>No proof (grade D)<\/h3>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Cesareans are not recommended to help avoid incontinence<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>Perineal massage at the end of pregnancy:<\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Studies show that <strong>perineal massage in the 34-35th week, 1-2 times per week (not more!)<\/strong> reduces the risk of needing episiotomies, chronic pain in the perineum, but only for a first delivery (7,8).<\/p>\n<p>A study has shown that <strong>perineal massage is positive for 2 populations<\/strong> :<\/p>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>first birth<\/li>\n<li>in women who have already had episiotomies in their previous birth (9)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>How can naturopathy help :\/h3&gt;<br \/>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<strong>Right after birth :<\/strong><\/h3>\n<ul>\n<li>Arnica 30CH, homeopathy to reduce inflammation<\/li>\n<li>Herbal compresses to help healing of perineum : https:\/\/mamacomfort.wordpress.com\/<\/li>\n<li>You can also make your own compress with Witch Hazel (without alcohol) and water on a cotton compress, frozen<\/li>\n<li>Sitz bath with Epsom salt<\/li>\n<\/ul>\n<p><b>Nutrition :<\/b><\/p>\n<ul>\n<li>Avoid stimulants (coffee, chocolate)<\/li>\n<li>Careful with diuretics (nettle, which is recommended after birth, is a diuretic)<\/li>\n<li>Citrus<\/li>\n<li>Tomatoes<\/li>\n<li>Alcohol<\/li>\n<li>Spicy foods<\/li>\n<\/ul>\n<p><b>Increase your intake of collagen (improves elasticity, strength and stability)<\/b><\/p>\n<ul>\n<li>probiotics<\/li>\n<li>fermented foods such as kefir, miso, kimchi<\/li>\n<li>bone broth<\/li>\n<li>Vitamin C<\/li>\n<\/ul>\n<p><b>Natural remedies:<\/b><\/p>\n<ul>\n<li>\u00a0Cell de Schuessler Calf-flour 6X, homoopathy to strengthen muscles and ligaments, to improve elasticity<\/li>\n<li>Postpartum Homeopathy : Causticum, Sepia, Puls, Staphysagria \u2013 each remedy has independant benefits for your symptoms so it\u2019s best to consult a professional for the recommendations<\/li>\n<li>Digestive enzymes for scar tissues<\/li>\n<\/ul>\n<p>Health professional can help guide and support you. If you have any pelvic floor issues, your first line of defense is seeing a pelvic floor physio. From there, you can also see an osteopath, acupuncturist, naturopath or pelvic floor\/pre and post-natal specialized exercise professional.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\n<blockquote class=\"mkd-blockquote-shortcode\" style=\"width: 90%\" >\n\t<span class=\"mkd-icon-quotations-holder\">\n\t\t<span aria-hidden=\"true\" class=\"icon_quotations\"><\/span>\n\t<\/span>\n    <h6 class=\"mkd-blockquote-text\">\n        <span>By identifying the \u2018why\u2019 \u2013 muscular, nervous, scarring \u2013 the support will be focused and accurate. *&lt;br \/&gt;\n<\/span>\n    <\/h6>\n<\/blockquote>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3>About Melanie :<\/h3>\n<p>I\u2019m a naturopath from an accredited school in north America, the Canadian College of Naturopathic Medecine in Toronto. I\u2019m also a doula and dancer.<\/p>\n<p>*please consult your doctor or naturopath before taking any medication<\/p>\n<p>Melanie K<br \/>\n7464 St-Denis, Montreal, H2R 2E4<br \/>\nmontrealnd@gmail.com 514-755.6629<br \/>\nwww.montrealind.org<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h6>References:<\/h6>\n<h6>McCandlish R, Bowler U, van Asten H, et al. 1998. A randomised controlled trial of care of the perineum during second stage of normal labour. Br J Obstet Gynaecol;105:1262\u201372<\/h6>\n<h6>William et al. 2007. The prevalence of enduring postnatal perineal morbidity and its relationship to perineal trauma. Midwifery. 23(4): 392-403.<\/h6>\n<h6>Thom and Rortveit. 2010. Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand. 89(12):1511-22.<\/h6>\n<h6>Brubaker, L. 2002. Postpartum urinary incontinence. BMJ. 324(7348):1227-1228.<\/h6>\n<h6>2013. Wesnes and Lose. Preventing urinary incontinence during pregnancy and postpartum: a review. Int Urogynec Journ. 24(6): 889-899.<\/h6>\n<h6>2012. Boyle et al. Pelvic floor muscle training for prevention and treatment of urinary incontinence in pregnant women and women who have recently given birth. Coch Rev.<\/h6>\n<h6>Beckman and Garrett. 2013. Antenatal perineal massage for reducing perineal trauma. Cochrane Database Syst Rev. 25(1): 5123.<\/h6>\n<h6>Aasheim, et al. 2017. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database Syst Rev. 13(6): 6672.<\/h6>\n<h6>Davidson K, Jacoby S, Brown MS. 2000. Prenatal perineal massage: preventing lacerations during delivery. J Obstet Gynecol Neonatal Nurs;29:474\u20139.<\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In speaking with mothers, I\u2019ve noticed that women often have a particularly <strong>hard time accepting and dealing with all of the physical changes in their body.<\/p>\n","protected":false},"author":2,"featured_media":16937,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[234],"tags":[261,254,258,264,247],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Your Pelvic Floor After Giving Birth : It&#039;s Common to Have the Urge to Pee! - Inspire Mouvement<\/title>\n<meta name=\"description\" content=\"You gave birth? Dealing with the changes in your body and your pelvic floor can be difficult but there is solutions to help you! 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