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Incontinence.....


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#1 Justagirl123

Posted 15 December 2016 - 08:02 PM

Hi all,

I had a beautiful baby girl a week ago and am delighted with her - our first and much longed for baby. The delivery was quite straightforward really. I had an epidural and a catheter and then she was delivered with a vacuum as the heart rate was a little scatty, but a small baby so no tearing or stitches. However, 5 days on an embarrassing problem persists as I am still experiencing perineal numbness and am virtually completely incontinent. I have been told there is some nerve damage as a result of the delivery which could take up to 6 weeks to repair. In the meantime I need to do pelvic floor strengthening exercises and void regularly... and that's it!

Has anyone else experienced this? Keen to know what you did to repair the damage and get back to normal life quickly. I feel very uncomfortable leaving the house at the moment which is not how I envisaged my first weeks with my baby would be....

Thanks all, I know it's not a topic readily discussed so appreciate your openness if you're comfortable doing so.

#2 Coffeegirl

Posted 15 December 2016 - 08:12 PM

I had (and still have to a degree) mild incontenance after my natural births.   My oldest is 16 :(.    I still wear liners everyday.  

I was referred to a specialist physio and encouraged to do the pelvic floor exercises which helped a lot.   Though mine was quite mild compared to what you are experiencing.    


Have you discussed this with your GP or OB yet?  They may be able to refer you on to another specialist.

#3 ~LemonMyrtle~

Posted 15 December 2016 - 08:18 PM

I had pelvic floor issues and couldn't control wind and had great urgency when I needed to go, and numbness too.
I had a forceps birth with episiotomy and DS had a huge head.

I was sore from the catheter and stretching of the urethra for many weeks, but after that healed my bladder control was generally ok, it was my bottom that needed work.

I saw an amazing and sensitive physio who gave me an exercise plan, I saw her fortnightly, then monthly, then not at all. It really helped. You need to find a good physio who specialises in women's issues. After a lot of hard work and many many pelvic floor exercises I was back at about 80% of my pre-birth control after 6 months. But then I got pregnant again.

I had a second baby 14 months after the first, but thanks to my physio exercise plan (and thanks to my hard work during pregnancy) I was back to about 60% of full control within a month of that birth. And now, a year later, I'd say I'm almost back to normal, I don't even wear panty liners any more, I rarely think about it, and I only do the exercises maybe twice a week to maintain strength.

So, even though you might feel stressed about it now, it's not permanent! See a physio, get the exercises going, and slowly, over time you will get back to almost how you were before (I won't lie, it might never be 100%, but you hopefully won't think about it anymore when out and about)

#4 Fizgig

Posted 15 December 2016 - 08:24 PM

I had some incontinence post my second birth in that as soon as I stood up (if I had a full bladder) the wee would just start coming out and I had very little to no capacity to stop it. Three weeks of pelvic floor exercises (holding for one second in the first week, two seconds second week etc) and I felt I had a lot more in control. Nearly two years on and I still have occasional issues. I really need to go see a women's physio as I would like to get back to running but that is just a disaster for me at the moment.

#5 halcyondays

Posted 15 December 2016 - 08:37 PM

I had some nerve damage and needed to void every hour for 2 weeks, then every 2 hours for a month or so. This is to try and improve bladder sensation by making sure the bladder wall was not overly stretched. I still can't really feel if my bladder is full- but respond to other cues like lower abdo pain and I feel my heart rate rising.
I have to take measures not to put too much strain on my pelvic floor- the women's health physio was helpful in giving advice regarding what exercises I should avoid, and what I should do.

#6 dearydo

Posted 15 December 2016 - 08:55 PM

I lost all sensation of  bladder and urination with all 3 for 3-5 days and then it came back over a few days. First was very long birth with eventual episiotomy and vacuum. Other two were rapid. Was told it was due to compression and damage of nerves.

Was absolutely fine after first (so theres hope) it was 2 and 3 saw me off to the women's physio.

#7 Grasshopper5

Posted 14 February 2017 - 01:31 PM

I totally recommend a pelvic floor Physio. I was doing pf exercises but wasn't seeing a huge improvement. I eventually saw a Physio who told me my pf was overactive so I wasn't getting stronger. Once she sorted that out, my continence returned really quickly. A specialist Physio can sort you out pretty quickly 😊

#8 yipster

Posted 14 February 2017 - 01:45 PM

It's early days - but definitely get yourself along to see a womens health physio - you should be able to see one for free through the hospital you birthed at or if you're in sydney call the royal womens at randwick, There is a bit of a wait list for their physios, but they basically deal with a lot of post-natal continence issues & will get you on the right track asap!
I didn't need a referral when i went (6yrs ago), but if so your GP should be able to give you one

#9 PocketIcikleflakes

Posted 14 February 2017 - 02:23 PM

Two c sections and no natural births. But the second section was rough. My bladder was pretty shocked by it and I couldn't tell when I needed to wee,though I was able to hold it. I saw a women's physio and was given pelvic floor exercises, and of I went. A year later I saw a different physio about a different thing and s she suggested using real time ultrasound to check my pelvic floor. Well it turns out I was doing it wrong and making my pelvic floor worse. Moral of the story is to ask for a real time ultra sound to check you're doing it right.

#10 ~LemonMyrtle~

Posted 15 February 2017 - 02:41 PM

View PostPocketmoney, on 14 February 2017 - 02:23 PM, said:

Two c sections and no natural births. But the second section was rough. My bladder was pretty shocked by it and I couldn't tell when I needed to wee,though I was able to hold it. I saw a women's physio and was given pelvic floor exercises, and of I went. A year later I saw a different physio about a different thing and s she suggested using real time ultrasound to check my pelvic floor. Well it turns out I was doing it wrong and making my pelvic floor worse. Moral of the story is to ask for a real time ultra sound to check you're doing it right.

Very good advice.

Or make sure your physio is rather hands on.... it may be slightly invasive, but a good women's physio should be checking your doing a clench right by feeling it, with their fingers, inside your vagina and 'back passage' as my physio calls it. (gloved fingers of course)

And it's not just a clench, it's a clench then an internal draw-up at the front and back. Which is tricky and if you've not done it right before you won't know you're doing it wrong.



#11 PocketIcikleflakes

Posted 15 February 2017 - 06:00 PM

View PostLuckyMummy ♥♥, on 15 February 2017 - 02:41 PM, said:



Very good advice.

Or make sure your physio is rather hands on.... it may be slightly invasive, but a good women's physio should be checking your doing a clench right by feeling it, with their fingers, inside your vagina and 'back passage' as my physio calls it. (gloved fingers of course)

And it's not just a clench, it's a clench then an internal draw-up at the front and back. Which is tricky and if you've not done it right before you won't know you're doing it wrong.

Definitely a clench and draw up.

A manual check isn't always right though , my first physio checked manually and it turned out I still want doing it right  :/

#12 Salee

Posted 23 February 2017 - 04:16 PM

If anyone is based in Sydney, do you have any recommendations that you can PM me? I am having the same issue- urgency and when I exercise there is a bit of leakage.




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