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Vaginal Births & Incontinence: No Relation

Pregnancy News Flash
-- By Nicole Nichols, Personal Trainer & Health Educator

In a recent article published in Obstetrics & Gynecology, researchers at the University of Rochester Medical Center in New York dispelled the idea that delivering a baby vaginally is associated with urinary incontinence later in life. In fact, their results show that incontinence is more strongly associated with family history than type of delivery.

Vaginal delivery has long been considered a major risk factor for incontinence, which affects approximately 30-50% of women. However, this study says that the practice of scheduling Cesarean deliveries (with the purpose of preventing incontinence later in life) is a practice that has not been proven effective.

The doctors studied pairs of biological sisters. Of each pair, one had delivered at least one child, and the other had not delivered a child at all. Sixty-three percent of the pairs shared incontinence status (either both were incontinent or both were continent), and there was no statistical difference in rates of incontinence between the women who had given birth and those who hadn't.

They found that actual risk factors for incontinence tend to run in families, and include body mass index (BMI), hypertension (high blood pressure), and pelvic floor integrity.

BabyFit Tip: While you can't change your genes, you can strengthen the muscles of your pelvic floor, helping prevent incontinence. This is where those infamous Kegels come in! All women, regardless of pregnancy status, should do Kegels every day. Here's how.

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Member Comments About this Article
"Bah, it took me a good 3 years after vaginal birth (of a 9lb baby) to completely kick the sneeze-pee thing, but it happened. Kegels help! Now that I'm pregnant again, I find it's returning. I figure a few years after the birth of this one the 'faucet will stop dripping' again." -- GOTHELITTLE
"I have to doubt the "experts" on this one too here. I did the sneeze and pee thing through both of my pregnancies, completely slacked off on my Kegels (I think I may have done ten total the entire time), and have had no incontinence issues since. Both my deliveries were Cesearean section." -- AMYASHLEY
"Approach your Kegels with the same diligence as you approach your ab exercises. I've had 2 natural deliveries & am pg with a 3rd. Although I did have some incontinence right after giving birth, I haven't had any further problems with it. But it won't go away on its own... do those Kegels!" -- CAROLYNNEZMOM
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About The Author
Nicole Nichols
Nicole earned her bachelor's degree in health promotion and education, specializing in exercise and fitness, from the University of Cincinnati. She maintains several fitness certifications, including prenatal and postpartum exercise design.
Nicole Nichols

 


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