Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026
Is Urinary Incontinence Normal After Childbirth?
Leaking urine after having a baby is very common — but “common” doesn’t mean you should simply accept it. Some degree of pelvic floor weakness after delivery is expected, and many women recover naturally. However, persistent incontinence that doesn’t improve deserves attention, because effective treatments are available.
Why Childbirth Affects Bladder Control
Pregnancy and delivery place tremendous strain on the pelvic floor — the muscles, ligaments, and connective tissue that support the bladder, uterus, and rectum. During pregnancy, the growing baby’s weight presses on the pelvic floor for months. During vaginal delivery, these tissues stretch dramatically, and in some cases, nerves that control bladder function can be temporarily affected.
The pelvic floor does remarkable work during pregnancy and delivery. It’s designed to stretch and recover, but sometimes it needs help getting back to full function — just like any other muscle group after an injury.
When It’s Expected vs. When to Worry
In the first few weeks postpartum, some leaking is very common and usually improves as swelling decreases and tissues begin healing. Most women notice steady improvement over the first three to six months.
See a specialist if:
- Leaking continues beyond 6 months postpartum
- Symptoms are getting worse rather than better
- You’re avoiding activities because of leaking
- You developed incontinence with your first baby and it worsened with subsequent pregnancies
What Can Help
- Pelvic floor physical therapy — the most effective first-line treatment for postpartum incontinence. A specialized therapist can assess your pelvic floor function and guide your recovery
- Proper Kegel technique — many women perform Kegels incorrectly. A therapist can ensure you’re engaging the right muscles
- Time and patience — tissue healing continues for up to a year after delivery
- Specialist evaluation — if conservative measures aren’t enough, a urogynecologist can discuss additional options
I encourage new mothers not to dismiss ongoing leaking as just “part of having kids.” Yes, it’s common, but it’s also very treatable. You shouldn’t have to plan your life around pads and extra clothing.
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