Hi, everyone, I am your professional "best friend"-Dr. Wang Hongmei.
Let me tell you a little story first.
Yesterday, there was a 68-year-old aunt in the outpatient clinic. When the aunt got up and put on clothes after the gynecological examination, the urine flowed down her legs directly to the floor. The aunt immediately became embarrassed and said she was embarrassed.
Everyone who comes to see a doctor is because they need help. I am an obstetrician and gynecologist and a female. I didn't feel embarrassed about the aunt's situation. On the contrary, I immediately realized that my aunt needed help.
I learned in a soft voice that the aunt gave birth to 3 children. In that era, the children were all born at home, and there were lacerations in the perineum and they would not be sutured. My aunt did not leak urine when she was young, but she started to sneeze, cough and leak urine after menopause.
Urinary leakage has become more serious in the past two years. I need to use adult diapers all the time and cannot go to the square to dance. The bottom is stuffy and damp, and others can still smell a faint smell of urine when they are near. I am very embarrassed, so I am not willing to contact people.
I did another check-up for my aunt. It was because of severe urinary incontinence and needed surgical treatment.
Many women have a feeling after giving birth: the body is not their own.It's completely changed. He eats very little but has a big belly. When skipping rope, exercising, or even coughing or laughing, urine leaked quietly below.
According to the survey, about 25%-55% of pregnant women have symptoms of urinary incontinence; about 34.3% of women experience urinary incontinence 3 months after delivery.
Many women have urine leakage problems in daily life, but the severity is different. Some women do not pay attention to it, and some do, but do not know which doctor to see. Today I will tell you about postpartum urine leakage and big belly, how to treat it, and how to exercise at home.
What is the cause of urine leakage?
Pregnancy and childbirth lead to pelvic floor muscle damage, weakened muscle strength, pelvic floor muscle nodules pain, pelvic floor muscle scarring, adolescent obesity, eating too much high-fat, high-calorie food, menopause , estrogen decline, etc., These are the "culprits" of stress urinary incontinence caused by .
Once the female pelvic floor muscles become weakened, the front and back walls of the vagina bulge, the bladder angle changes, and there will be problems with urinary control, especially laughing, coughing, and sneezing. When abdominal pressure increases, urine flows out involuntarily, sometimes accompanied by symptoms such as frequent urination and urgency.
In addition to leaking urine, women who can’t hold back their urine or want to go to the toilet when they hear the sound of running water should also pay attention. These may be "early warnings" of urinary incontinence!
has never had a baby,It may also leak urine
In the outpatient clinic, we found that some women have leaked urine without having a baby. What is the reason?
If a female who has not given birth has urine leakage, it means that there is stress urinary incontinence, which is manifested as coughing, laughing, exercise, etc. When the abdominal pressure increases, the urine flows out involuntarily. It is common in in elderly and obese women. The reason is that the level of estrogen is decreased, the body mass index is high, and there is continuous pressure on the entire pelvic cavity.
Some women are 160cm tall and weigh 180 kg, which is heavier than the weight of many pregnant women in the third trimester. They will leak urine when climbing stairs, coughing, and laughing.
There are other women who are engaged in heavy physical labor, often exerting their abdomen, and when going to the toilet with constipation, they desperately push downwards, their face is flushed, and they may leak urine.
recommends that these people control their weight and reduce the problems caused by obesity. Balanced nutrition, eat more crude fiber easy to defecate foods, such as celery, radish, dragon fruit , bananas, corn, sweet potatoes, etc.
remind everyone that corn and sweet potatoes are also staple foods. After eating these, the carbohydrates of rice and noodles should be reduced!
How to exercise at home
can train the pelvic floor muscles repeatedly,Increase the tension of the pelvic floor muscles, improve the support function of the pelvic floor, and enhance the ability of urethral closure.
Currently recommended is pelvic-abdominal linkage, breathing exercise drives pelvic floor muscles.
The specific method is as follows:
first lie flat and breathe slowly 5 times.
When you inhale, slowly inhale through your nose to fully expand your lungs, but your body and pelvic floor muscles relax! That posture is very similar to the angry dog in "cats and mice":
When you exhale, exhale slowly with your mouth while contracting your pelvic floor muscles and anus! I feel like a frustrated pocket, my front belly gradually sticks to my back spine, and my waist becomes thinner in an instant.
Practice 10 times each morning and evening. It’s tiring to practice well, very helpful, come on!
Mild urinary incontinence can be relieved by pelvic floor rehabilitation training. For moderate to severe stress urinary incontinence, it is recommended that you seek a professional postpartum rehabilitation doctor.
can assist pelvic floor electrical stimulation and manipulation for treatment. If necessary, use vaginal laser, radiofrequency or transvaginal mid-urethral suspension to solve it.Our doctor will give a comprehensive treatment plan based on the specific situation of the patient.
Big belly, not as much exercise as possible!
Many postpartum mothers follow the Internet to practice on their own. They lack scientificity and professionalism. The more they practice, the more serious they become. They often see their mothers doing abdominal exercises and planks at home, and the separation of the rectus abdominis becomes more and more serious.
If you look at this video, I was shocked, my stomach is hard, there is a deep groove where rectus abdominis separates.
What is the root cause of the big belly? Only by finding the root cause can the symptoms and the root cause be cured.
Many mothers don’t know that the rectus abdominis refers to the two parallel rectus abdominis in the middle of the abdomen. People usually say that the 8-pack abs and vest line are the rectus abdominis.
During pregnancy, especially in the third trimester, the abdominal muscles will be stretched due to the bulge of the abdomen, and the rectus abdominis on both sides will separate from the midline of the abdomen to both sides.
Generally, the rectus abdominis will recover slowly after delivery. If the abdominal wall itself is relatively thin, the twin fetuses are too large, hyperamniotic fluid , or multiple births after half a year, The rectus still cannot return to its original position,It is called postpartum rectus abdominis separation syndrome .
is like a spring that becomes slack after being stretched too much and cannot return to normal.
When doing sit-ups while lying flat, you can touch the rectus abdominis on both sides and there is a deep groove between the rectus abdominis. Feel the fingers can be inserted into the abdominal cavity and measure the distance between the two muscles , The normal is 2cm, >2cm requires treatment.
The deeper the separation of the rectus abdominis, the weaker the abdominal muscles, the weaker the lower abdomen becomes, and the mother’s abdominal muscles will become painful. , The supporting force on the lower back will be reduced. Due to the change in the force, the chance of lower back pain will be increased. At the same time, the separation of the rectus abdominis is not conducive to the recovery of the pelvic floor muscles.
Crazy abdominal curling and abdominal muscle training after childbirth will only keep the rectus abdominis in a separate state, even going further and further.
Before you start training, the rectus abdominis separation test is very important. You can do it at home to strengthen your flanks. If you don’t know, you can find a doctor to help you!
How to use the restraint belt more scientifically?
abdomen belt has many types,There are gauze type, elastic band type, panty type, belt type, but the basic principle is the same, to speed up the exhaustion of lochia.
If it is to promote wound healing, such as caesarean section, you can use the strap 3-4 days after delivery. It is recommended to use it for 10-14 days.
If you want to wear a restraint belt for abdomen, the use of the postpartum restraint belt must be worn only when it is clear that the pelvic floor muscles have fully recovered.
It is recommended that mothers return to the hospital for pelvic floor muscle assessment and screening 42 days after delivery. If there is no problem with the pelvic floor muscles, the restraint belt can be used.
If there are problems with the pelvic floor muscles, such as pelvic floor muscle relaxation, pelvic floor muscle rehabilitation should be performed first, and the restraint belt can only be worn after the pelvic floor muscles have recovered.
During the use of the strap, the strap should not be tied all day long. It should be properly untied when lying on the bed or sitting and resting, and then tied up when you get out of bed. If the restraint belt is used for a long time, it is likely to affect the blood circulation in the abdomen, which is unfavorable to the muscles of the abdominal muscles and back muscles, resulting in prolonged postpartum recovery time.
If you use the restraint belt too tightly, the waist becomes thinner to the naked eye, but it actually increases the pressure on the abdomen and aggravates the prolapse of the pelvic organs.
What is the best time for postpartum recovery?
6 months after delivery is the golden period of restoration,The sooner the better. It is recommended that after 42 days of postpartum recheck the uterine involution is good, it can start. It is recommended to find a professional obstetrician and gynecologist for evaluation and treatment!
Postpartum mothers can do the pelvic-abdominal linkage I taught you at home. Yoga and Pilates are suitable for mothers to practice, mainly to strengthen the muscles of the side abdomen.
Postpartum rehabilitation is not a matter of one or two days or one or two months. As the age increases, hormone levels will change, ligaments will relax, muscle strength will become weaker, skin and mucous membranes will also become loose and old. Functional deterioration. Pelvic floor exercise is a woman's lifelong career. To reduce urine leakage and stay away from the big belly, put down your phone and start exercising!
.
