How to floor childbirth incontinence

LONDON: Women who’ve had children are a third more at risk of incontinence than women who haven’t.

This is because of the potential impact on the pelvic floor, a hammock of muscles that runs from the pubic bone at the front to the spine, supporting the bladder, bowel and womb.

“Just being pregnant puts the pelvic floor and connected ligaments under a lot of strain. Carrying a baby is like carrying a bowling ball,” says urologist Jeremy Ockrim.

Risk factors for incontinence include having a big baby (more than 4kg), forceps delivery and prolonged labour, especially an extended second stage of labour when the baby’s head is deep in the pelvis, says Tim Hillard, a consultant obstetrician and gynaecologist at Poole Hospital and spokesperson for the Royal College of Obstetricians and Gynaecologists.

Incontinence can occur immediately after childbirth or during pregnancy, while in some women it develops over time, especially around menopause when the drop in oestrogen can further weaken tissue.

“Laughing, coughing or lifting something heavy can lead to leaking,” says Ockrim.

“A weak pelvic floor also raises the risk of falls with age. If you’re incontinent you’re several times more likely to have a hip fracture, which can be serious for an elderly person – it often happens because you are rushing to the toilet or are distressed after wetness.”

Pelvic floor exercises can be beneficial even after problems begin. Losing weight to help take pressure off the pelvic floor may also help, as can avoiding caffeine. “It’s a bladder stimulant, as is alcohol,” says Ockrim. – Daily Mail