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Managing Bowel & Bladder Issues During Pregnancy and Postpartum

Pregnancy and the postpartum period are times of significant physical changes for a woman’s body. These changes can often lead to bowel and bladder issues that affect daily life and overall well-being. Pelvic floor physiotherapy offers effective solutions for managing and alleviating these concerns, helping women regain control and confidence.

Common Bowel & Bladder Issues During Pregnancy and Postpartum

1. Urinary Incontinence:

Urinary Incontinence is the involuntary leakage of urine, often experienced during pregnancy due to the growing uterus putting pressure on the bladder. Postpartum, the pelvic floor muscles might be weakened, injured due to perineal trauma, or lack coordination, leading to continued incontinence.

2. Fecal Incontinence:

Some women may experience difficulty controlling bowel movements, leading to unexpected leakage of stool. Fecal Incontinence can be due to trauma to the anal sphincter or pelvic floor muscles during childbirth.

3. Constipation:

Hormonal changes, reduced physical activity, and pressure from the growing baby can slow down bowel movements, leading to constipation. Postpartum, constipation can persist due to changes in routine, diet, and the healing process.

4. Urinary Urgency and Frequency:

An increased need to urinate frequently and urgently can occur during pregnancy and persist postpartum. This can be due to hormonal changes, increased pressure on the bladder, and weakened pelvic floor muscles.

How Can Pelvic Floor Physiotherapy Help?

Pelvic floor physiotherapy is a specialized form of physical therapy that focuses on strengthening and rehabilitating the pelvic floor muscles. These muscles support the bladder, bowel, and uterus and play a crucial role in maintaining continence and overall pelvic health.

1. Strengthening Pelvic Floor Muscles:

Through exercises like Kegels, pelvic floor physiotherapists help women strengthen their pelvic floor muscles. Stronger muscles provide better support to the bladder and bowel, reducing incontinence and improving control.

2. Biofeedback:

Biofeedback techniques help women become more aware of their pelvic floor muscles and how to control them. Biofeedback uses sensors to provide real-time feedback on muscle activity, while electrical stimulation can help activate and strengthen weak muscles.

3. Manual Therapy:

Pelvic floor physiotherapists use hands-on techniques to release tension, improve muscle function, and enhance blood flow to the pelvic area. This can be particularly beneficial for addressing scar tissue from episiotomies or tears during childbirth.

4. Bladder and Bowel Training:

Physiotherapists provide guidance on developing healthy bladder and bowel habits. This includes scheduling regular bathroom visits, managing fluid and fibre intake, and using proper techniques during bowel movements to reduce strain.

5. Education and Support:

Understanding the changes happening in their bodies and learning how to manage symptoms can empower women. Pelvic floor physiotherapists offer education on anatomy, the impact of pregnancy and childbirth on the pelvic floor, and strategies for maintaining pelvic health.

6. Lifestyle and Postural Advice:

Proper posture and body mechanics can alleviate pressure on the pelvic floor. Physiotherapists guide lifting techniques, breathing exercises, and positions that reduce strain during daily activities.

When to Seek Pelvic Floor Physiotherapy

It’s never too early or too late to seek help. Women can benefit from pelvic floor physiotherapy during pregnancy to prepare for childbirth and postpartum to recover and strengthen their pelvic floor muscles. If you experience any of the following, consider consulting a pelvic floor physiotherapist:

We Can Help!

Bowel and bladder issues during pregnancy and postpartum are common but manageable with the right support. Pelvic floor physiotherapy offers a tailored approach to strengthen, rehabilitate, and support the pelvic floor muscles, helping women regain control and improve their quality of life. If you're experiencing any of these issues, don’t hesitate to reach out to a qualified pelvic floor physiotherapist for guidance and treatment. Your pelvic health is essential, and help is available to ensure you can enjoy this special time in your life with confidence and comfort.