During pregnancy, urinary incontinence is a common concomitant symptom due to the development of the fetus at a certain stage of the gestational period. The closer the delivery time, the higher the risks of uncontrolled urination.

Urine leakage is noted with any reflex muscle contraction: loud laughter, coughing, sneezing. In the absence of a burdened history of the urinary system, pathology can be judged only after childbirth.

Persistence of symptoms requires careful diagnosis and appropriate treatment.

Can pregnant women leak urine and what are the signs of serious health problems?

Urinary incontinence during pregnancy, or enuresis - common reason discomfort, feelings of awkwardness and self-doubt. Uncontrolled episodes of urination occur mainly during the daytime. Nocturnal enuresis usually indicates a serious disturbance in the functioning of the body.

Enuresis is often associated with a woman's psycho-emotional background, which also changes during the period of hormonal changes in the body. The discomfort associated with uncontrolled urinary incontinence during pregnancy is more likely to occur in the last months. This is due to a significant decrease in volume Bladder due to the pressure of the uterus on him.

Urine leaks with any, even weak muscle contraction. The likelihood of a symptom is also influenced by the number of pregnancies and childbirth. In a healthy woman, leakage is rare during the first pregnancy. The more births, the higher the risk of involuntary discharge of urine in the early and late stages of fetal development.

Types and symptoms of incontinence in a pregnant woman

In clinical practice, there are several main types and features of urinary incontinence caused by pregnancy. Symptomatic manifestations directly depend on the causes of the condition. Doctors identify the following types of urinary incontinence in pregnant women:

1. Muscle and stress tension. Urine leakage in women is episodic, observed only after a sharp muscle contraction (when coughing, when sneezing) or with strong excitement. The first signs usually appear already in the first trimester of pregnancy.
2. Urgent incontinence in pregnant women. In this case, the urge to urinate becomes spontaneous, the woman simply does not have time to go to the toilet. Urine is always excreted abundantly, in volume - as in the process of natural emptying of the bladder. Urgent urges may indicate the development of pathology.
3. Overcrowding syndrome. The urge to urinate is always sharp, and after emptying there is a feeling of fullness. The condition is caused by decreased muscle tone of the bladder walls. The symptom can occur not only in late pregnancy, but also after childbirth.

Note! Physiologically, even healthy women are prone to insignificant excretion of urine at the time of sneezing, coughing, rolling laughter. During pregnancy, serious changes occur in the anatomy of the female body, however, minor leakage is considered the norm.

Pathological discharge is a volume comparable to a complete emptying of the bladder. The amount of fluid in a normal incontinence is usually measured in a few drops.

Causes of urinary incontinence during pregnancy

Minor urinary incontinence or other urinary disturbances during gestational age depend on the condition of the urinary system prior to conception.

The main causes of urinary incontinence during pregnancy at any time and after it are:

• weakening of the muscles of the bladder (incontinence occurs due to a decreased tone of the muscles of the sphincters);
• decreased elasticity of the pelvic floor muscles;
• pressure on the pelvic organs during fetal development;
• violation of the natural innervation of the bladder due to compression of the nerve roots;
• excessive activity of the growing baby;
• traumatic injury to the pelvic muscles and uterus during childbirth.

Involuntary urination can occur in the third or second trimester. In the presence of a complicated clinical history of the kidneys and other organs of the urinary system, the development of complications can be suspected, the exacerbation of existing pathologies is already on early dates pregnancy.

The presence of other diseases of internal organs in the history of a woman can also provoke the development of enuresis. Contributing factors can be overweight or rapid weight gain, diabetes mellitus, kidney disease, inflammatory pathologies of the genitourinary system and urogenital tract.

What to do

How is bedwetting in pregnant women treated? If urine leaks during pregnancy, any treatment should begin with a diagnostic study.

Normally, episodes of urinary incontinence completely disappear after some time after childbirth.

The body rebuilds to the lactation regime, throws all its strength into the rapid restoration of a woman's vital resources, therefore, the muscle structures of the pelvic organs quickly return to normal, the processes of natural emptying of the bladder and intestines are normalized.

It is after delivery that the woman's general health should be assessed. Violation of urination, which occurs during pregnancy, quickly passes in the absence of pathology.

If symptoms persist, painful sensations during urination, pulling pains in the lower abdomen join, treatment should be started. However, in most cases during pregnancy and after childbirth, the following measures are sufficient:

• wearing a bandage. Support for a growing abdomen reduces the load on the muscles, and an elastic corset reduces the risks of developing stretch marks and stretch marks, urinary disorders;
• adherence to good hygiene. Regular care of the genitals reduces the risk of infection, is the main therapy for diseases of the genitourinary system;
• wearing cotton underwear. It is recommended to wear wide-sized swimming trunks made of breathable fabrics. Synthetic tight underwear only contributes to skin irritation, is a favorable environment for the development of pathogenic bacterial microflora. For convenience, you can use daily sanitary pads;
• Kegel exercises for a pregnant woman. A set of exercises designed to strengthen the muscular structures of the pelvic floor, vagina. Developed muscles prevent the development of enuresis in pregnant women. It is enough to walk with a tennis ball between your legs for 15 minutes several times a day.

Note! It is important to eliminate the stress factor, rest more, and tune in to a positive mood. If urine flow is difficult to control, urologic pads can be worn for more comfort and confidence.

Doctors may recommend some herbal remedies. Alternatively, you can refer to the recipes traditional medicine and drink decoctions based on wild rose berries, mountain ash, peppermint, chamomile, calendula.

When to see a doctor for urinary incontinence

Usually, episodes of urinary incontinence during pregnancy are physiological in nature and disappear immediately after delivery. You should consult a doctor if the following alarming symptoms appear:

• nighttime involuntary urination;
• abundant regular bowel movements, regardless of external provoking factors;
• signs of inflammation of the urogenital tract (including cystitis, urethritis);
• the appearance of atypical impurities in the urine.

Important! Timely reaction of women during pregnancy and after childbirth, as well as going to the doctor if you suspect a urinary tract disease will help maintain health, self-confidence, and avoid chronic pathology.

Urinary incontinence is an unpleasant symptom that reflects the state of the nervous and genitourinary systems. During pregnancy, all reactions of the body are exacerbated due to complex hormonal and anatomical changes.

Throughout the entire period of bearing a child, you should observe medical advice, visit the antenatal clinic according to a special schedule, with disturbing symptoms, tell the doctor about it.

Urinary incontinence during pregnancy is considered one of the vivid and specific symptoms of this condition, due to the symptom of the active growth of the uterus, the development of the fetus. Normally, the frequency of uncontrolled urination increases at a certain stage of the gestational period or is observed from the first weeks after conception. The appearance of incontinence can be triggered by any reflex muscle contraction. Doctors talk about the development of pathology only in the postpartum period while maintaining this symptomatology. In this case, a thorough diagnosis is carried out and adequate therapy is prescribed.

Urinary incontinence in pregnant women is a fairly common occurrence (such as early toxicosis, vomiting, dizziness), which occurs very often, but not always. It is characterized by episodic or persistent leakage of urine, and the volume of fluid excreted can vary from a few drops to a significant amount. In the first case, the violation does not affect the quality of life and is perceived as temporary discomfort, in the second - expectant mother you have to change your underwear many times a day or wear special urological pads. Since episodes occur during the daytime, the woman feels awkward, insecure, which makes her nervous and irritated.

Description of symptoms

In a normal state, a woman is able to control urination by regulating the volume and rate of urine excretion. When carrying, often already in the first trimester, she partially loses control over this process and can calmly miss the moment when the biofluid is released.

Urinary incontinence in women during pregnancy can be identified by the following symptoms:

• involuntary discharge of urine with a sharp tension of the abdominal muscles (laughing, coughing);
• leakage of urine in a small amount (a few drops);
• uncontrolled pouring of urine in moderate portions;
• frequent urination triggered by spontaneous urges.

It's important to know! All of these manifestations are physiological and disappear after the birth of the child. You should be wary if episodic leaks in volume are equated to full-fledged urination, and the liquid is absolutely colorless and odorless.

Explanation of the phenomenon

Uncontrolled urination during the gestational period has well-founded reasons, so it should not be a cause for concern. The conception and bearing of a child are accompanied by a change in the rate of biochemical processes, the state of muscle tissues, and the work of the organs of the urinary system. In addition, a number of other factors can provoke episodes of incontinence.

Quite often, the baby himself becomes the culprit for uncontrolled urination, which in the process active stirring presses on the urinary organs, provoking the outpouring of fluid. Urinary incontinence at about 35 weeks of gestation and later is due to the prolapse of the uterus into the pelvis, which is an indicator of the approaching date of birth.

Different types of incontinence during pregnancy

In clinical practice, there are several types of uncontrolled urination, similar in manifestations, but due to different etiological factors.

The above reasons are the main ones and disappear after childbirth. But the appearance of incontinence is also influenced by the woman's physical readiness for gestation, the presence of diseases of the genitourinary system, chronic or acquired during pregnancy.

Enuresis or leakage of amniotic fluid

Dripping amniotic fluid- This is the release of the contents of the amniotic fluid, which consists of 98% of water and 2% of salts and other elements. It protects the fetus and allows it to develop fully. Normally, when the amniotic membrane ruptures, the contents come out and the process of delivery begins. But situations arise when, as a result of a sudden movement, injury or active sports, there is a slight rupture of the bladder with amniotic fluid. Loss of integrity leads to water leakage.

It's important to know! Uncontrolled urination is in many ways similar to the effusion of amniotic fluid. The first is not considered a dangerous condition and only requires more careful observance of intimate hygiene. In the second case, qualified assistance is required.

You can tell the difference between both violations yourself. When urine is excreted, even in small amounts, there is a characteristic odor and color. When the amniotic fluid is ejected, it remains transparent, has no shade or unpleasant "odor". Only a doctor can clarify the situation, therefore, at the first suspicion of amniotic fluid leakage, you should contact him.

Solutions to the problem

Since incontinence is a temporary phenomenon, no specific therapy is performed. If there is a suspicion of pathological processes in the mother's body, diagnostics are performed and a sparing treatment regimen is chosen, aimed at eliminating the provoking cause and maintaining the health of the mother and child. In other cases, doctors try to do with conservative non-drug methods.

Bandage application

Wearing a brace is one option to help reduce the frequency of your urge to urinate and minimize discomfort. The accessory, due to its special design, helps to support the abdomen, evenly distributing the load on different parts of the back and preventing muscle weakness and prolapse. It reduces pressure on the bladder and urethra, which translates into fewer toilet visits.

With the help of a specialist, it is necessary to choose the most convenient model, taking into account the gestation period, the size of the abdomen and the characteristics of the figure. Any construction from thick fabric and elastic bands should be purchased primarily at the pharmacy. The accessory is allowed to be worn only when awake, it must be removed at night. The most convenient option is a panty bandage. Due to the presence of a wide ribbon, the product holds the belly well. Due to frequent washings, it is recommended to purchase several sets of linen.

Gymnastics to strengthen the pelvic floor in pregnant women

Gymnastics is another common method of preventing and treating urinary incontinence. The exercise complexes proposed by the doctor A. Kegel are popular. According to the patients themselves, regular exercises using this technique allow you to control urination, strengthen the pelvic floor muscles, which minimizes the risks of rupture during childbirth.

Features consist in alternating compression and relaxation of intimate muscles, which are reproduced in a specific sequence. The following exercises are considered the most common and easy ones.

1. Hold. Having completely relaxed, the woman needs to imagine that she is trying to stop urination. Periods of tension and rest alternate and last for 10 seconds.
2. Elevator. Slowly pull the muscles into yourself, imagining a rising cabin. Fix the position for 10 seconds and relax sharply.

You can do it yourself, or you need to take lessons from a coach. The intensity of the classes and the number of approaches should be increased gradually. If done regularly for 30-40 minutes daily, the result will become noticeable in 3-4 weeks. If you don't have enough time to train, exercise with a tennis ball will help. Holding it between your thighs, you should walk around the room for at least a quarter of an hour. The condition is the absence of contraindications.

Traditional methods

In the fight against urinary incontinence during pregnancy, especially in the later stages, it is allowed to resort to traditional medicine, which does not have side effects and is absolutely safe for both the mother and her baby. In most cases, home remedies are used, prepared according to the following recipes.

1. Dill seed decoction. Pour a tablespoon with a glass of boiling water and leave for at least three hours. The product should be taken in 100 ml every 4 hours. The course is at least a week.
2. Sage tea. In a liter of boiling water, stir 40-50 g of dry herb of the plant, and leave for 4 hours. Drink the filtered liquid three times a day, 250 ml.

If there are no problems with the kidneys, then it is allowed to use a decoction of rose hips, lingonberries, and parsley root. In the absence of a result, both during gestation and after childbirth, an examination should be carried out and an appropriate course of treatment should be taken.

Features of the drinking regime and nutrition

To control the process of urination, doctors recommend strictly monitoring the amount and type of fluid consumed. So, they advise to completely abandon alcohol, coffee, tea, carbonated drinks, and instead switch to natural juices and pure water. The total volume should not exceed 2 liters, and the first courses should also be taken into account when calculating the amount to drink. To avoid swelling, you need to impose a restriction on drinks or water in the evening, and before going to bed, you should completely empty your bladder. This will help prevent urinary stagnation, infection, and normal, prolonged sleep.

Preventive measures

Taking into account physiological changes occurring in a woman's body during pregnancy, it is impossible to completely get rid of urinary incontinence. This is especially true of those situations when, before conception, measures were not taken to prevent violations of the genitourinary system or gynecological diseases.

To reduce the risk of uncontrolled urination or reduce the frequency of manifestations, it is recommended to adhere to the following rules:

1. Reduce the amount of liquid consumed to 1.5-2 liters per day, and to quench your thirst, use not juices or tea, but pure water.
2. Competently compose a diet, excluding from it foods that have a diuretic effect, citrus fruits, salty, spicy foods, smoked meats and marinades.
3. Keep the body in good shape by doing Kegel gymnastics, taking daily walks and doing moderate physical activity.
4. Use a special bandage on the advice of a doctor. It can help reduce the stress on the bladder and other organs, which can significantly reduce the frequency of uncontrolled urination episodes.
5. Squeeze your hips when you feel like coughing or sneezing.

It's important to know! According to long-term observations, experts argue that against the background of an active lifestyle, timely treatment and prevention of diseases, women are less likely to have problems with uncontrolled urination during the period of bearing a child.

Conclusion

Despite the fact that urinary incontinence during pregnancy is considered an early developing natural physiological process, as well as a delicate problem from the point of view of the expectant mother, it is necessary to report this phenomenon to the attending physician.

It will help to take certain measures, adjust the tactics of pregnancy management and reduce the risks of amniotic fluid leakage, ensuring the normal and full development of the fetus.

Pregnancy is a unique period full of pleasant expectations and minor troubles. In addition to joyful impressions, the expectant mother will experience a number of unpleasant emotions from dizziness and nausea, loss of appetite.

One of the unpleasant conditions -incontinence during pregnancy, which can begin as early as the first trimester, from about 14 weeks. Usually incontinence during pregnancyis not considered a pathology, but there are exceptions, so if symptoms appear, you should consult a doctor.

It is necessary to understand that incontinence urine in women and leakage are different pathologies. The first is without the urge to urinatein pregnant womena certain amount of urine is released. Second, a couple of drops of urine are released a short period after urination.

Both conditions make life difficult for pregnant women. girls , impose restrictions on the duration and frequency of walks, social activity. Women have to use pads, often change their underwear and get into embarrassing situations, which spoils all the charm of this magical period. To try and eliminateurinary incontinence during pregnancyyou need to determine what type of pathology belongs to:

• enuresis against a background of stress. It is observed with a slight increase in pressure in the peritoneum. Even small physical activity leads to tension of the peritoneum, which provokes involuntary urine flow. Incontinence may manifest when coughing and laughing, when sneezing and temperature changes (when a woman leaves a warm room to the street in winter);
• urgent incontinence. The condition is provoked by an overactive bladder. Provoke spasms in m ochom the bladder and the desire to empty it can be the sounds of pouring water or the sound of raindrops on the glass;
• leakage - the release of a very small volume of fluid, just a couple of drops of urine. If the tone of the bladder is increased, such leakage becomes chronic, and the volume of urine excreted gradually increases.

Why does incontinence occur in pregnant women?

Many women have to deal with incontinence alreadyearly pregnancy, for some, such a condition even serves as a signal of the conception of a child (usually during the second and subsequent pregnancies).

The reason for this condition if earlier leakage was not observed, there may be hormonal changes - the ovaries of a pregnant woman produce a lot of progesterone, which is responsible for the elasticity of organs in the small pelvis.

At the same time, the muscles are stretched, the tone of the bladder increases.

In the second period andat a later date(35 weeks or more) urinary incontinence in pregnant womencaused by the following factors:

• the child grows in the womb, the volume of the uterus increases, which presses on the bladder. Due to this pressure, the functions of the bladder are limited, not all urine flows out during urination, therefore, a few drops may be released after using the toilet;
• the changed hormonal background stimulates an increase in the volume of fluid in the body of the pregnant woman, the kidneys do not have time to remove it;
• enlarged uterus to the last period presses on the urethra, which leads to the release of small portions of urine very often. If we add to this the high tone of the bladder walls, this is fraught with voluntary urination;
• incontinence the time of the last trimester is provoked by the active movements of the baby, which is already large enough and can strongly press on the mother's bladder. This leads to urine leakage.

In addition to the listed factors that provokepregnancy urinary incontinencemay be caused by the presence of certain diseases:

• syphilis, gonorrhea;
• exacerbation of chronic ailments (pyelonephritis, renal failure);
• cystitis and other inflammatory processes in the organs of the urinary system.

Other causes of incontinence are as follows:

• anomalies in the structure of organs in the small pelvis;
• the physical health of the pregnant woman;
• the size of the child;
• if little time has passed since the previous pregnancy;
• excessive weight gain of the expectant mother during pregnancy.

Does incontinence go away after childbirth?

If a woman suffered from incontinence during pregnancy, constantly bought pads and infringed upon her interests, it is logical that she expects to get rid of the pathology after delivery.

It also happens that childbirth provokes urinary incontinence in the future. The child, passing through the birth canal, violates the anatomy of the muscles of the pelvis, bladder, urethra:

• the muscles responsible for urine excretion are compressed;
• the circulation of blood in the organs in the small pelvis is disturbed;
• reduced transmission of impulses from the bladder to the brain.
  

Difficult labor with multiple ruptures also causes temporary loss of sensation and involuntary urination.

Do I need to see a doctor

To be calm about her and children's health, a woman should definitely consult a doctor about any changes in the body. The gynecologist will conduct a standard examination, listen to complaints, based on the condition of the mucous membranes, he may suspect the presence of pathologies.

If necessary, a general analysis of urine and blood is prescribed. If the results show an increased level of white blood cells, this may indicate diseases of the genitourinary system. If an infection is suspected, a smear is taken to identify pathogens, other diagnostic measures may be prescribed:

• Ultrasound of organs in the small pelvis without contrast agent;
• CT scan of the urinary tract;
• MRI in the 2nd and 3rd trimester.

Thorough diagnosis is needed to exclude recurrence of chronic pathologies.

How to eliminate urinary incontinence in a pregnant woman

Treatment of pathology is carried out after establishing the cause. In the presence of viruses or bacteria in urine tests, antimicrobial drugs are prescribed with a gentle action, since not all medicines are allowed for pregnant women.

If the doctor reveals a weakened immunity in a pregnant woman, he prescribes a complex of vitamins specially designed for women in the position. Naturally induced incontinence does not require medication, and your doctor may recommend:

• wear a support bandage and special underwear so that the skin does not stretch and the bladder does not squeeze;
• at night you need to limit the amount of fluid you drink. It is better to eat an apple shortly before bedtime or drink half a glass of kefir;
• eat less fatty and smoked foods, so as not to provoke thirst;
• drink a weak rosehip broth and dill infusion. It is better not to try other herbal decoctions, because during pregnancy, herbs can negatively affect the fetus. All procedures and medications can only be tried with the approval of the attending physician.

If a pregnant woman develops a leak at a later date, an urgent need to consult a gynecologist to determine what the leak is: urine or amniotic fluid... Women in a position cannot be very worried, therefore, one should not invent non-existent diseases.

Questions need to be resolved in the doctor's office. The specialist will provide comprehensive support - explain the cause of the pathology, give recommendations on how to reduce its manifestations, and answer your questions in full.

Urinary incontinence is a common problem in expectant mothers. There can be several reasons for this problem. As a rule, they all arise in combination at one stage or another of bearing a baby.

The pelvic floor muscles become weak. The fetus gets bigger and bigger, stretching and weakening the muscles. This is why urine can leak when you laugh or sneeze. For the prenatal period, this condition is normal and characteristic. Sometimes in pregnant women, enuresis develops due to damage to the nerve endings of the bladder. If this is the reason for incontinence, then the fair sex will probably notice that from time to time she feels a sudden sharp desire to go to the toilet "in a small way."

In addition, it should be borne in mind that expectant mothers, due to the fetus that develops in the uterus, almost never succeeds in completely emptying the entire bladder. Any remaining urine remains inside the bladder. Due to the weakening of the tissues of the pelvic floor and perineum, the remaining urine in the bladder can leak as soon as the “opportunity” is presented.

Symptoms

The only symptom of enuresis is spontaneous, uncontrolled urine leakage. This condition is not accompanied by any other symptoms in pregnant women.

Diagnosis of bedwetting

Enuresis of pregnant women is diagnosed at the stage of collecting anamnesis. Mild to moderate urinary incontinence is a physiological condition for expectant mothers. Analyzes and laboratory studies may be required only if the disease is triggered by an inflammatory process. The fact is that pregnancy is a period that often exacerbates diseases of the genitourinary system. If incontinence is a symptom of one of these ailments, your doctor will prescribe appropriate diagnostic tests. But in most cases, to diagnose mild enuresis or moderate incontinence, the doctor does not need anything other than information about the symptoms received from the patient.

Complications

Mild enuresis and moderate incontinence do not result in any negative consequences for the mother's body. A few weeks after a successful delivery, the woman's body will almost completely return to its previous, prenatal state. The pelvic floor muscles, however, may still continue to malfunction. But over time, they will become the same as before, and urinary incontinence will stop.

Most often during three months symptoms of enuresis in a nursing mother disappear completely. It takes a little longer for the pelvic floor muscles to return to their proper condition in those who:

gave birth to a baby weighing more than four kilograms, gave birth repeatedly (that is, if the woman was not the first birth).

Each subsequent pregnancy will make the muscles of the perineum get weaker and weaker. However, this does not mean at all that the fair sex will not be able to keep them in shape again. Kegel exercise, which consists of alternating tension and relaxation of these muscles, will have a powerful positive effect on these tissues.

Treatment

Enuresis, which is moderately or weakly expressed, does not need treatment. It is necessary to treat only the state of incontinence that has developed against the background of inflammation of one of the organs of the genitourinary system of a pregnant woman.

What can you do

An expectant mother who has been diagnosed with enuresis should carefully monitor her own intimate hygiene. In order not to stain your laundry, it is advisable to use panty liners. It will be great if, instead of traditional slips and tanga panties, a pregnant woman chooses special underwear with a characteristic cut and created for expectant mothers. It must be remembered that urinary incontinence is a direct indication for frequent hygiene. intimate area... It is necessary to do hygiene procedures after each leak, using special wet wipes or intimate gel and water for this. Cosmetics for intimate hygiene must necessarily contain the inscription “hypoallergenic” on the label. It is very important to go to the toilet on time. A pregnant woman cannot be tolerated, thereby stretching the bladder. In order to maximize the release of fluid from the bladder, it is necessary to lean forward a little while going to the toilet. This "focus" will allow the organ to open as wide as possible, releasing most of the accumulated urine. It is important to engage in special gymnastics in the treatment of enuresis of pregnant women, which strengthens the muscles and tissues of the pelvic floor. The ideal is the Kegel exercise, which can be performed unnoticed by others and in line at the clinic, and in public transport... This is a very important skill, all the need for which the fair sex will be able to appreciate in the process of delivery.

What a doctor can do

For women outside of pregnancy, doctors prescribe antidepressants and concomitant medications to treat bedwetting. Similar medicines for the treatment of expectant mothers are not used. In principle, mild or moderate enuresis should not be treated. It will pass by itself as soon as the fair sex becomes a mother. However, for this, a woman will need to follow medical recommendations regarding hygiene. intimate places and special exercises to strengthen the muscles of the pelvic floor and perineum.

It is necessary to treat only that enuresis, which is a symptom of a disease of the genitourinary system.

Prevention

Leakage of urine during pregnancy is not worth fearing for those who have strong and developed muscles of the perineum. All other pregnant women should adhere to general preventive recommendations. In order to avoid profuse urine leakage during the period of carrying a baby, you must:

reduce the amount of fluid consumed to two liters per day; it is best to quench your thirst not with juices or tea, but with plain clean water; any products that have a diuretic effect must be eliminated from the refrigerator, and therefore from the diet of the expectant mother; drugs that accelerate urine output must also be excluded; it is worth contacting your doctor for advice, and he will certainly help you choose a safer analogue in the current situation; every day, several approaches must be performed Kegel exercise, as well as any others that help strengthen the muscles of the perineum.