Strong tone during pregnancy. Increased uterine tone during pregnancy

The uterus is the organ that undergoes the greatest stress during pregnancy. Each muscle fiber in the process of bearing the fetus thickens and lengthens several times. However, such a process is absolutely natural, regular and painless, and in the normal state of the uterus, it is not accompanied by tension in its muscles. In other words, even stretched and elongated, they are at rest.

However, many women during pregnancy experience such a situation as increased uterine tone. That is, the muscles that were supposed to be in a relaxed state and not cause concern to the expectant mother contract, causing increased pressure in the pelvic area.

In some cases, increased uterine tone is not a pathology: with muscle contraction during laughter, sneezing, or even orgasm. In addition, in the last trimester of pregnancy, the muscle tissue of the uterus can contract as part of the so-called "training" contractions: rather weak and short, representing a kind of rehearsal before the baby is born. As you may have noticed, in all these cases, the increased tone persists for a short period of time, and there is no need to get rid of it. If it does not pass long enough, then there is a threat to the health of the mother and unborn child, as well as the likelihood of premature birth or miscarriage.

How to determine the increase in tone in the uterus?

The main symptoms that indicate that your uterus has been in good shape for too long are as follows:

Drawing, aching pain in the lower abdomen. As you might guess, they can feel very similar to those painful urges that you feel during critical days.
Stomach tension. This symptom is most noticeable already in the second and third trimesters of pregnancy: the stomach literally hardens, shrinks due to excessive tension in the muscles of the uterus.
Pain in the lumbar region and sacrum- parts of the spine closest to the uterus.
Bloody spotting. This is the most alarming symptom, upon detection of which you should never self-medicate at home. Call an ambulance immediately, otherwise you may lose your child.

How to remove the increased tone of the uterus in pregnant women?

If you have been experiencing an increased tone of the uterus for a long time, then we strongly recommend that you consult a doctor. The main techniques with which you can relieve stress from the most important genital organ at home are the following methods:

Bed rest, refusal of physical activity, healthy sleep, frequent exposure to fresh air. If you planned to go to work until the last and faced an increased tone of the uterus, then you should think about whether the salary of the health and well-being of your baby is more important to you.
Antispasmodic drugs. This is a standard treatment aimed at relieving muscle hypertonicity of any organ. Pregnant women are most often prescribed drugs such as Papaverine or No-Shpa.
Sedative medicines. Increased tone is often associated with emotional stress, the stressful state of the expectant mother. Therefore, she may be prescribed a tincture of valerian, motherwort, or other relatively harmless sedative herbs.
Physiotherapy, reflexology, psychological consultations. These are a few more ways, the main purpose of which is to relieve stress in the expectant mother: both physical and psychological.

Hormonal preparations. Sometimes the cause of hypertonicity is a lack or, for example, an excess of progesterone in a woman's body. In this case, she is prescribed hormonal drugs designed to increase or, conversely, reduce their concentration in the patient's blood.
Proper nutrition, drugs to reduce gas formation in the intestines. Problems with the digestive system are a standard companion of pregnancy, and sometimes they cause a prolonged increased tone of the uterus. To get rid of such problems, a fortified diet and special preparations can be prescribed.

Hemostatic drugs. They are prescribed in the presence of bleeding. It can be "Etamsylate sodium", "Dicinon" and other drugs.

These are just a few of the most common answers to the question of what to do with uterine hypertonicity. And even from them it becomes clear how individual the appointment of certain methods of dealing with the problem is, and how much the treatment will differ depending on the causes of the increased tone. Therefore, we advise you to use these data only as general recommendations and be sure to consult a doctor to specify your treatment program.

Why does an increased tone of the uterus occur?

Before prescribing you a treatment designed to reduce uterine hypertonicity, the doctor will conduct an examination to find out its causes. Most often, this situation occurs in one of the following cases:

Anomalies and malformations of the reproductive system, that is, individual (most often congenital) features of the body.
Hormonal problems (lack or excess concentration of progesterone).
Inflammatory processes, tumors and infections in the uterus or its appendages.
Stress, emotional breakdowns, psychological or physical overstrain, violation of the correct daily routine, lack of sleep, etc.

Bad habits (drinking alcohol, drugs, smoking).
Previous abortions, miscarriages or premature births that occurred before the current pregnancy.
Various somatic disorders (ailments of the kidneys, liver, heart and other organs).
Toxicosis, malnutrition, problems with the work of the gastrointestinal tract.
Multiple pregnancies, large fetuses, or excessive amniotic fluid.
Rh-conflict of the mother and the unborn child, in which careful monitoring of the patient must be carried out from the very first days of pregnancy.

Thus, there can be quite a few reasons for uterine hypertonicity, and correct diagnosis in your particular case is extremely important in order to remove this problem effectively and harmlessly. Take care of your health and the health of your baby - identify symptoms and consult a doctor in a timely manner!

Frequent and sometimes involuntary urination, tone (or hypertonicity) of the uterus. These health problems during pregnancy occur most often, so information about them is of interest to most expectant mothers. However, in this article we will talk about only one, but rather unpleasant and serious problem - the tone of the uterus.

Normally, the muscular layer of the pregnant uterus is in a relaxed state. This is necessary, firstly, to maintain pregnancy, and, secondly, to fully provide the fetus with nutrients and oxygen. However, periodic short-term contractions of muscle fibers in the uterine wall are also not considered as something pathological. The frequency of such contractions even increases with gestational age. And this is absolutely normal, since the uterus grows (for example, muscle fibers lengthen 10-12 times), various physiological processes take place in its wall, aimed at preparing for the upcoming birth, and the child, becoming more active every day, irritates with its movements uterine wall.

But things don't always go according to plan. In some pregnant women, uterine contractions can occur very often and last not 1-2 seconds, but longer, causing quite unpleasant sensations. In such cases, they say that the uterus is in good shape (hypertonicity). This is a pathological condition that requires medical attention.

Maintaining the muscles of the uterus in a relaxed state during pregnancy is the task of the nervous system and hormones (in particular progesterone).

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After implantation of a fertilized egg into the wall of the uterus, impulses begin to actively flow into the woman's brain, as a result of which a focus of excitation is formed in the cortex, called dominant pregnancy. All other impulses are suppressed. Such changes in the central nervous system are necessary for the maintenance and normal course of pregnancy. If a pregnant woman experiences severe stress, fear, emotional overstrain, one or even several foci of excitation may form in the cortex, respectively, the dominance of pregnancy weakens. All this provokes irritation of the receptors in the wall of the uterus and a contraction of its muscle layer, that is, the appearance of tone.

An important role in maintaining pregnancy is played by the hormone progesterone, not without reason it is called the hormone of pregnancy. This substance is secreted in the body of a woman throughout the entire period of bearing a child: up to 10-12 weeks it is synthesized in the ovaries by the corpus luteum, and subsequently by the placenta. Progesterone helps to relax all smooth muscles, so not only the uterus, but also the intestines are in a relaxed state in the body of the expectant mother (in this regard, constipation often occurs during pregnancy), and the urinary tract, and other organs. If progesterone is not produced enough, the inhibition of the contractile activity of the uterus does not occur at the proper level, and it is reduced. For example, the level of progesterone decreases physiologically towards the end of pregnancy, as a result of which labor begins, but in the early stages, progesterone deficiency can lead to miscarriage.

Thus, any external or internal influences that disrupt the central mechanism of regulation of the muscle tone of the uterus can provoke hypertonicity:

Chronic.
Conflicts in the family, at work.
High body temperature (respectively, all diseases in which patients develop fever).

In addition, uterine tone can occur in pathological conditions accompanied by insufficient progesterone synthesis. These include:

Hyperandrogenism (increased concentration of male hormones in the body).
Hyperprolactinemia (increased levels of prolactin in the blood).
Genital infantilism (underdevelopment of the genital organs and hypofunction of the ovaries).
Inflammatory diseases of the uterine appendages (these diseases almost always lead to disruption of the functioning of the corpus luteum of pregnancy).

Also, an important role in the development of uterine hypertonicity is played by diseases and conditions that affect the structure of its wall:

Inflammation of the uterus.
Postoperative scars.

Gynecologists identify a number of risk factors for uterine hypertonicity:

Background diseases (which develop during pregnancy): endocrine disorders, influenza and acute respiratory infections, acute diseases of internal organs.
History of hormonal infertility.
Numerous abortions in history.
The woman's age is under 18 or over 35 years old.
Bad habits.
Harmful factors of production. Heavy physical work or work in a forced position, frequent business trips, contact of a pregnant woman with chemicals - all this can be an impetus for the occurrence of uterine hypertonicity.
Unfavorable family atmosphere.
Chronic.

Pregnant women, depending on the period of bearing the baby, characterize their feelings when uterine hypertonicity appears in different ways:

in the first trimester, most often it is a pulling or squeezing pain in the lower abdomen and discomfort in the lower back (as with menstruation);
in the second and third trimesters - a feeling of short-term, but strong tension or hardening of the abdomen.

In addition, when the uterus is in good shape, detachment of the chorion or placenta in a small area may occur, which is manifested by spotting or bleeding.

Some pregnant women do not even suspect that their uterus is in good shape (they simply do not notice the symptoms that arise), but they find out about it during the next visit to the gynecologist or ultrasound doctor. Indeed, during the examination of the patient (palpation of the abdomen), the doctor can clearly feel with his hands that the uterus is contracted.

Even more information about the tone of the uterus can be obtained using. However, according to some doctors, the contraction of the walls of the uterus during an ultrasound examination is often associated with a mechanical effect on the organ (especially if a woman is examined with a vaginal probe). Therefore, the diagnosis of "Hypertonus" is made, taking into account the results of all examinations and based on the presence of specific symptoms in a woman (severe abdominal pain, bleeding, etc.).

Consequences of uterine tone

Prolonged and frequent contractions of the uterus can lead to the development of the following complications:

detachment of the chorion (in the later stages of the placenta);
miscarriage;
premature birth;
violations of the uteroplacental blood flow and as a result of hypoxia (oxygen starvation) and malnutrition (growth retardation) of the fetus.

What to do if the uterus is in good shape?

A pregnant woman should report any discomfort in her body to the gynecologist at the next appointment. If there is severe pain, tension in the abdomen and / or bloody discharge from the vagina, you should visit the doctor unscheduled and preferably immediately. After the examination, the specialist will make appointments, and if necessary, give a referral for hospitalization, since uterine hypertonicity is considered as a sign of a threatened abortion.

Important:any medications for expectant mothers should be prescribed only by a doctor.

Injecting yourself with No-shpu or Papaverine with increased uterine tone (as various forums for moms recommend), instead of going to an obstetrician-gynecologist, is a big mistake that can cost the life of an unborn child. These drugs, of course, are not contraindicated in pregnant women, they are widely used in the treatment of patients with increased uterine tone, but only after examination and an accurate diagnosis.

In addition to No-shpa and Papaverine, the following drugs are used in the treatment of hypertension:

But what exactly is not forbidden for pregnant women to do on their own with uterine tone is to rest (preferably lying down), take soothing herbal teas (for example, mint), valerian, motherwort tincture. In addition, it does not hurt to learn how to stop your frantic pace of life in time and relax, shift household chores to loved ones, get enough sleep and not be nervous over trifles.

Collapse

Pregnancy is a period when a woman begins to listen especially carefully to her body, and this is true, because even the slightest deviation can have serious consequences. Uterine hypertonicity is especially dangerous. Why is uterine tone dangerous during pregnancy, and what unpleasant surprises can occur? Every second woman in a position asks herself these questions.

The danger of uterine tone for pregnancy

If you have uterine tone, then you should take immediate action. You can’t wait a second, because such a state can lead to:

miscarriage (in the early stages);
premature birth (at a later date);
fading pregnancy.

Also, the expectant mother endangers the health of her baby. A huge number of deviations in children are associated with this particular pathology.

Let's consider each threat separately.

Miscarriage

Increased tone is the most dangerous condition that threatens the health of a pregnant woman. In the early stages (up to 28 weeks), it provokes a miscarriage. If a woman feels pulling pains in the lower abdomen, you should immediately consult a doctor.

Tone in the early stages may occur due to:

Hormonal imbalance in a woman: insufficient production of the hormone progesterone or increased levels of androgens. A miscarriage will be prevented if the hormonal imbalance normalizes.
Intense toxicity. Due to regular vomiting, muscle contractions of the peritoneum and uterus occur. As a result, tone appears.
Rh-conflict of the baby's parents, that is, if the mother is positive and the father is negative, then the body may reject the fetus. This is manifested by hypertonicity.
Frequent inflammation of the reproductive organs and diseases of an infectious nature.
Bloating and gas formation. When changing intestinal motility, pathology also often occurs.

Sometimes a miscarriage occurs in the first weeks when the embryo has more than 60% genetic defects. Nothing can be done here, nature will take its toll.

With hypertonicity, the fetus cannot fully develop. The muscle tissue compresses the blood vessels and the child becomes insufficiently oxygenated - this is hypoxia.

A woman in good shape will be able to recognize a uterus on her own at home. In this case, there is heaviness in the lower abdomen, pain of a pulling nature (similar to premenstrual pain), pain in the lower back. In some cases, a pregnant woman may notice specific discharge with streaks of blood on her underwear.

Do not forget that often hypertension does not make itself felt, there are no symptoms. Therefore, it is important to regularly visit a gynecologist who will prevent trouble in time.

preterm birth

Is uterine tone dangerous at a later date? Of course, if it appeared after 28 weeks, then this can cause premature birth. This happens due to:

uterine pathologies;
infectious diseases;
polyhydramnios;
multiple pregnancy;
malfunction of the thyroid gland;
endocrine ailments;
heavy physical labor;
overwork;
stress;
drinking alcohol and drugs;
smoking and so on.

Hypertonicity in the later stages announces itself in the form of pulling severe pain in the lower abdomen and in the lumbar region. The stomach hardens. In such a situation, seek medical attention immediately. If a woman feels cramping uterine contractions and / or the amniotic fluid has already passed, then the birth process has begun and no one can stop it. We can only hope that experienced doctors will save both mother and child.

Danger to the health of the unborn child

What threatens the tone of the uterus during pregnancy for the baby? This condition can lead to miscarriage or premature birth, but there is another danger. A woman can give birth at term, but what happened all this time with a child in the womb? Since the muscles, which are constantly in tension, squeezed the vessels of the umbilical cord, the fetus could not fully receive oxygen. Because of this, hypoxia develops. As a result, the child received less nutrients, and this led to a halt in his growth and development. Hypotrophy often occurs.

In the future, all the shortcomings will be visible in the newborn, it is not surprising if further development is not the same as in healthy babies. To avoid this, you should constantly be observed by your doctor, do control ultrasounds and pay attention to any changes in the body.

Fading pregnancy

A pregnancy that ended in fading is a type of miscarriage. At the same time, its development completely stops, and it dies. Most often this happens in the early stages, up to 14 weeks. But, there were cases when this happened even shortly before the expected date of birth. For the fetus, there are some periods when it is especially vulnerable. It:

End of the first month of pregnancy (from 3 to 4 weeks).
End of the 2nd, beginning of the 3rd month (weeks 8-11).
Horses of the fourth, the beginning of the fifth month (16-18 weeks).

Important! On the 8th week, the fetus is forming important organs for life, so this period is considered the most dangerous.

There are certain situations due to which there is a tone, and after the pregnancy freezes. Pregnancy is negatively affected by:

genetic disorder. A large percentage of missed pregnancies belong to chromosomal abnormalities. If the fetus has a large number of anomalies that are incompatible with life, then fading occurs.
Hormonal imbalance. There are two ways in which misfortune can occur. Due to a lack of progesterone and an excess of androgens. If a violation is detected in a timely manner, then fading can be prevented.
Artificial insemination and IVF. Such pregnancies often have a similar outcome.
Infectious diseases. Since the woman's immune system is weak, he becomes defenseless against viruses and bacteria. Any disease negatively affects the child, especially cytomegalovirus and rubella. You should be careful throughout all 9 months, but the most dangerous period is the first 14 weeks. It is difficult for a pregnant woman to tolerate even a simple cold or FLU, the consequences can be unpredictable. If the disease is accompanied by prolonged high body temperature, intoxication, hypertonicity may occur. The child will lack nutrients, there is a risk of stopping his development.
STDs (sexually transmitted diseases). Infection with ureaplasmosis, syphilis, gonorrhea, mycoplasmosis, chlamydia.
Wrong, inadequate nutrition.
Tight clothing, squeezing underwear.
Sedentary lifestyle.
Excessive consumption of alcoholic beverages.
Tobacco smoking and drugs.
Unreasonable work.

A missed pregnancy can be recognized by:

bloody discharge from the vagina;
elevated body temperature;
weakness, chills;
soreness of the abdomen (pulling character);
suddenly ended toxicosis;
a sharp decrease in the mammary glands;
lack of heartbeat in the fetus;
inappropriate size of the uterus with the term.

In the 1st trimester, when pregnancy fades, there is a drop in basal temperature.

Keep in mind! Until the moment when the placenta begins to exfoliate, the woman will feel both toxicosis and an increase in the mammary glands.

After 14 weeks, you can understand that the fetus has frozen by the absence of movement. The tone of the uterus is a serious deviation that the doctor must eliminate. Do not let everything take its course, as the consequences can be very serious.

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Symptoms of uterine tone during pregnancy scare women in anticipation of a “miracle”. However, such manifestations are not always a pathological condition that threatens the normal course of gestation. After all, the uterus and the fetus developing in it are sensitive not only to physical influences, but also to changes in the psycho-emotional status of the expectant mother. Therefore, a temporary tone can occur even in the norm, reflecting the well-being of a woman. What does the tone of the uterus mean during pregnancy and how to find the line between the norm and pathology?

The uterus is a "ball" of smooth muscle fibers, inside which the fetus develops. The walls of the uterus and the body of the fetus do not directly touch each other, they are separated by a thin membrane - the fetal sac, as well as the placenta. The state in which most of the muscle fibers of the uterus are in the contraction phase is called tone. It is observed in childbirth, which ensures the “pushing out” of the baby from the womb and is absolutely normal. But the tone during premature pregnancy can lead to disastrous consequences.

How to identify yourself

Signs of uterine tone during pregnancy are not always noticeable to a woman. It all depends on the duration of pregnancy, as well as on the severity of the tone. How can you independently determine whether there is uterine tone during the current pregnancy or not? You can do this by listening to the body and examining your own feelings.

In the first half of the term

Immediately after conception and throughout the 1st trimester, the future mother can only judge that the uterus is in good shape by subjective feelings. At this time, the body of the uterus is deep in the cavity of the small pelvis, and it is not possible to probe it through the stomach on its own. Therefore, for diagnosis, it is important to know the main signs of hypertonicity.

Painful sensations. Most often, pains over the bosom are similar to menstrual ones. Women describe them as pulling, constant or intermittent. Indeed, during menstruation, the uterus also contracts to evacuate the contents. Therefore, the symptoms are very similar.
Frequent urge to go to the toilet. The body of the uterus lies in close proximity to the bladder. With the contraction of her muscle fibers, she literally puts pressure on the bladder, causing false urge to urinate.
Pressure on the rectum. If the body of the uterus is tilted back, then the effect is not on the bladder, but on the rectum. In this case, there is a feeling of pressure and a feeling of incomplete emptying of the rectum, soreness in the perineum in the sitting position.
Special sensations. Many women find it easier to describe what they feel during pregnancy in figurative terms. Often they note that in the lower abdomen "something dense as a stone" or "the uterus clenched like a fist", others describe the tone of the uterus as "coldness in the stomach."

For the doctor, these complaints become a reason for an extraordinary examination. A two-handed examination (through the vagina and abdomen) allows you to accurately find out if there is uterine hypertonicity, or if the sensations during pregnancy are caused by something else.

Symptoms of uterine tone may appear for no apparent reason. But more often, hypertonicity occurs after physical overwork, psycho-emotional experiences, during an exacerbation of chronic diseases, with a cold.

In the second half of the term

In the 2nd trimester (closer to 18-20 weeks), the enlarged uterus is already well palpable above the womb. From this moment on, a woman can not only subjectively, but also objectively judge the tone. Increased urge to go to the toilet, a feeling of pressure on the rectum, pain in the lower abdomen - all this worries as well as in a short time. In addition to this, you can simply try to feel the uterus through the abdomen. Normally, it should be soft, practically no different from the surrounding tissues. If a woman defines a "hard ball", this may indicate hypertonicity.

In the 3rd trimester, especially on the eve of childbirth, women clearly determine when the uterus contracts. At the same time, the stomach becomes more formed, and not “blurred”. When stroking, the uterus is dense, but there should be no pain and discomfort. When they occur, acute conditions (for example, placental abruption) should be excluded.

How can you confirm the tone of the uterus during pregnancy

Every expectant mother can exaggerate her feelings, worrying about the child's condition. Therefore, additional diagnostic methods are used to confirm the tone of the uterus and the presence of threatening conditions.

Expert review. Already at the beginning of pregnancy, the gynecologist can detect the tone of the uterus. Normally, when palpated, the pregnant uterus is soft, pliable. But with an increased tone, it thickens, and a woman may feel discomfort and pain during examination.
Ultrasound procedure. With the help of ultrasound, local tone can be detected. This definition is especially reliable at the beginning of pregnancy. Local tone may be associated with areas of detachment or be caused simply by the study itself. In the latter case, it passes after 10-15 minutes of rest.
Cardiotocography (CTG). With the help of this study, it is possible to determine not only the fetal heartbeat, but also the presence of uterine muscle contractions. For this, a separate sensor is used, which is most often installed in the region of the fundus of the uterus on the right or left. Rhythmic muscle contractions will be visible on the graph as waves of different amplitudes, and a constant tone as a horizontal line of a certain height. This method is informative to use only from the third trimester. So you can confirm the onset of labor in normal and premature births.

Pathological tension

The causes of uterine tone during pregnancy are diverse. Periodic tone, which is clearly associated with stress or overwork, is experienced by many expectant mothers. However, causes that increase uterine contractions until full-term pregnancy should be avoided as much as possible.

Pathological tone is characteristic of the following conditions.

Placental abruption. This is one of the most formidable complications of pregnancy. Detachment is called the pathological separation of the placenta from the uterine wall with the formation of a hematoma and subsequent uterine bleeding. In addition to a constant tone, a woman will notice soreness in the entire surface of the uterus and a change in fetal movements. Later, bloody discharge from the genital tract may join. The condition requires immediate medical attention.
Abortion. Most often, tone is associated with this condition. At the same time, bloody discharge may join for a short time. At the onset of labor before the due date, the tone of the uterus acquires a cramping character.
Anomalies in the structure of the uterus. Periodic tone is observed in women with congenital anomalies of the uterus: bicornuate, with a septum, saddle. Such features of development increase the risk of miscarriage, which is the reason for the increase in tone.
Neoplasms and other diseases. Myoma often causes tone due to abnormal tissue extensibility in the area of the nodes. When fibroids are located on the anterior wall of the organ, they are palpable as rounded focal dense formations. Severe endometriosis of the uterus (adenomyosis) is also the cause of such changes in the myometrium.
pathology of pregnancy. If the uterus is overstretched, for example, with polyhydramnios, a large fetus or multiple pregnancies, it can artificially create the feeling that it is constantly in good shape. At the same time, only a doctor can distinguish the norm from the pathology.
Diseases of nearby organs. With the pathology of organs that are located close to the uterus, the latter can come into tone. For example, with renal colic, appendicitis. Ordinary constipation or bloating can also provoke tone.

Norm Options

In some situations, a normal tone occurs, which passes on its own without consequences.

Physical labor. Any physical labor, even if a woman feels good during its performance, can lead to hypertonicity. This is a kind of evidence of overwork.
Touch. As soon as the uterus is well defined above the bosom, a woman may notice that when touched, she quickly comes into tone. This is especially clearly seen when examined by a doctor and is a normal reaction to touch.
intimate relationships. During sex and for some time after it, the muscles of the uterus continue to contract due to the release of the hormone oxytocin, which causes an increase in tone.
Fetal movements. Starting from 26-28 weeks, the baby reaches a fairly large size. His movements each time bring the myomerium into a state of some contraction, which is the more frequent and more intense the closer to childbirth.
Mom's stress. Psycho-emotional overstrain leads to the release of hormones into the blood, which leads to contraction of the myometrium and the appearance of tone.
Training bouts. From the 37th week of pregnancy, a periodic tone appears, especially often occurring at night. Such activity of the myometrium is necessary for the preparation of the cervix.

Although increased uterine tone during pregnancy is not always accompanied by pathological conditions, you should definitely see a doctor if hypertonicity is noted for a day or two, is cramping in nature, or, in addition to tone, there are abdominal pains, changes in fetal movements (very violent or absent) or discharge with an admixture blood from the vagina.

What is the danger

Normal contractions, for example, before childbirth and after stroking the abdomen do not provoke any pathological changes. But the constant tone of the uterus, especially during late pregnancy, can be dangerous, so if it is present, it is better to get expert advice rather than waste precious time.

The fact is that when the child's place is located along the back wall of the uterus, tone is the only symptom of detachment. Other conditions, which in this case should be ruled out by a specialist, are:

the threat of termination of pregnancy;
uterine bleeding.

But only a doctor can distinguish a physiological tone from a pathological one after an examination and a minimal examination (ultrasound, CTG).

How to cope on your own

The gynecologist observing her should tell the woman how to remove the tone of the uterus during pregnancy and prevent its occurrence. The following is usually recommended to prevent hypertension.

Relaxing gymnastics. For pregnant women, special sets of exercises have been developed to relax and strengthen the muscles of the pelvic floor. There is also a whole area of yoga that pursues the same goals. But it is better to engage in such exercises after consulting a gynecologist.
Swimming in the pool. Swimming is good for muscle and psychological relaxation. But the pool should be used only with the permission of a doctor.
Calming herbs. Pregnant women are more prone to mood swings, they are more sensitive and vulnerable. And psychosomatics can not only provoke the threat of interruption, but also contribute to the development of toxicosis and preeclampsia. Therefore, with increased anxiety, irritability and emotional stress, it is useful to take valerian or motherwort.
Fight against constipation. The well-coordinated work of the intestines is important for maintaining the normal tone of the uterus. Constipation and the constant straining that follows them can increase the tone. It is especially important to prevent constipation in the event of a threatened miscarriage. To improve intestinal motility, you should increase the amount of fiber-rich foods (fruits and vegetables) in your diet. If necessary, you can use safe medicines for constipation, for example, containing lactulose (Duphalac).
Rest properly. It is important for pregnant women to know how to lie down, especially for long periods, so as not to provoke hypertonicity. In a horizontal position, you should spend more time on your left side. So the inferior vena cava will not be compressed.

By following these simple recommendations, you can remove the tone of the uterus, which is provoked by overwork or minor functional disorders. If discomfort persists or when other complaints (for example, doubtful discharge) are attached, it is necessary to get a specialist consultation as soon as possible.

Therapy

Treatment of uterine tone during pregnancy can take place at home as prescribed by a doctor or in a hospital, and early and late therapy is different. Medicines are prescribed in the form of vaginal and rectal suppositories, tablets, droppers or intramuscular injections - it all depends on the severity of the tone.

Medications at the beginning of pregnancy

It is important to observe the medical-protective regimen and rest. With psycho-emotional instability, a pregnant woman is prescribed sedative herbs in the form of decoctions or tablets. For the main treatment, the following groups of drugs are used.

Antispasmodics. Help relieve tension in the smooth muscle fibers of the uterus. Tablets or injections of drugs also dilate blood vessels and increase blood flow in the placenta. Examples of funds: "No-shpa", "Papaverin", "Drotaverin".
Hormonal preparations. Progesterone-based products are used (Dufaston, Utrozhestan, Susten). Their appointment is effective for really low levels of progesterone in blood tests. With increased tone, natural progesterone (in Utrozhestan) is more often used, which can be used up to 32-34 weeks. Doses and regimens are set individually depending on the clinical picture.
Vitamins and microelements. Magne B6 or other magnesium preparations are used (for example, Magvit, Magnefar). This microelement affects muscle contractions, including relaxing the myometrium. It can be prescribed both in prophylactic doses (one tablet once or twice a day) and in therapeutic doses (two tablets two or three times a day).

If during the course of treatment the cause of hypertonicity is found out (detachment, inflammation in the vagina), the corresponding groups of drugs (hemostatic, anti-inflammatory suppositories, antibiotics) are additionally prescribed.

Preparations after 20-22 weeks

After 20-22 weeks, the range of drugs expands. The following medicines are used.

"Ginipral". The drug acts on certain receptors, which are concentrated in large numbers in the muscle fibers of the uterus. The drug in the form of an intravenous infusion is effective for relieving an acute condition (even contractions), and tablets are used as maintenance therapy. But "Ginipral" has a side effect in the form of an increase in the heart rate of a woman and a fetus. The prescription of drugs that slow down the heart rate helps to avoid such adverse reactions (for example, it can be both Nifedipine and Verapamil).
Magnesia. This remedy is universal during pregnancy. It has a complex effect and almost no contraindications. Most often, it is administered intravenously by drip, less often intramuscular injections are prescribed (they are very painful, according to reviews, and can also be complicated by the formation of seals). Usually, the infusion of the solution is carried out in the first half of the day - in the morning.
Physiotherapy. Magnesium electrophoresis, Shcherbak's collar, therapeutic sleep are prescribed.

If, during research, changes in the state of the fetus are detected, for example, the blood flow between the child and the woman is disturbed, vasodilators and agents that improve metabolic processes (Pentoxifylline, Actovegin) are added to the treatment.

Regulation of labor activity

Pathological tone can occur even during childbirth. This leads to a violation of uterine contraction, lengthening of labor, sometimes you have to resort to a caesarean section. To quickly reduce the local tone of the cervix, which arose during active labor, use both antispasmodics and painkillers. At the same time, to ensure adequate pain relief:

perform spinal anesthesia;
narcotic analgesics are administered ("Promedol").

With their ineffectiveness, in most cases, delivery ends with an operation.

It is important for women to understand what uterine tone is during pregnancy, when it can be normal and pathological. Timely identified deviations can save not only the baby, but also the life of the woman herself. Therefore, with disturbing symptoms, it is better to once again consult with your doctor.

Throughout life, a person is in good shape. This is the so-called activity. It can be high or low. Today's article will tell you about what tone is. It turns out that this activity is not good in all cases. Sometimes its reduction is required, for example, during pregnancy.

What is tone?

Tone is a long and persistent excitation of muscles, tissues and nerve receptors of the human body. You can often hear such a thing as "skin tone". What does it mean? When the skin is in good shape, we can say that it is in perfect condition. The dermis is hydrated, it is elastic and full of vitality. Outwardly, this is manifested by a beautiful color, smooth surface, and the absence of any defects.

What is the tone of the human body? This is the ability to maintain a certain posture and position in space. A person always strives to increase his tone. The concept is determined by a combination of characteristics: mood, muscle condition, sanity, and so on.

improve tone

What can you do to improve your tone? If we are talking about the body, then you can activate the muscles and the work of all organs with the help of physical exercises. Athletes visit gyms in order to improve their tone. During physical exertion, blood circulation improves (the tone of the heart muscle and blood vessels), the work of the muscles is activated), and so on.

You can also increase the tone with the help of food. Now on many food products it is indicated that they increase tone. Separately, we can say about energy drinks. When they are used, the work of the whole organism is activated. But doctors say that this way to improve tone is not the most correct. Women are always looking to improve their skin condition. Many cosmetics indicate that they help to increase tone.

Uterine tone

Separately, the tone of the reproductive organ is considered. During the entire menstrual cycle, it changes, it depends on the production of hormones. During menstruation, the uterine organ is actively reduced (high tone). Some women experience pain during this.

In the middle of the cycle, the uterus is in normal tone. If pregnancy occurs, then certain hormones are produced that relax the muscular organ. This is necessary for normal attachment and further development of the embryo.

High norm or pathology

If the uterus is constantly in tension, then this condition is not normal. In early pregnancy, the corpus luteum and adrenal glands secrete the hormone progesterone. This substance relaxes the uterus. If it is not enough, then there is a tone. One or all of the walls of the reproductive organ thicken and tighten, contraction occurs. If this condition is not corrected in time, then detachment of the membranes will begin. A hematoma forms between the wall of the uterus and the embryo, the tissues are not fully nourished, and blood circulation is disturbed. In the future, a miscarriage or spontaneous abortion will occur.

At long gestation periods, tone can lead to premature birth. Therefore, it is necessary to inform the gynecologist about it. Note that at the time of contractions, the uterus is always in a tense state. This is fine. In some cases, reduced tone during delivery requires stimulation. For this, obstetricians and gynecologists use drugs (for example, Oxytocin). The drug contributes to the contraction of the uterus and the speedy opening of the birth canal. Every expectant mother needs to know how the tone manifests itself at different periods of gestation.

Symptoms and signs

What are the symptoms of tonus during pregnancy? Much depends on the gestational age. In the first weeks, the tension of the uterus can not be felt at all. But the higher the tone, the more noticeable it is. In this case, the woman experiences pulling pains in the lower abdomen. Sometimes they can give to the lower back. With a high tone, bloody discharge from the vagina can be observed.

For longer periods of pregnancy, the symptoms of tone look a little different. There is still pain in the abdomen. Only now it is spreading throughout the uterus. The expectant mother may notice abdominal tension. The abdominal wall becomes hard and seems to shrink. During increased tone, fetal movements can cause discomfort. In addition, the child during this period is especially active, thereby trying to get more oxygen.

Constant increased tone during pregnancy (the symptoms you already know) can have consequences: lack of nutrition for the baby and intrauterine growth retardation. Therefore, in the presence of the described signs, it is necessary to consult a gynecologist. The doctor will prescribe drugs that improve blood circulation and therapy aimed at reducing uterine tone.

Diagnosis of the tense state of the uterus

What is tone and what symptoms does it have for women - described above. But how can a specialist determine this condition? Diagnosis is quite simple. The doctor may note the tension of the uterus during a routine gynecological examination. It is worth noting that in some cases the examination itself provokes tension in the genital organ.

You can determine the increased tone with the help of ultrasound. On the monitor, the doctor will see a thickening of the uterine walls, which indicates their tension. In early pregnancy, the tone of the uterus is reported by the deformation of the fetal egg. In the third trimester, pathology can be detected during cardiotocography (CTG).

Features of treatment: drugs

In order for the tone to be reduced with the threat of abortion, it is necessary to conduct appropriate therapy. First you need to find out what caused the contractions of the uterus. This may be physical activity, sexual contact, nervous tension, a hot bath, eating certain foods or taking medications. After that, the cause of the pathology is excluded. Next, conservative treatment is carried out, the scheme of which directly depends on the duration of pregnancy.

In the first trimester, women are prescribed progesterone-based drugs (Dufaston, Iprozhin). Antispasmodics are also prescribed (tablets or injections "Noshpa" and "Drotaverin", suppositories "Papaverin"). Be sure to use sedatives ("Valerian", "Motherwort"). In the later stages, hormonal drugs are not prescribed. Instead, they use "Ginipral", "Partusisten". Also, expectant mothers can be prescribed a medication containing magnesium and B vitamins. These drugs have a positive effect on the muscles and nervous system.

It must be said that treatment is indicated only with a constant tone of the uterus and a negative effect on the fetus. In late pregnancy, tone may periodically appear and pass on its own. If this condition does not cause any discomfort to a woman, then it is not necessary to correct it. For more detailed information, it is better to check with your gynecologist, since a lot depends on the individual characteristics of the body.

Prevention of hypertension during pregnancy

Has controversial opinions about the concept of "tone". Reviews of doctors say that this is a normal condition. But during pregnancy, it is better to reduce the contractility of the uterus and not provoke its tension. For the prevention of tone, observe the following rules:

avoid physical activity;
refuse sexual intercourse (according to indications);
stick to proper nutrition;
monitor the regularity of the chair, avoid constipation;
do not wear tight clothing (especially in the beginning and later);
do not take any medications on your own (even conventional painkillers);
rest and walk more;
get positive emotions and avoid stressful situations.

If you sometimes experience tone, then tell your doctor about it. Perhaps, depending on your characteristics, the specialist will give individual recommendations.

Summarize

Tone - is it good or bad? It is impossible to answer this question right away. Everything depends on the situation. Skin tone allows a person to look good and well-groomed. If it is lowered, then the body becomes flabby and ugly.

The tone of the uterus during pregnancy, on the contrary, can be dangerous. But it does not always require treatment and the use of medications. It should be remembered that each case is individual.