Pregnancy is a remarkable and life-altering journey that involves glowing skin, adorable baby kicks, and, oh yeah, the occasional bladder betrayal. If you’re finding yourself unexpectedly peeing a little (or a lot) when you sneeze, laugh, or even breathe too hard, don’t worry—you’re in good company. Here’s the lowdown on pregnancy incontinence, why it happens, and what you can do about it (other than laughing... carefully).
What is pregnancy incontinence?
Pregnancy incontinence is when your bladder decides to rebel, leaking urine without your consent. And before you start blaming or shaming yourself, know this: you’re not alone. About 40–50% of pregnant women experience incontinence, and many also continue to deal with it postpartum. So, if you’ve joined the “oops, I peed a little” club, congratulations—it’s a very non-exclusive (and totally normal) club.
What causes incontinence during pregnancy and the postpartum period?
During pregnancy, a woman’s body changes a lot, and some of these changes can lead to incontinence. It’s often caused by a combination of hormonal shifts, physical changes like a growing uterus, and the strain of delivery. Understanding these causes can help you feel more confident and proactive in managing symptoms.
Hormonal Shenanigans: The hormone relaxin helps prepare your body for childbirth by loosening ligaments and tissues; unfortunately, that also includes the pelvis, which is supporting your bladder.
The Great Flood: hCG (the same hormone responsible for your positive pregnancy test) also cranks up your blood and fluid levels. Your kidneys work overtime to filter everything, turning you into a regular peeing machine.
Growing Uterus and Baby: As your baby grows, the uterus expands and puts pressure on your bladder. And, of course, around the 3rd trimester, your baby will also be big enough to start weighing down on your bladder and throw the occasional kickboxing session.
Weakened Pelvic Floor Muscles: Pregnancy and childbirth stretches your pelvic floor muscles, which act like a supportive hammock for your bladder. A loose hammock = more... surprises. This cause especially follows many women into the postpartum period and beyond.
How can you manage and prevent Pregnancy Incontinence?
While pregnancy incontinence may not be entirely avoidable, (especially in the 3rd trimester with a full-sized baby dancing on your bladder) you can take steps to reduce it. Here’s how:
Strengthen Your Pelvic Floor: Think of Kegel exercises as your secret weapon. They strengthen your pelvic floor muscles, which means better bladder control. The best part? You can do them anytime, anywhere. Waiting in line? Kegel. Watching Netflix? Kegel. You get the idea.
Hydrate Properly: It sounds counterintuitive, but cutting back on fluids isn’t the answer – it can actually irritate your bladder even more! Instead, stick to water and avoid bladder irritants like caffeine and fizzy drinks. Your bladder will thank you, even if it still leaks occasionally.
Use the Bathroom Regularly: Don’t wait until your bladder is screaming at you – use the toilet regularly and take the time to make sure that your bladder is fully empty.
Gear Up With Pads or Liners: For the foreseeable future, incontinence pads and liners will be your new best friends. They’ll keep you feeling dry and confident, even if you experience occasional drips.
With the right strategies, like strengthening exercises, regular hydration, and products such as ABENA Light Incontinence Pads, you can effectively manage symptoms and feel more at ease.
When Should You See a Doctor?
Who you gonna call? while pregnancy incontinence is common, there are times when you should consult your healthcare provider:
- If leaks are sudden, severe, or accompanied by pain.
- If there’s blood in your urine.
- If you have symptoms of a UTI, like burning or urgency.
The Saga Continues Postpartum
If you thought bladder leaks would magically disappear after delivery, surprise! Many women experience lingering incontinence postpartum due to a still-recovering pelvic floor. Keep up with those Kegels, consider seeing a pelvic floor therapist if you do not feel any improvement, and continuing to use postpartum pads or incontinence liners to provide extra protection and security while your body recovers.
Embrace the Messy Magic of Pregnancy
Pregnancy incontinence isn’t glamorous, but neither is growing a tiny human—and you’re rocking both. Instead of stressing, focus on strategies to manage the leaks and enjoy the journey. Remember, your body is doing an extraordinary thing, even if it occasionally forgets to warn you before sneezing.
By talking about this openly, we’re breaking the taboo and reminding every mom-to-be that a leaky bladder is just part of the wild ride called pregnancy. So laugh (carefully), stay hydrated, and kegel like a pro—you’ve got this.