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How to Manage Urinary Incontinence During Pregnancy: 5 Tips for First-Time Moms

25 Dec 2024
How to Manage Urinary Incontinence During Pregnancy 5 Tips for First-Time Moms

Urinary incontinence during pregnancy is a common yet rarely discussed challenge for many expecting mothers. While it can feel embarrassing, rest assured you are not alone. Understanding the causes and implementing simple strategies can help you feel more comfortable and confident throughout your pregnancy.

Why Does Urinary Incontinence Happen During Pregnancy?

As your baby grows, your uterus expands and puts pressure on your bladder. Hormonal changes and the added strain on pelvic floor muscles can make it difficult to control urination, especially when laughing, sneezing, or exercising. This is called stress incontinence, and it’s very common during the second and third trimesters​.

5 Expert-Backed Tips to Manage Urinary Incontinence

1. Strengthen Your Pelvic Floor Muscles With Kegels
  • Kegel exercises help tone the pelvic floor muscles, which support the bladder.
  • How to do them: Tighten your pelvic muscles as if you’re stopping the flow of urine. Hold for 5 seconds and release. Aim for 3 sets of 10 reps daily.
  • Kegels can improve bladder control over time and prepare your body for labor​.
2. Watch Your Fluid Intake
  • While it’s crucial to stay hydrated during pregnancy, monitor when and how much you drink.
  • Spread out your water intake throughout the day and reduce fluids a couple of hours before bedtime to minimize nighttime accidents.
3. Practice Bladder Training
  • Bladder training involves scheduling bathroom breaks to “train” your bladder to hold urine longer.
  • Start by visiting the restroom every 30 minutes, then gradually increase the intervals by 15 minutes over time. This technique can help improve control​.
4. Wear Protective Pads for Comfort
  • Disposable panty liners or incontinence pads can help you feel more secure and protect your clothing. They’re discreet and easily available.
  • Opt for breathable, soft materials to prevent irritation.
5. Stay Active With Pregnancy-Safe Exercises
  • Regular, gentle physical activity like walking or prenatal yoga can help strengthen core and pelvic muscles, improving overall control.
  • Avoid activities that put excessive strain on your bladder, such as jumping or intense aerobic movements​.

When to Seek Medical Help

If urinary incontinence becomes severe, painful, or is accompanied by other symptoms (like burning urination), consult your healthcare provider immediately. They can check for urinary tract infections (UTIs) or other underlying conditions that might require treatment.

Take Heart: It’s Temporary!

For most moms, urinary incontinence improves or resolves after delivery, especially with consistent pelvic floor exercises. Pregnancy is a time of extraordinary changes, and small steps like Kegels and bladder training can make a big difference.

You’re not alone in this journey, and better comfort is achievable with the right strategies!

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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