There is no good treatment for leakage of urine during sneezing in 4 months of pregnancy, you can only reduce the leakage by doing less action to increase the abdominal pressure and wait for the pelvic floor repair after delivery. When a pregnant woman is 4 months pregnant, due to the enlarged uterus pressing on the pelvic floor, and at the same time, after pregnancy, due to the influence of the body’s hormones, it will lead to pelvic floor relaxation, which will lead to an increase in abdominal pressure and leakage of urine when sneezing. These conditions are caused by pregnancy, there is no good way to improve, can only pay attention to reduce the action of increasing abdominal pressure in life. Pregnant women in general less to do to increase abdominal pressure action, while constipation force defecation will also aggravate the pelvic floor relaxation, so also to prevent constipation. Pelvic floor muscle assessment can be done at 42 days postpartum, and if the recovery is not good, pelvic floor muscle repair can be done. Surgery may also be needed if the anterior vaginal wall bulge is severe.