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Motherhood - Keep Up with Kegels
Your Baby Today:
New Baby, New Mom: Healthy Mom
Keep Up Your Kegels
By Christine R. McLaughlin for Your Baby Today
When you were pregnant, you
no doubt heard about the importance of doing your Kegels,
an exercise that strengthens the pelvic floor muscle and
helps you to avoid leaking urine and helps prepare you for
the rigors of childbirth.
But just because you've had your baby doesn't mean you'll
no longer benefit from Kegels. The pelvic floor is a group
of muscles that supports the uterus, bladder and bowel,
and it gets stretched and weakened not only during pregnancy,
but also from the trauma of childbirth. So it must be retrained
and strengthened to work properly again. If not, incontinence
can result (even more so in menopausal years, when the effects
of gravity and hormones are thrown into the mix).
The benefits of doing these exercises daily are well worth
it: If you've been leaking a mild to moderate amount of
urine following childbirth, chances are doing Kegel exercises
routinely will improve the situation, and perhaps even cure
your incontinence. (If you've had significantly more leakage
or experienced nerve damage as a result of childbirth, the
exercises may not be effective and you may need to be seen
by a urogynecologist.)
Kegels may also add a kick to your love life. Many experts
say that stronger pelvic floor muscles can make sex more
pleasurable for both partners.
Unfortunately, many women think they're doing Kegel exercises
correctly when they're not. Instead of tightening the muscles,
they actually take a deep breath and push down, called a
valsalva maneuver, which is counterproductive, says Glenn
Hurt, M.D., a professor of obstetrics and gynecology at
the Medical College of Virginia in Richmond.
In order to identify the correct muscles needed for Kegels,
Dr. Hurt suggests voluntarily interrupting the urine stream.
(But don't make a habit of doing this because it can lead
to problems.) Then when you're aware of the correct muscles,
you'll be able to do the exercises properly.
Tighten and hold the muscles for 8 to 10 seconds at a time.
Kegel exercises should be done every day, multiple times.
Aim for 10 to 15 repetitions 3 to 4 times per day.
For more information or to find a urogynecologist, contact
the American Urogynecologic Society at 2025 M Street NW,
Suite 800, Washington, DC 20036; 202-367-1167; HYPERLINK
http://www.augs.org or e-mail: AUGS@dc.sba.com.
Christine R. McLaughlin is a freelance writer and editor
from Oreland, PA, and mother of Joey, six months. She's
written for Family Circle, American Health and
Fitness magazines.
The content on these pages is provided
as general information only and should not be substituted
for the advice of your physician.
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