Stress Incontinence and Kegels

I never had any luck with kegels. If you're doing them while peeing but unable to stop the stream of urine, then the muscles are way weaker than you had imagined. Pregnancy isn't helping at all, of course.

The specialist you would see would be a urologist. There are other therapies available, including medication (Detrol and similar ones are common, although they cause a lot of mouth dryness, which makes you drink more, which makes you pee more….) and surgery. Neither of those would be great ideas during pregnancy, probably. I assume you are using bladder control pads in the short term.

There are also muscle strengthening supplements that are safe for everyone, including pregnant women, although of course you would want to show those labels to the provider. I found that getting rid of all my allergy symptoms made a huge difference in frequency of the problem.

Good luck!

I have a friend who works for a urologist. She has mentioned that there are a multitude of women who come in to the urologist first to check the bladder and parts and then, if needed, head to physical therapy-to strengthen the pelvic floor, especially if kegels aren't working. I am not sure if the women came in during pregnancy.

All bets are off during pregnancy!
Your pelvis/kidneys/bladder are being shared/squeezed and until that baby is born running to the bathroom any time of the night/day is just going to be a fact of life.
I use to get to the bathroom, go, shift my belly a bit and see if I could go some more (child was sitting on my bladder sometimes so I couldn't get it all the way empty).
Drink lots of cranberry juice (something in it makes it harder for bacteria to stick to walls of bladder so it helps cut down on infection issues) and when you take a bath add 1 cup of plain yogurt to your bath water (your skin will love it plus it also helps cut down on infection issues).

You'd need to see a Urologist.
Urologists treat problems ranging from cancers of the urinary tract to kidney stones to issues with continence and bladder function.

Make sure you are fully emptying your bladder. Lean forward when going to the bathroom. Sit for an extra couple of seconds to make sure your bladder is fully emptied.

FYI...I had bladder issues too. Turns out I had a kink in my urethra. Took the urologist 1 minute to fix it once he figured out the problem.

I went to a special physiotherapist - one who dealt with *women issues* as they called her :) She was great. I went to a few sessions with her and she spent over an hour (closer to 2) going over how to work that specific area. I got handouts, then went back to make sure I continued to do them properly.

She just focussed on pushing down on my abdomen until I figured out which muscles I was supposed to be using. Then it was just a matter of holding. I can't remember the exact exercises I did or method - otherwise I'd suggest it here, but it was less hard then just doing the typical squeeze I'd done years past - and that whole idea of pulling up your muscles there like doing up a zipper.

Could you ask your GP or OB for a referral if they know of one? The one I went to also did yoga for women, specifically for that area. I didn't go to that as not really able to myself (mobility issues) but she helped a lot of women who had problems after pregnancy/delivery.

Good luck :)