Gynecology and Obstetrics Specialist Op.Dr.Aslı Alay gave information about frequent urination during pregnancy.
In pregnancy; abdominal pain, nausea, vomiting, headache, weakness, frequent urination, constipation, cramps are among the complaints experienced by many women. These symptoms are mostly in the nature of pregnancy. However, every complaint during pregnancy should be carefully questioned, sometimes physiological problems can be a sign of important diseases.
Frequent Urination in Pregnancy;
With pregnancy, obvious changes occur in the urinary system. Following the first months of pregnancy; Physiological changes occur in the kidney, bladder, and ducts that carry the urine. Enlargements are observed in the kidneys and channels (ureters) that carry urine to the bladder. The most valuable reason for this growth and enlargement is the accumulation of urine, which cannot flow freely due to the mechanical pressure of the growing mother’s uterus, in the opposite direction of flow, and the increase in blood flow to the kidneys. In addition, the increased progesterone hormone during pregnancy also contributes to the expansion of the urinary canals. The enlargement of the kidneys and urinary canals during pregnancy is a valuable cause of increased urinary tract infections. From the 4th month of pregnancy, the blood flow to the kidneys increases by 70-75%. This increase lowers urea and creatinine levels in the blood. In the last months of pregnancy, the costs of urea, uric acid and creatinine reach pre-pregnancy levels. In the case of preeclampsia, known as pregnancy poisoning, an increase in uric acid prices is observed. However, in order to make a real comparison, the pre-pregnancy costs should be known.
The result we will draw from here is; Pre-pregnancy preparation and planning of pregnancy with the supervision of a doctor should be.
There are obvious changes in water and salt metabolism during pregnancy. It is an admirable matter of stability. Predisposition to salt excretion occurs with the effect of enlargement in the urinary canals caused by the increased blood flow and the increased progesterone hormone during pregnancy. However, a great stability comes into play and absorption increases with increasing salt-retaining hormones. And salt loss is prevented.
Frequent urination during pregnancy is an issue that all expectant mothers talk about. With the contribution of the mechanical effect created by the growth of the mother’s uterus, the time spent in the toilet increases from the 3rd month of pregnancy. The expectant mother wakes up in the middle of the night with the desire to urinate. There is no average numerical value for the frequency of going to the toilet. These divisions, especially during sleep at night, can cause fatigue in the expectant mother.
The reasons for the increase in urinary frequency:
-The most valuable reason is that the kidneys work harder with a faster blood flow,
-The increase in blood flow to the kidneys with pregnancy hormones,
-The pressure of the growing mother’s uterus on the bladder.
Things to remember:
Frequent urination is a physiological consequence of pregnancy. This situation, which starts from the 3rd month of pregnancy, may decrease after the 4th month. Expectant mother 16-26. While you have a more comfortable period in the middle of the week, the complaints increase again in the last 3 months. Because your baby has descended into the birth canal in the last month of pregnancy and the pressure on the bladder has increased. You should definitely talk to your doctor in case of burning in the urine, groin pain, bloody urination. Because these complaints can be a symptom of important diseases and infections related to the kidney and urinary tract. Complaints such as thirst, weakness and exhaustion added to frequent urination can also be a symptom of diabetes. Fasting and postprandial blood sugar of all our pregnant women should be checked and the 24-28th day of pregnancy should be checked. A sugar load test should be done in the middle of the week.
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Frequent urination is a condition that affects social life, especially for women who have an active working life. Every expectant mother should be informed that the situation experienced is normal.
He should not hold his urine when he needs the toilet.
While urinating, lean forward slowly so that the bladder will be completely emptied.
It should be recommended that the expectant mother drink at least 2.5 liters of water per day. In addition, the consumption of tea and coffee, which has a diuretic effect, should be reduced. The expectant mother should drink milk, ayran, kefir and water. In addition, urinary incontinence is a common condition during pregnancy. Kegel exercises that will strengthen the pelvic muscles should be taught to the expectant mother and should be recommended to do it at frequent intervals. Regular Kegel exercises can both facilitate childbirth and reduce urinary incontinence. It should not be forgotten that Kegel exercises should be started from the first days of pregnancy. And it should be continued during the puerperium period.
Our pregnant women may resort to practices that are very dangerous for both their bodies and their babies in order to reduce the frequency of urination.
Errors:
1-Restriction of fluid intake
2-Retention of urine
It is a condition that should not be done and increases the risk of urinary tract infection. Every lady should be warned and informed about this bet.
