Why do new moms pee their pants?

Undoubtedly, rising to be a mother is a very happy and happy thing, however, some new mothers in the enjoyment of the joy of family, but also bear a kind of unspeakable helplessness, the reason is that they are often encountered with “peeing pants” embarrassment, it is difficult to say. Every time they cough, laugh, there will be urine leakage. This phenomenon is often referred to as “postpartum incontinence”. Unfortunately, the vast majority of Chinese women do not have a good understanding of the function of the pelvic floor muscles, and think that it does not affect them very much. Even if they have some discomfort, they are too ashamed to talk about it because it is a private part of their body to be examined by a doctor. At the same time, the lack of publicity by medical personnel and their own economic conditions limitations, so that many women who are suffering from the disease can not get timely and effective treatment, so that their normal social interaction and daily activities have been seriously affected, postpartum urinary incontinence has become a major factor affecting the quality of life of new mothers and their physical and mental health. For this reason, postpartum urinary incontinence must be given sufficient attention, strengthen the education, take a positive attitude to prevention and treatment, which has a positive and important significance for new mothers to better integrate into the family and society. So, why do new mothers “pee their pants”? The female pelvic floor muscles, as important tissues and organs, not only support and support many pelvic organs, but also participate in a number of physiological activities. Pregnancy and childbirth are physiological processes that most women go through, and these physiological processes are the primary cause of pelvic floor muscle damage and relaxation. This is because in the process of labor and delivery with the head of the fetus down the birth canal passive expansion, especially pregnant women with excessive weight gain, fetal oversize, excessive amniotic fluid, prolonged labor, obstructed labor, vaginal delivery, etc. so that the pelvic floor tissues are extremely stretched, if more than the pelvic floor tissues to stretch the physiological limits, will lead to pelvic floor muscle fibers and connective tissue and neural tissues of ischemia or even rupture, resulting in secondary atrophy, degeneration and necrosis, the pelvic floor musculature loose Atrophy, so that the periurethral tissues of the urethra weaken the supporting role of the urethra, and make the urethral closure pressure drop, ultimately leading to urethral bulge, the bladder neck down, the upper part of the urethra to lose the tension and become a funnel-shaped urethra is relatively shorter and wider, and the same time, genitourinary septum and superficial muscle injuries, such as the perineum, deep Ⅱ degree fissure can affect the function of the external sphincter of the urethra, it is due to the role of these factors, making the postnatal urinary incontinence in the new mothers It is due to these factors that the incidence of postpartum urinary incontinence among new mothers has increased significantly. The survey shows that most of the incontinence occurs in the late pregnancy and 4 months after delivery. In the early stages of the disease, patients do not urinate during normal activities, but only when abdominal pressure is increased (e.g., coughing, sneezing, laughing, lifting heavy objects, running, etc.), and in severe cases, they also urinate at rest. When these symptoms occur, patients should go to the obstetrics and gynecology clinic in time, through some auxiliary examination methods (such as stress test, finger pressure test, swab test and urodynamic examination, etc.) in order to exclude other types of urinary incontinence and urinary tract infection, so as to get timely and effective diagnosis and treatment. How to prevent postpartum urinary incontinence? Prevention of postpartum urinary incontinence can start from the following aspects: 1, advocate late marriage and late childbearing, implement family planning, to prevent the birth of too much, too dense. 2.Properly handle the labor process to avoid prolongation of the labor process. 3.Improve midwifery techniques, protect the perineum, perform posterior-lateral perineal incision if necessary, and cooperate with doctors to repair in time. For those who have obstetric indications, cesarean section should be performed in time to terminate pregnancy. 5.Encourage early postpartum exercise, breastfeeding, moderate participation in labor, avoiding exertion and constipation. 6, active treatment of cough, habitual constipation and other factors that can cause an increase in abdominal pressure. 7, do a good job of postpartum health care exercises, promote the repair of pelvic floor tissues. 8.Actively carry out pelvic floor muscle exercise. Postpartum urinary incontinence belongs to the stress incontinence, the current stress incontinence treatment methods have surgical treatment and non-surgical treatment. Surgery may cause hemorrhagic pelvic floor neuralgia and urinary retention, etc., recurrence after surgery and then high rate of surgery, and only a small number of patients are willing to accept surgery. For most patients, non-surgical treatment remains the more attractive first-line treatment. Non-surgical treatments generally include pelvic floor muscle exercises, medication, electrical stimulation therapy, and Chinese medicine. Compared with other non-surgical treatments, pelvic floor muscle exercise is easy to learn, does not require any auxiliary equipment, is not restricted by time, place and position, and is an effective means of preventing urinary incontinence, which has been increasingly emphasized by people. Pelvic floor muscle exercise is through the patient consciously to the anorectal muscle-based pelvic floor muscles to repeat the selective voluntary contraction, wake up the damaged pelvic floor neuromuscular, increase the pelvic floor muscle strength and elasticity, so that the pelvic floor muscle function to return to normal. Specific method: contract the pelvic floor muscles for about 10 seconds (first contract the anus, then contract the vagina, urethra, to produce the feeling of pelvic floor muscle uplift, pay attention to the thighs and abdominal muscles to remain relaxed), and then relax for about 5 seconds, and then fast contraction, relaxation, continuous 15-30 minutes for a group of training, 2 ~ 3 groups / day, 6 ~ 8 weeks for a course of continuous exercise for 1 year. Training can be done in sitting, standing or lying position. Patients must make a long-term plan and insist on persistent exercise. It has been reported that the pelvic floor muscles can be effectively prevented from urinary incontinence through 6 months of conscious and repeated exercise. Postpartum urinary incontinence is not a terrible disease, is completely preventable and treatable, when new mothers do not need to panic when these symptoms occur, to the hospital in a timely manner, under the guidance of the doctor to carry out regular treatment and self-psychological adjustment, after a long period of sustained exercise, new mothers will be gradually get rid of the “pee pants! “The new mother will gradually get rid of the trouble of “peeing pants”, and enjoy the fun of being a mother at ease.