Urinary Incontinence

Instructions/Activity:
Pelvic rest for 6 weeks. (No douching, tampons, or sexual intercourse.)
No vigorous exercise for 6 weeks.
If you have had a C-section, no heavy lifting greater than 10 lbs. For 6 weeks.
No driving for 1-2 weeks (if you have had a C-section) or while take Percocet.
If you have had a 4th degree tear, nothing in the rectum (suppositories, etc.) for 6 weeks.
Also, please use a stool softener for 2-3 weeks after your delivery, such as Colace (which is sold over the counter)
For C-section patients, keep your incision clean and dry. Let the water/soap run down on the incision in the shower. Do not apply soap on a towel and directly scrub your incision. Do not apply any creams/lotions/Neosporin to your incision. Your steri-strips may fall off on their own, otherwise we will inspect and/ or remove them at your 1-2 week appointment. 

Your next appointment should be:
~ In six weeks for a vaginal delivery, unless otherwise specified at the time of discharge.

~In 1-2 weeks, if you had a C-section, for an incision check. You will then have another appointment 4 weeks later for your 6 week post partum exam.

Call the office if you have...

Signs of mastitis including: reddened, hard, and exquisitely tender areas to the breast accompanied by a fever greater than 100.4.
Excessive vaginal bleeding greater than 1 soaked pad per hour. (You will have vaginal bleeding for 4-6 weeks after delivery. This may slightly increase 2-3 weeks after delivery, but will then taper off.)
An exquisitely tender abdomen accompanied by a fever greater than 100.4.
Any signs or symptoms of post partum depression.
For C- section patients
~ Any opening of your incision
~Any drainage from your incision that is excessive, or any pus coming from the incision.

Medications:
Percocet, 1-2 tablets every 4-6 hours as needed for pain.
Ibuprofen 600 mg every 6 hours as needed for pain.
For constipation: Colace, Milk of Magnesia
Continue your prenatal vitamins as long as you are breast feeding or for 30 days after delivery.
For hemorrhoids, use Tucks pads, Preparation H, Proctofoam as needed.
For cracked/sore nipples you may use Lanolin cream. 





Episiotomy and Laceration Care

“Sitz Baths” (simply sitting in a tub of warm water 15 minutes, 2-3 times per day) can help to relieve discomfort resulting from lacerations. Additionally, Tucks pads. Witch Hazel and Lanacaine, may be applied to the external vaginal area as needed. You may also use oral pain medications as described above. Stitches will dissolve in 1-6 weeks. You will be more comfortable if you are not constipated; please follow directions above to prevent/treat constipation.


Hemorrhoids

Sitz baths, as described above, can help alleviate hemorrhoid pain as well. You can aso use topical agents such as Tucks pads, Witch Hazel pads, or Preparation HC. Actively prevent constipation.

Reasons to Call Your Physician
Fever greater than 101
Cesarean incision that is red, draining or increasingly painful
Signs of a breast infection: red and painful area on your breast, especially if associated with fevers greater than 101 and/or flu-like symptoms
Foul- smelling vaginal discharge
excessive vaginal bleeding (see above section on vaginal bleeding)
Swollen, red, painful area on your leg
Chest pain
Persistenly painful urination or inability to urinate
Worsening vaginbal or rectal pain
Persistent headache not relieved with pain medication, changes in vision, and severe right sided painThe more you understand your body and how it functions, the better equipped you'll be at taking care of yourself to achieve optimal health. We've included the Patient Education section on our website to provide you with valuable, practical wellness information which you can incorporate into your lifestyle to improve the quality of your life. We hope you will turn to these pages whenever you have a question about health related issues and urge you to contact our practice at any time to make an appointment with one of our doctors. 

Do you ever have trouble with bladder leakage or making it to the bathroom in time? If so, you may be suffering from urinary incontinence, a common medical condition which involves a loss of bladder control. It may happen when you laugh at a friend’s joke, or when you cough during a bad cold. You may also have an occasional urge to urinate that seems to come out of nowhere, but find yourself unable to reach the bathroom in time.

What Causes Urinary Incontinence?

Urinary incontinence can be caused by a number of different factors. Its root cause lies in the muscles that control the flow of your urine. If your bladder contracts without warning, or your sphincter muscles can no longer hold back the flow of urine, you may urinate without intending to.

Common causes of urinary incontinence include pregnancy, childbirth, and menopause. It can also be caused by a urinary tract infection, constipation or certain neurological disorders. Risk factors, such as gender, weight and other conditions, do not generally cause urinary incontinence, but they can make it worse.

Temporary urinary incontinence is often caused by consuming too much alcohol or caffeine. It can also be caused by certain medications and sedatives.

What Treatments are Available for Urinary Incontinence?

For mild cases of urinary incontinence, you may be able to manage simply by wearing pads and using the bathroom frequently. If not, your doctor will likely have several recommendations.

Kegel exercises help strengthen your pelvic floor muscles. This is one of the most popular treatment options for urinary incontinence, as Kegel exercises can be performed almost anywhere, from your desk at work to watching TV at home. It is recommended that you discuss how to perform them with your doctor, however. Ensuring you are performing Kegel exercises correctly will make them much more effective.

Other methods to improve your bladder control include losing weight, and lifestyle changes such as quitting smoking. There are medications available which may help. You may also want to try biofeedback, nerve stimulation, or pessary devices. If nothing else is helping, surgery is a treatment option, depending on the type of urinary incontinence you have.

Urinary incontinence may be embarrassing, but if you are suffering, you aren't alone. Speak to your doctor about your treatment options today.