Unexpected Postpartum Bladder Leakage

by: Shawana S. Moore, PhD, DNP, APRN, WHNP-BC, PNAP, FAAN

Unexpected Postpartum Bladder Leakage

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Postpartum bladder leakage is often an unexpected surprise. Many new moms experience urinary incontinence after birthing and may feel frustrated and or embarrassed because no one prepared them for this situation. If this is you, you’re not alone. There are solutions to help you manage this common postpartum issue.

Understand Postpartum Bladder Leakage

Postpartum bladder leakage happens when small amounts of urine leak out when you’re engaged in daily activities like:

  • laughing
  • coughing
  • sneezing
  • exercising

The pelvic floor muscles have been weakened as a result of pregnancy and childbirth.

Manage Postpartum Bladder Leakage

Pelvic Floor Exercises

Pelvic floor exercises, called Kegels, help strengthen the muscles that support your bladder and reproductive organs. To do these exercises, contract, hold and then release your pelvic floor muscles. When done regularly, these exercises can significantly improve bladder control. Your pregnancy care provider, a physical therapist, or a pelvic health specialist can advise you on the best exercises for you and the techniques to use.

Stay Hydrated

Staying hydrated may seem completely opposite of being in control of your bladder. Yet, it’s crucial for maintaining bladder health. Staying hydrated reduces the chance of concentrated urine irritating your bladder, leading to even more urinary leakage.

Maintain a Healthy Weight

Eat foods that includes whole grains, high fiber, vegetables, and fruits. Engage in regular physical activity like stretching, walking, or light jogging. Spend 20-30 minutes dedicated to movement as often as you can to try and maintain a healthy body weight. Less weight reduces the strain on your bladder and relieves pressure on your pelvic floor.

Use Absorbent Products

While strengthening your pelvic floor muscles, use absorbent products such as pads or liners so you can manage leaks discreetly and comfortably. 

Seek Professional Help

If you’re experiencing persistent or severe postpartum bladder leakage, call your pregnancy care or primary care provider. Your healthcare provider will listen to you explain your symptoms, recommend treatment options, and personalize a plan with you to manage this condition. If additional intervention is needed, your provider can refer you to a different specialist.

Online Communities and Forums

Join an online community where you’ll feel supported and understood. Search for forums, social media groups, and websites dedicated to treating postpartum health. These platforms may have hundreds of members that offer advice, encouragement, and personal experiences related to managing bladder leakage after childbirth. If you’re unsure about something you’ve read online, talk about it with your healthcare provider. 

Getting Help for Incontinence

The National Association for Continence offers information and resources for women dealing with bladder leakage, including educational materials, support groups, and tips for managing symptoms. The Pelvic Health Center offers consultations, physical therapy services, and treatment options that can be tailored to your individual needs.

Don’t be afraid to seek support and guidance to manage postpartum bladder leakage. By stepping out of your comfort zone, you might be able to give back and empower others birthing people on how to address this common and temporary issue. It takes a team to achieve optimal bladder health during the postpartum period.  

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AUTHOR

Shawana S. Moore, PhD, DNP, APRN, WHNP-BC, PNAP, FAAN

Shawana S. Moore, PhD, DNP, APRN, WHNP-BC, PNAP, FAAN, is a women’s health nurse practitioner. She serves as an Associate Professor and the DNP Program Director at Emory University’s Nell Hodgson School of Nursing. She is passionate about equitable, respectful, and inclusive maternal-child care.