Less than 20% of women with urinary incontinence visit the doctor, 42 days after delivery, please do a “security check” for the pelvic floor. The last week of June every year is “World Incontinence Week”. According to data released by the International Continence Control Society (ICS) annual meeting, the incidence of adult female urinary incontinence is 25% to 45%. A multi-regional survey in China showed that the average incidence of female incontinence in China is 31%, and the incidence in older women is as high as 70%, but less than 20% of them go to the hospital. Medical experts point out that incontinence, regardless of the degree of severity, there are appropriate treatment methods, there is no need to think that this is a “natural phenomenon” after childbirth or old age and continue to endure. The case: a woman leaking urine to give up the square dance 50-year-old Li Ma personality outgoing and active, every day after dinner will go to the square dance. However, recently the daughter found that the mother less and less out of the square dance, asked the reason, the mother was embarrassed to tell the child, recently a casual movement will have urine leakage, starting just in the cough or sneeze when there is leakage of urine, recently the symptoms have increased, a little more vigorous movement will appear, so simply rest at home. Ms. Wang, a white-collar worker in her early 30s, also unfortunately suffered from urinary incontinence after giving birth to a child, and although she looked fine, she was troubled by the “too wet” down there, and her body gave off an odor from time to time, so that she could not work and interact normally. She thought she would naturally leak after having children and getting older, so she chose to suffer in silence for a long time. Stress urinary incontinence is “objectively verifiable involuntary urine outflow”, long-term incontinence can lead to pelvic inflammatory disease, cystitis, vaginitis, sexual life disorders and other serious diseases, but also can cause patients anxiety, embarrassment and frustration and other adverse emotions, seriously affecting work and life, known as “the non-fatal social cancer”. Urinary incontinence is a very high prevalence in the general population of middle-aged and elderly women, with about one patient in five on average, most of whom are again suffering from stress urinary incontinence. The main manifestation is the involuntary flow of urine from the urethra due to increased abdominal pressure during coughing, sneezing, laughing or exercise. The occurrence of stress incontinence is related to a number of factors, including a higher number of births, pelvic prolapse, obesity and other factors. The reason why urinary incontinence prefers women is because women are prone to pelvic floor muscle and nerve damage during pregnancy and childbirth, resulting in a weakened control of the urethra, and later, when abdominal pressure suddenly increases, it is easy to “leak urine”. Despite the high prevalence of urinary incontinence in China, many patients take treatment lightly due to lack of awareness or inability to find the right treatment. Cesarean section cannot prevent urinary incontinence Recently, family doctors online conducted a postpartum incontinence prevention and treatment awareness survey, 68.42% of participating women did not know that urinary incontinence is a highly prevalent disease in postpartum women, if incontinence occurs after childbirth, only 10.53% choose to seek medical treatment, 42.11% choose to wait for self-healing, the awareness of postpartum incontinence to seek medical treatment needs to be improved. Childbirth is a common cause of female urinary incontinence, many women have the misconception that if they choose a cesarean section, they can prevent postpartum incontinence. In this regard, Liu Mubiao pointed out that urinary incontinence can occur not only after childbirth, but also during pregnancy. In addition to childbirth, pregnancy is also an important cause of damage to the pelvic floor muscles and supporting ligaments. Therefore, even if you choose to have a cesarean section, you may still experience urinary incontinence after delivery. However, for pregnant women with relatively large and difficult fetuses, choosing a cesarean delivery will likely reduce their likelihood of postpartum incontinence. Whether it is to reduce the possibility of incontinence in the future, or to say goodbye to the trouble of incontinence as soon as possible, if incontinence occurs after childbirth should receive early examination and treatment. Especially for women who have had their first child and are planning to have a second child, if postpartum incontinence occurs during the first child, poor pelvic floor recovery will likely increase the chances of incontinence occurring during the second child. In addition, it is very important to have a pelvic floor function test 42 days after delivery, especially for women who experience postpartum incontinence, to help them identify the problem early and treat it early. Treatment: Severe incontinence requires surgery Wan Lan pointed out that in fact, urinary incontinence can be cured. Mild incontinence can be used to exercise the pelvic floor muscles, which is very simple: contract the vagina and anus, lift and maintain for 2 to 3 seconds and then relax, and then repeat. Do 300 to 500 times a day, you can do it in several times, at least 1 to 2 months to see the effect, usually need to adhere to more than a year. If the pelvic floor muscle training effect is not good, we should consider drug or surgical treatment. The clinical use of medication is not very common, one is because the effect is not very sure, and the other is because there are some side effects of drugs, such as nausea, vomiting or high blood pressure. For middle-aged and older women, these medications should be used with great caution and must be prescribed and monitored regularly by a specialist. Severe incontinence requires surgery, including posterior urethral sclerotherapy, various suspensions, artificial urethral sphincter placement, and urethral lengthening or folding. In addition, weight loss can improve female urinary incontinence.