Incontinence

Updated on September 24, 2010
S.T. asks from Centreville, VA
5 answers

Hey Moms ... this is a totally embarassing question but here goes! Have any of you experienced fecal/gas incontinence after childbirth and if so does it get better?

I delivered our 2nd baby 11 days ago via VBAC. It was a pretty quick labor. Contractions started 5 10 minutes apart and the baby was born less than 4 hours later. I was already 10 cm when I got to the hospital so there wasn't time for an epidural. I only pushed for about 20 minutes when the doc asked if I wanted an episiotomy. I'm beating myself up for not having an informed answer but I said yes when she said the baby would come out with the next contraction (she did). In hindsight I wish I had tried a bit longer as her head was already coming out.

The doc didn't tell me much about what was going on but it took her 45 minutes to stitch me up and one of the nurses later told me that my chart said I have a 3rd degree tear. Since getting home, I cannot hold in gas and I only have a minute to get to the bathroom when I have to have a BM. I cannot hold it in any longer. I have been doing Kegals and couldn't feel if I was doing them at first. I can now feel more. I have total urinary control.

I went to my OB (not the one who delivered the baby as he wasn't on call and shares deliveries with other practices. He said the episiotmomy looked good and that the trauma of a vaginal birth can leave nerve endings messed up for a while. I didn't really feel like that was enough of an answer but he suggested time should heal this issue of incontinence. I have read horror stories on the web and was curious if any of you have had the same issue.

Sorry for the long-winded background info but I thought it might be helpful. Thank you!

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So What Happened?

Thank you all for your advice! I started pelvic floor physical therapy 6 weeks post partum and it helped so much. There's a great lady who does this in Centreville, VA. Send me a message if you need her name.

More Answers

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S.C.

answers from Norfolk on

I had a 3rd degree tear with my first child due to a forcep delivery and had the same problems as you. It took me a whole year to completely recover. I had a hard time holding in gas & urine when I sneezed. The urine fixed itself on it's own over time, but I still had a problem with gas & extremely painful intercourse months after my daughter was born. When my daughter was eight months old, I went back to my OB & told her what was up and she told me I needed physical therapy. I didn't really think that it would help....but it did. The therapist really helped me to rebuild my strength in my pelvic muscles. If it continues for a little longer, go ask your doc about pelvic floor physical therapy. It works wonders!!!!

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K.H.

answers from Washington DC on

Yes, I had fecal/gas incontinence after the birth of my daughter. I had a second degree tear as well, with a very long stitch-up (after an hour plus of pushing!). I was very embarrassed since I thought the incontinence just couldn't be normal. I'd have to rush to the bathroom when needing to BM, but also had a hard time with the feelings down there in knowing that everything was 'out'. For a while, I would kind of 'leak' a little bit (fecally), which was more of my problem (and embarrassment) than the need-to-go-now feeling. My OB told me it was normal, as did some of my friends. Unfortunately, these were the things they DON'T tell you about childbirth :)

Yes, it did get better, and I don't have the leak problem any more (I'm 10 months postpartum). While I still have to use the bathroom soon after I get the urge, it's nowhere near immediate, and I can hold it longer. Gas is sometimes hard to hold, but I think it's getting better too. I tried Kegels as well, but I can't do them well on a good day, so I gave up. Fortunately, things went back to 'normal' after a little while. I can't remember exactly when I noticed a change, as it was gradual, but I would say after 3 months I wasn't leaking any longer.

Hope that this helps - and congratulations on your new little bundle :)

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J.C.

answers from Anchorage on

When I gave birth to my first he came out with one arm over his head. I had an episiotomy and tearing on top of that, and a lot of stitches. It took a while for me to be able to hold my urine all the way when I sneezed or laughed real hard. It was hard to hold my gas, and had some problems with bowels as well. The Bowel and gas issue was normal within a month, it took years for me to not leak when I sneezed, and I am just now getting full sensation back in that area (son is turning 7), but will always be numb right along the scar line.

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J.O.

answers from Chicago on

It can take a couple of weeks to recover. But have you had any other issues like fever or more bleeding? Those things require more attention. Did you have hemorrhoids during your pregnancy those nasty buggers will prolong the recovery. I would say give it another 10 ten days and if you still do not have more control then see your reg doc. Congrats on number two and good luck!
J. O

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D.S.

answers from Washington DC on

So sorry to hear you're going through this. Yes, physical therapy can definitely help. You might need to wait a few more weeks to heal, but you can contact a pelvic floor specialist in your area and ask, then start as soon as they say it's OK. Here's a link to help you find a PT with special training in pelvic floor PT.

http://pelvicrehab.com/directory.aspx

Good luck, and congratulations on your little one!

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