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Childbirth

Share experiences and get support around labour, birth and recovery.

Bladder nerve damage after birth

21 replies

WendyC12 · 02/01/2012 18:46

I gave birth to my third son in July. With each of my deliveries I experienced different problems. My first child was 8 lbs 14.5 oz and suffered 3rd degree tearing, he was born with forceps. My second was 9 lbs 6 oz and delivery went smooth. However shortly after birth I haemorrhaged and needed a D and C and a 2 unit blood transfusion. Early in my third pregnancy I learned I gained an antibody (Duffy or FyA) and so I was classified as high risk. My third was 10 lbs 1 oz, born again with forceps and an episiotomy. My third baby has given me the most difficulty. I had to have ultrasounds every 2 to 6 weeks to make sure baby was not becoming anaemic. The ultrasounds were reassurance that baby was ok. I loved getting to see him so often. The ultrasounds also measured the blood flow to babies head. If baby was becoming anaemic, the ultrasound would have seen an increase in the blood flow to babies head. If this had occurred, I would have had to receive blood in-utero blood transfusions. The after affects (after birth) are similar to +/- affects. Jaundice, liver function issues, and anaemia.

So birth came finally 8 days late and he was born. His blood sugar was very low so we had to give him formula and breast milk every hour. They tested his blood every few hours (his poor heels were purple for weeks after). He was a little jaundice but not enough for any treatments (just vitamin D at home). My biggest issues with this third birth started with the epidural. It took 4 attempts to get it in. Each time they attempted it, I felt a shooting pain along the side of my body. They couldn?t understand why I was feeling that. So they decided to give me a spinal. They finally got the epidural in. When it came to pushing, I couldn?t feel a thing. I was numb up to my neck. They had to turn off the epidural. I couldn?t feel the difference between a good and a bad push. Baby?s heart rate dropped to 40. We had to decide C Section or forceps. The OB was already preparing to go into a C Section and there wasn?t time to wait so we decided to go with the forceps. Having been through a forceps delivery and having 2 very active boys at home, I knew what I was in for and preferred it over a C section recovery.

After the birth, all the stitches, we were assured there was no retained placenta this time (like the second birth) but I had lost a great deal of blood. Because of the gaining an antibody after the transfusion from the second birth, they did not want to do a transfusion unless my blood count continued to fall (at this point I was at 55). I started to get a head ache. The thought was because my BP was elevated (but not dangerously). Finally the headache got so bad, I couldn?t even get out of bed to get baby, change him or even feed him. I was told to drink lots of caffeine. It didn?t help. So finally the OB decided to perform a spinal patch. This is a procedure similar to an epidural; however they take blood from your arm and put it where the epidural was. From what I understand, this is required when you get spinal headaches due to so many attempts of the epidural. All the attempts resulted in creating a small hole in my spine. Within 30 minutes there was relief in sight. We were finally sent home after 3 and half days.

However when we went home, later that night the headache came back. The midwives visited me at home to make sure my BP wasn?t still climbing. It wasn?t. The headache went away finally the next afternoon.
Another problem I had with this delivery was the urge to pee. Since I had no feeling for nearly 12 hours after the epidural was turned off, they had to insert a catheter to drain my bladder. Later I tried to go and still nothing, so I had the catheter placed in again. Eventually I was able to pee on my own but to this date I have not been able to feel the urge of being full or the urge of needing to go to the pee.

I have seen an Urologist and Friday I am having a cystoscopy (go in with a scope). I also read online that some people get nerve damage so bad that their brain doesn?t know when they need to go anymore. I guess that is why the Urologist has setup an appointment with the Neurologist next week.
Doctors kept saying the feeling would come back on its own, but with such a traumatic birth, if it was going to come back on its own, you would think it would have come back on its own by now. My guess is when I see the Neurologist next week; scans will be scheduled so she can see if there is anything blocking the nerve or if it is nerve damage that can be fixed.
I think it is safe to say, that birth will most likely be my last one (last planned one anyways).

Just wondering if anyone else experienced anything similar, what the outcome was, how long it took to resolve it, and what it took to resolve it.

OP posts:
Snakeonaplane · 03/01/2012 00:37

Goodness what a hard time you've had. I had my 3rd baby over 2 weeks ago and i have lost the sensation of needing to wee I ended up having a catheter put in on the ward because I went into retention, it's horrible but it is starting to come back. I was a bit rubbish in that I didn't tell them how bad it was after I was discharged as I didn't want to be readmitted over Christmas. I have drank plenty and made sure I go to the loo every 2 hours sometimes I suddenly felt like I was desperate and then couldn't go but it is slowly coming back. I have a physio appt in 2 weeks but I think it will be ok by then. I have been religiously doing my pelvic floor exercises and this is helping I think. Hope you get an answer at your appointment.

PrettyCandlesAndTinselToo · 03/01/2012 01:08

You have had a rough time!

Even with 3 SVD births, uncomplicated by anything other than a partial epidural (once) and tears (twice), my ability to sense the need to wee or poo was affected each time. My obstetrician said that, as long as it was improving, however slowly, then I should not be concerned. To keep doing pelvic floor exercises, whether or not I could feel myself doing them. There are ways for you to check, if you really cannot tell.

After each child it took longer to regain the sensations.

After dc3 was born, I could not tell whether I needed to wee unless I stood up. And even then only if it was urgent. I had even more trouble with knowing that I needed to poo. There was constant, very slow, improvement, but I think it's only in the last year or so that I have known - in a normal way - that I need to go. Dc3 is 5. Come to think of it, for the last 4m I have been on antibiotics that totally mess with my bowels, and I h ave been pooing 6-7times every day - sorry if TMI! Perhaps all this stimulation has 'reprogrammed' my bowel nerves?

Anyway, I'm probably an example of one end of the spectrum of 'normal' birth effects. Long, slow, restoration.

WendyC12 · 04/01/2012 04:46

Thank you. I will let you know if I find anything out.

OP posts:
WendyC12 · 11/01/2012 21:23

My Urologist appointment last week was cancelled because the Doctor was not well. So now I need to wait until February 14th to have the bladder funtion and scope done.

Today I went to the Neurologist and she did a basic Neurological test and has ordered me to have an MRI of my spine. Reasons are when I was getting the epidural, I had a shooting pain down my right side (each time they attempted it). This may be the reason from all this. The epidural needle may have hit the bladder nerve in my back since it runs from the brain to the bladder.

She didn't talk about what would happen if that was the case.

She also wants me to be tested for Celiac Disease and have my B12 tested. Vitamin B12 is apparently good for nerve repair and Nerological issues.

So we'll see. The Neurologist wants to do the MRI within the next 2 to 3 weeks.

So back to the waiting game.

OP posts:
FirstTimeMother88 · 15/06/2020 08:30

Hi Wendy, I'm going through the same thing.
Can I ask, how did it end up for you in the end?

Unicorn92 · 12/01/2021 08:15

Hi all I know this is a old post how is everyone now? I'm 28 and had my first baby in October he got stick and they used forceps and episiotomy since then I haven't got the urge to wee and I can't hold my wee in at all! It's horrible and they are not telling me anything other than my pelvic floor muscles have completely gone x

Bobblethediscoduck · 09/02/2021 22:05

Any updates please

Nameachange031121 · 30/04/2021 04:20

Are there any updates on this please?

Bobblethediscoduck · 04/05/2021 21:31

How are you all doing now?

FirstTimeMother88 · 05/05/2021 09:23

Hello ladies, how are you all now? Did anyone's sensation come back?
I'm now 19 months pp and still numb x

Bobblethediscoduck · 09/05/2021 23:47

Hi x are you ok? I have reduced sensation too

Nameachange031121 · 10/05/2021 10:22

Have you had the urodynamics tests done?

FirstTimeMother88 · 10/05/2021 12:00

I had one done back in the summer and was told it was numb but the bladder is working normally (fingers crossed) for now.
Just to keep an eye on inflow and outflow.
I also have a bladder nurse come to the house every 2-3 months and scan me to ensure I am completely emptying.
How is everyone else? Any improvement?

Nameachange031121 · 10/05/2021 12:13

How are you managing the situation if you're still numb? Are you catheterised or just wearing incontinence pads? When you say numb, do you mean you don't get the sensation to go for a wee and it just gushes out?
I'm 2 weeks pp and am still catheterised. I've had 1 failed "trial without catheter" and I'm awaiting my urodynamics appointment. I've had a spine MRI done to rule out spinal damage.

FirstTimeMother88 · 10/05/2021 14:27

No I don't need anything at all... I can hold it in, I don't know when I have a full bladder so I go every few hours and monitor how much I drink and guess when I'd be full.
Have they said what they think it could be? Did U have a section? 2 weeks is so early you may be not like me and totally fine within 6 months now :)

Bobblethediscoduck · 10/05/2021 16:23

I had a catheter for about 5 weeks and failed the twoc test 3 times. They gave me a flip flow catheter after a bagged catheter so that my bladder regained tone.

Nameachange031121 · 10/05/2021 16:31

Ahh I see. My issue is slightly different - I have no sensation of needing a wee so it just comes out.. which is pretty much constantly when I'm standing up. Not yet, I've got to go for urodynamics testing so hopefully that will give me some answers. I've had the spinal MRI a which was normal but I'm still worried it's something to do with my cause equina nerves as I also get tingling sensations around my tail bone/coccyx. I had forceps and an episiotomy.

FirstTimeMother88 · 18/05/2021 01:38

Oh I see! How frustrating for you.
How are u managing? Have they given you.a catheter?
What date is your urodynamics?x

Nameachange031121 · 18/05/2021 09:42

I had a catheter for around 2 weeks. Got it taken off yesterday at my urodynamics appointment. They said my bladder is functioning fine and the feeling of needing to wee will return as my pelvic floor recovers. They said it should take around 2-3 months with physio. They said it’s something called Neuropraxia because of the nerves being squished.
I’m just managing with pads for the leaking and guessing when I might need a wee.

@Bobblethediscoduck - how long did it take for your sensation to return?

Newmomneedhelp · 13/04/2022 23:07

@Nameachange031121 I’m experiencing the same bladder loss, no urinary control after a vaginal delivery. How long did it take you to fully recover? Have you? Did you do PT pelvic work?

Pingu1uk · 18/11/2023 20:50

Hi x how are you doing xx

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