I am planning a pregnancy, but I am very afraid that NTM will follow. My mother has been unable to cope with it since she was born. Can I prevent it somehow?
The appearance of urinary incontinence immediately after delivery is the result of an injury. During childbirth, motor nerve endings may be damaged, muscle fibers damaged, and the connective tissue that supports the urethra may be torn. The severity of these lesions and the appearance of atrophy of the vaginal epithelium and stroma in the postpartum period causes urinary incontinence. Excessive weight gain during pregnancy, a large baby, and an abnormal birthing mechanism are all factors that increase the risk of injury. Vaginal infections during labor may also play a role, as inflamed tissue is more susceptible to damage. Healthy weight gain during pregnancy and active treatment of vaginal infections before delivery can help to reduce the risk. Unfortunately, we don’t have much influence on the birthing mechanism. It seems, however, that the smooth conduct of the second stage of labor, without attempts to shorten it, allows for a better adaptation of the vaginal and perineal tissues, and reduces the risk of birth injury and its consequences.