Incontinence of Urine

Subject: Midwifery III (Theory)

Overview

There are two forms of incontinence: overflow incontinence and stress incontinence. Overflow incontinence brought on by urine retention should be disregarded before separating the other two. True incontinence, a kind of genitourinary fistula, typically manifests throughout the first week of puerperium or shortly after birth. The diagnosis of stress incontinence is based on the observation of urine leaking from the urethral opening when under stress. Maintaining bladder tone and avoiding severe injury to the bladder and urethra through proper management of the first and second stages of labor. Teach the mother about a nourishing diet high in protein and iron to improve her health because if the mother's condition gets better, the condition will get better on its own.

This is not a common symptom after a birth. The incontinence might be:

Overflow Incontinence.
Stress Incontinence.
True Incontinence.

Overflow incontinence brought on by urine retention needs to be ruled out before making a distinction between the other two. True incontinence, a kind of genitourinary fistula, typically manifests throughout the first week of puerperium or soon after birth. Stress incontinence is identified by the urethral opening's ability to leak urine under stress.

Causes

Improper first- and second-stage management, such as failing to completely empty the bladder.
Instrumental delivery, such as delivery with forceps, is a harmful procedure that tears the urethra and bladder.
The bladder and urethra are harmed by prolonged pressure on the fetal head.
urethral and bladder sloughing or damage.

Management

Maintaining bladder tone and avoiding severe bladder and urethral injury during the first and second phases of labor requires proper care.
Teach the mother about a nourishing diet rich in protein and iron to enhance her health since if the mother's condition gets better, it will get better on its own.
Promote and instruct activities for the pelvic floor muscles.
Genuine incontinence in a patient should be surgically treated.
Keep the vulval area dry and clean.
Install a foley catheter for the long term if the patient has true incontinence.

Things to remember

This is not a typical postpartum symptom.
There are two forms of incontinence: overflow incontinence and stress incontinence.
Overflow incontinence brought on by urine retention needs to be ruled out before making a distinction between the other two.
True incontinence, a kind of genitourinary fistula, typically manifests throughout the first week of puerperium or soon after birth.
Stress incontinence is identified by the urethral opening's ability to leak urine under stress.
Maintaining bladder tone and avoiding severe bladder and urethral injury during the first and second phases of labor requires proper care.
Teach the mother about a nourishing diet rich in protein and iron to enhance her health since if the mother's condition improves, the condition will automatically improve.

Questions and Answers

What are the causes of incontinence of urine ?

Improper first and second stage management, such as failing to empty the bladder.
Instrumental delivery, such as forceps delivery, is a damaging procedure that tears the bladder and urethra.
Long-term pressure on the fetal head damages the bladder and urethra in that area.
Bladder and urethral region sloughing or injury.

What are the treatment or Management of incontinence of urine ?

Maintaining bladder tone and preventing severe damage to the bladder and urethra through proper care of the first and second stages of labor.
Giving advice on a healthy diet with a high protein and iron intake will help the mother's condition, which will then help the condition as a whole.
Encourage and teach people to exercise their pelvic floor muscles.
Surgery should be used to treat genuine incontinence if a patient has it.
Dry off and keep the vulval area clean.
If the patient has genuine incontinence, place a foley catheter for long-term use.