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running postpartum question
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I'm sure I should have searched the archives for similar questions/answers but my on-line time is very limited right now (with a newborn laying in my arms)

SO I'm finally trying to get back to training and have successfully gotten 3 runs in and one decent swim... I even just finished my first sprint tri...

I am today 7 weeks postpartum and had a very uncomplicated delivery (no assistive devices, no c-section) and the only thing my doctor pointed out at my 6 week follow up is that I was a very effective pusher (I only pushed for about 10 minutes)

Now that I'm trying to run again I find that I pee pretty much the ENTIRE time! It seems I cannot stop my flow for anything! I mentioned this to my OB at my followup and he didn't seem too concerned yet. He basically gave me some instructions to do more kegles (which I already do a ton of) but now to try to stop my urine stream 3-5 times per potty break. It would seem at least at this point that I am unable to stop my stream completely. I am hoping that this will eventually get a bit better. I had some issues prior to this pregnancy (this was my second) but it seems so much worse now.

Has anyone else had a similar experience postpartum? Did it eventually get better? My OB said that in 6months if not better he would refer me to a urologist and may need some surgical assistance... Trying to avoid that at all costs.

Suggestions? Advice? Experiences? all welcomed, Thanks Ladies!
Shen
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Re: running postpartum question [shen] [ In reply to ]
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Congratulations on your little one and getting back to running so quickly.

Yes, I am biased, but PLEASE go see a Women's Health Physical Therapist. It is not normal or acceptable to urinate on yourself. You do not need to wait 6 months, and you may not need surgical intervention. Kegels are not always the answer: do you ask a person who has weak, but tense shoulders to do more shoulder shrugs - NO! You teach them to relax, then re-educate the muscles appropriately. Additionally, please do not keep stopping the flow of urine several times during potty breaks. This can lead to urine retention and infections. You can practice once, then move on. It is hard to go through differential diagnosis on the internet, but even with 'easy' deliveries, pregnancy and delivery can be hard on the body. I highly recommend you find a PT in your area, soon!

Dana

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Don't Just Live, Thrive!
Thrive Kinematics Physical Therapy - http://www.facebook.com/...8178667572974?ref=hl
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Re: running postpartum question [tridana] [ In reply to ]
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No personal experience, but + 1 to the recommendation to find someone who specializes in physical therapy for women! I have friends who've had great success, and wish they'd gone sooner.
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Re: running postpartum question [shen] [ In reply to ]
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Hi Ladies, especially Shen.
Erika Fleck asked me to pop over and see if I can be of any help.
I'm a specialist in perinatal wellness and fitness and one of the things I do is help women recover postpartum.

Shen, in my opinion running at 7 weeks postpartum is too early. I would echo the other ladies suggestion of finding a women's health physio. Even if you can do exercises on your own everything will be more specific and more efficient if your recovery is guided by a physio.

My suggestions:

-patience, recovery, especially after the second baby and especially if you had some pelvic floor issues prior to birth, takes time. A lot longer than we'd like, especially us active women. My clients go through a 5 phase program and don't even start any impact before MINIMUM 4 months, usually more like 8 months post partum. I know it's not what you like to hear but it's the reality. It also depends on how close your pregnancies were. Connective tissue needs approx 3 years to recover fully (pelvic floor is 85% connective tissue).

-Hypopresive exercises (check them out at http://www.hypopresives.com (my site) or the official site at http://www.hypopresivemethod.com)

-osteopath/chiropractor to put your pelvic in proper alignment. Often birthing (especially if with anesthesia and/or in the gunocological position) puts our pelvis in an asymetrical position that weakens the pelvic floor. My clients visit an osteopath at the beginning of the postpartum recovery course. Exercise are much more effective once the pelvis is back to normal. This is in addition to the physio unless your physio can also realign a pelvis. (i live in spain and the physios do not usually have this skill here).

Please don't despair! There is a lot that can be done. And congratz on your new baby!

If you have more questions you can find me at https://www.facebook.com/kaisa.tuominen or http://www.postnatalbodyfix.com
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