Mom Mysteries Solved- Peeing, Kegels, Pregnancy Pain and more!

Mom Mysteries Solved- Peeing, Kegels, Pregnancy Pain and more!

Moms have great intention when giving advice, but every body is different, therefore every situation is different when it comes to pregnancy and postpartum!

That’s why at we believe in getting EXPERT help from professionals that have studied motherhood and helped thousands of women like Dr. Kathleen of Painless Pregnancy.  We asked this amazing mom and Doctor for her insight about the many mysteries of motherhood!

Peeing pants postpartum:

During third and fourth trimester, some amount of incontinence is ok or expected, hard to say that a small amount of leakage is to be considered a “problem”; however, any amount of uncontrolled urine passing before or after this time frame is a functional problem that can and should be addressed in a conservative and timely manner.

Why does this happen? Your pelvic floor muscles are slowly loaded during the pregnancy, and their “house”, your pelvis, expands as well, so those muscles are stretched and then challenged by the added weight. Basically a perfect formula for muscle dysfunction. Then during a vaginal delivery, significant maximal stretching occurs, and typically is followed with some amount of trauma or tearing. Suffice to say those muscles go through A LOT. So after that, a few ounces of urine can feel like an insurmountable weight pushing downwards. 

To kegel or not?

Almost always ok postpartum. Typical findings is overstretched pelvic floor muscles. However, this situation is a problem and you deserve an evaluation from a health care provider who specializes in this area. Other issues could be going on, like prolapse or altered pelvic mechanics, that would need to be addressed prior to starting kegels. The other issue is that a tight pelvic floor will also cause dysfunction and even incontinence. So of course you would not want to do classic kegels if this is your situation. Bottom line, see a womens health PT and get an appropriate exercise program prescribed for your specific situation. 

What You Need To Know About Your Ab Muscles Post Partum
If you are concerned about diastisis recti or other abdominal issues, you need to be assessed. You could have altered posture, or an overactive external oblique muscle that could be putting a force on the center of your stomach causing that bulge. It could be a result of improper breathing mechanics. Could be a true hernia. Once again, you deserve an individualized assessment. Get checked out, by an expert and get a specific plan for your needs!

Kathleen Vigo, PT, DPT

Pregnant and Postpartum Specialist


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