We remove the increased tone of the uterus without medication. Uterine hypertonicity during pregnancy: symptoms and treatment The tone passed in 2 days
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How to withdraw increased tone uterus during pregnancy. Causes and symptoms in the 1st, 2nd and 3rd trimester. Sensations of pregnant women with tone. What to do and how to treat at home (mom reviews).
From a medical point of view, the uterus is hollow internal organ. It consists of two mucous membranes (external and internal) and a muscular "layer". In a normal state, the uterus is relaxed (the so-called normal uterine tone).
During pregnancy, the muscles of the uterus contract, in medicine this phenomenon is called tone. Muscles can contract due to laughter, coughing, sneezing, and the psychological state of a woman can affect them.
A slight tension of the muscles of the uterus is considered normal if it is short-term and does not cause expectant mother inconvenience.
Prolonged and painful contraction of the muscles of the uterus is called hypertonicity. This condition threatens the fetus and pregnancy. In the 1-2 trimester, tone can cause a miscarriage, for more later dates(3rd trimester) provoke premature birth.
Reasons for the appearance
Prolonged, painful tension in the muscles of the uterus (hypertonicity) occurs from:
- nervous overload, stress;
- unhealthy lifestyle bad habits);
- muscle strain during significant physical exertion;
- improper production of hormones at the initial stage of pregnancy (the body does not produce enough progesterone, which relaxes the muscles);
- structural and inflammatory changes in the body (myoma, endometriosis);
- significant stretching of the muscles of the uterus (the uterus can stretch from a large fetus, multiple pregnancy, polyhydramnios);
- diseases transferred by the mother (tonsillitis, pyelonephritis, influenza);
- previous abortions;
- severe toxicosis;
- Rh - conflict between mother and child (the body of a Rh - negative mother can reject a Rh - positive child as a foreign body, the result of this is an increased tone).
Feelings in the first trimester
The tone of the uterus at the beginning of pregnancy can lead to the death of the embryo and miscarriage. The danger of hypertonicity in a short time is that it is almost impossible to “feel” it on your own (the uterus is still small in size).
Strong and prolonged pain in the lower abdomen should alert (pain is stronger than that which happens during menstruation).
A pregnant woman needs to visit a doctor in order to find out exactly the cause of the pain, since there are often cases when this “manifests itself” ectopic pregnancy. In addition to frequent and prolonged pain in the lower abdomen, you should also consult a doctor if there is bloody discharge from the vagina, the sudden disappearance of signs of pregnancy (the breast has stopped swelling, the basal temperature has decreased).
Tone in the second trimester
In the 2nd trimester, a small tummy appears, but increased uterine tone still poses a danger to pregnancy. The tension of the muscles of the uterus negatively affects the development of the child. The baby does not receive enough nutrients (tense muscles can "block" the blood vessels, provoking the development of hypoxia). In especially severe cases, this leads to a fading pregnancy or miscarriage. 
It is quite difficult for most women to determine uterine tone even in the second trimester, since again the main sign of “malfunctions” is the characteristic pain in the lower abdomen, while the uterus “stiffens”, shrinks (at the end of the second trimester, the expectant mother can already visually notice signs of tone when the uterus tenses, shrinks).
Tonus in the third trimester symptoms
The tone of the uterus in the third trimester is most often periodic. The uterus may contract and relax after a few seconds. This situation is considered quite normal, since the woman’s body is preparing for childbirth, such “changes” are called training contractions.
However, not all cramping pains of the third trimester should be attributed to training contractions. You can do a simple test. You need to take paper and a stopwatch and detect the frequency of pain. If the stomach tenses up every 5-10 minutes, this is a “training” of the body before childbirth (the test is informative after 30 weeks).
With severe and prolonged pain that does not go away for a long time, you should consult a doctor. Hypertonicity of the uterus in the third trimester is fraught with premature birth. The child may not yet be ready for birth (28-30 weeks), then the baby will need long-term rehabilitation and nursing.
What to do, how to treat
The answer is simple - see a doctor. Moreover, it is best to do this at the first suspicion of increased tone. The specialist will determine the severity of the tone, possible risks.
If there is no threat of termination of pregnancy, treatment is possible at home. The woman is assigned bed rest, prescribe drugs that relieve spasm (no-shpa, papaverine), drugs containing magnesium and sedatives (sedatives).
In difficult cases, the expectant mother requires hospitalization. In the hospital, constant monitoring of doctors is provided, there are fewer “temptations” to violate the regime (the complete absence of physical activity, while at home it can be problematic to ensure peace).
Toning exercises
You can get rid of the increased tone of the uterus at home, but this does not mean that you need to forget about medications prescribed by the doctor. You can use relaxation exercises.
In some women, during a gynecological examination and ultrasound, a high tone of the uterus during pregnancy is determined - its symptoms are not always dangerous, but in combination with other signs, they may indicate a threat of termination of pregnancy. There are three main groups of causes of increased uterine tone during the gestational period: uterine tumors, inflammatory diseases, and progesterone deficiency. An episodic increase in uterine tone during pregnancy is possible against the background of high psycho-emotional stress or stress.
luteal phase deficiency
Increased uterine tone in the first 3 months of gestation may indicate an existing threat of abortion. The cause is often luteal insufficiency. This is a condition in which the corpus luteum is not able to produce enough progesterone, or the receptors for this hormone located in the uterus do not have a high enough susceptibility to it.
Progesterone is called the hormone of pregnancy. It has a number of important physiological effects, including reducing the tone of the uterus during pregnancy and reducing the severity of immune responses. The fetus is a foreign body from the point of view of the maternal organism. Depression of immunity (physiological immunosuppression) during gestation avoids the rejection reaction. But if progesterone is not enough, uterine tone increases and the immune system is activated, which can result in spontaneous abortion.
Luteal insufficiency is the second most common cause of miscarriage after genetic defects in the embryo. It often develops
- with hormonal diseases (pathology of the ovaries, hypothalamic-pituitary system, adrenal glands);
- after assisted reproductive technologies;
- in older women.
However, this is one of the few causes of spontaneous abortion that can be controlled by a doctor. There are progesterone preparations that can compensate for the insufficiency of the luteal phase, reduce the tone of the uterus during pregnancy. They are always prescribed after assisted reproductive technologies, as well as in the presence of 2 or more episodes of miscarriage in history. In addition, the doctor may prescribe progesterone if she finds an increased uterine tone in a pregnant woman, combined with other clinical and laboratory symptoms.
The diagnosis of luteal insufficiency can be easily established before conception. To do this, the level of this hormone in the blood is measured in the first and second phases of the cycle, the rheological properties of cervical mucus are determined, the “pupil symptom” is checked (closing of the cervical canal from the 21st day of the cycle), and a smear is taken for hormonal colpocytology. However, during pregnancy, the diagnosis may not always be established. Sometimes a low level of progesterone is detected in the blood. But even if it is normal, luteal insufficiency is still possible: sometimes the hormone is produced in sufficient quantities, but the receptor apparatus of the uterus does not fully respond to it.
Solutions to the problem:
- prescribing progesterone preparations in the form of vaginal tablets (these drugs are not used orally in pregnant women due to insufficiently high oral bioavailability);
- the appointment of synthetic analogues of progesterone, most often dydrogesterone (Duphaston) - differ in that they have a higher affinity for uterine receptors, and also have good bioavailability when taken orally in the form of tablets.
Risk of miscarriage
An excessively high tone of the uterus during pregnancy may indicate the threat of its interruption. As a rule, there are other adverse signs. 80% of perinatal losses occur in the 1st trimester. It is during this period that the laying of the organs and tissues of the fetus occurs. The most common cause of miscarriages are genetic defects in the embryo. Such a pregnancy cannot be saved. In other cases, doctors manage to prolong the pregnancy. As a result, the woman successfully bears and gives birth to a child.
The proportion of genetic disorders of the embryo in the structure of miscarriage is 55-60%.
The remaining 40-45% of cases occur in:
- endocrine disorders (including insufficiency of the luteal phase of the cycle);
- inflammatory diseases of the uterus;
- tumors;
- infections;
- severe stress;
- autoimmune pathologies;
- disorders in the blood coagulation system;
- somatic (not related to the reproductive system) diseases.
There is no placenta in the first trimester. Instead, the chorion functions. This structure is not able to fully perform either the endocrine function (formation of progesterone) or protect the fetus from infectious and other adverse factors. Most often, a stop in the development of pregnancy occurs for a period of 6-8 weeks. The fertilized egg is rejected in the period from 10 to 12 weeks.
About 15% of all pregnancies do not end in childbirth, but are interrupted at different times. In approximately 2% of women, miscarriage becomes habitual (2 or more miscarriages in a row are recorded). In those patients who have had 3 or more miscarriages, the risk of spontaneous abortion in the next pregnancy reaches 55%.
uterine fibroids
The course of the gestational period against the background of uterine fibroids often causes a threat of interruption, accompanied by an increase muscle tone myometrium. This complication occurs in 25% of women. The risk is much higher with large fibroids or multiple myomas. It is fibroids that are one of the most common causes of perinatal losses after 12 weeks.
This benign tumor of the uterus usually appears in late reproductive age. Young women usually do not. 70% of those who become pregnant against the background of fibroids are patients after 30 years. And 50% of them are expecting their first child.
In women with fibroids, increased uterine tone during pregnancy is just one of many problems on the way to having a baby. They often have an abnormal location of the placenta, breech presentation of the fetus. The threat of abortion occurs against the background of an increase in the bioelectric activity of the myometrium (muscular layer of the uterus). Less commonly, the cause is a violation of the blood supply to the myomatous node and its necrosis.
These patients are sometimes managed conservatively. In other cases, an operation is performed to remove the fibroids. Indications for conservative treatment (pregnancy prolongation until as late as possible):
- small tumor sizes, not exceeding 10 cm;
- no deformation of the uterine cavity;
- lack of displacement of nearby organs;
- gestational age more than 22 weeks;
- no signs of impaired blood supply to the node according to ultrasound.
If the fibroid is large or grows rapidly, the trophism of the node is disturbed, the tone of the uterus increases and severe pain occurs, surgical intervention may be required. Pregnancy can be saved even with myomectomy of a large node with a diameter of up to 25 cm. However, pregnant women are operated on only in extreme cases, if there is a real threat to life or loss of the fetus. Most patients successfully carry a child, despite the existing fibroids.
What to do with increased tone?
If the tone of the uterus is increased in the 1st trimester, and the threat of termination of pregnancy is stated, measures are taken to preserve it. In Western medicine, this approach is not used. Up to 12 years of age, treatment is not prescribed at all, considering spontaneous abortions during this period by natural selection. In the medicine of the post-Soviet countries, it is customary to attempt to prolong pregnancy. This is done by:
- lowering the tone of the uterus;
- stop bleeding;
- lifestyle changes.
Appropriate measures are taken only if there is a viable embryo or fetus in the uterus. The main recommendations in such cases:
- bed rest;
- sexual rest;
- lack of physical activity.
To reduce the tone of the uterus during pregnancy, antispasmodics (drotaverine) and progesterone preparations are prescribed intravaginally. It should also be remembered that stress affects the contractile activity of the myometrium. If necessary, the patient is prescribed sedatives.
Unfortunately, the presence of a positive clinical effect from drug or non-drug measures to maintain pregnancy in the event of a threatened abortion has not been proven. Studies show that in women who receive maintenance therapy and those who do not take any action, the percentage of miscarriages remains approximately the same.
preterm birth
An increase in the tone of the uterus during pregnancy in the second half of the gestational period indicates the onset of premature birth. The clinical picture in this case is observed exactly the same as in timely delivery. Main symptoms:
- increased tone of the uterus, which is clinically manifested by pulling and cramping pains in the abdomen and lower back;
- a feeling of fullness in the abdomen and genital tract;
- frequent urination.
Then there is a discharge from the vagina. With abundant leakage of water, the circumference of the abdomen decreases.
There are three main reasons for giving birth prematurely:
- infections;
- hormonal disorders;
- coagulopathy.
An increase in uterine tone and premature birth due to infectious diseases are most often observed at a period of 22-27 weeks. While for a period of 28-33 weeks, the proportion of infectious causes does not exceed 50%. From 34 to 37 weeks, the infectious factor as a cause of premature birth is practically not found.
Risk factors for preterm labor:
- thyrotoxicosis;
- anemia;
- bronchial asthma;
- cardiac pathology;
- isthmic-cervical insufficiency;
- professional hazards;
- drug use;
- smoking;
- malformations of the uterus;
- polyhydramnios, multiple pregnancies or other causes of uterine hyperextension;
- surgery during pregnancy.
During a physical examination of a pregnant woman, excitability and high tone of the uterus, regular contractions are noted. The pharynx of the cervix is \u200b\u200bclosed (in multiparous women, it misses one finger). Sometimes there are signs of placental abruption.
Increasing tone before childbirth
Some women have an increased tone of the uterus in the period of 36-40 weeks. That is, almost before the very birth. At the same time, there are no cramping pains, there are no contractions (harbingers of childbirth). But women are worried about constant aching pain in the lower abdomen and lower back. The tone of the uterus remains elevated until the very birth. Sometimes it causes significant discomfort and reduces the quality of a night's sleep.
One of the common causes of this condition is chronic infections of the uterus, in particular chlamydial and mycoplasma. These pathologies often proceed without symptoms for a long time.
Mycoplasma is an opportunistic pathogen. It may be present in the urogenital system without causing any symptoms. But against the background of pregnancy, the infection sometimes worsens. In recent weeks, an increase in the tone of the uterus is possible. Mycoplasma sometimes infects a child during childbirth with the development of inflammation of the structures of the bronchopulmonary system.
The influence of the emotional state on the tone of the myometrium
Some studies demonstrate the dependence of the tone of the uterus during pregnancy on the psycho-emotional state of the expectant mother. It has been established that the contractility and excitability of the myometrium, which leads to pulling pain in the lower abdomen, can be caused by increased anxiety. Sometimes it causes not only discomfort, but also a real threat of abortion.
The following problems are more common in women with increased uterine tone than normal ones:
- intrapersonal conflicts;
- suppressed aggression;
- guilt;
- general anxiety;
- fear of losing loved ones.
At the same time, there is a different reaction of the myometrium to the same emotional problems in different women. For some, strong emotions, fear or anxiety do not lead to hypertonicity. For others, even a slight excitement turns into an increase in muscle tone, which may be associated with the peculiarities of the functioning of the sympathetic and parasympathetic nervous systems.
An increase in the tone of the uterus can be detected at any time of gestation. In the 1st trimester, this condition may indicate the threat of its interruption. Especially if combined with other symptoms: bloody discharge from the genital tract, abdominal pain. In the 2nd half of pregnancy, an increase in myometrial tone may indicate a high probability of preterm birth. Often this occurs against the background of infectious diseases, uterine fibroids, endocrine pathologies or overstretching of the uterus (structural anomalies, polyhydramnios, multiple pregnancies, etc.).
In the first trimester, an increase in the tone of the uterus is accompanied by cramps or pain in the lower abdomen. It can talk about the threat of termination of pregnancy, therefore, it requires a doctor's consultation. Frequent causes of this condition are progesterone deficiency, genetic defects of the embryo, less often it is infections, coagulopathy, autoimmune pathologies. Doctors traditionally prescribe conserving therapy for such women: these are antispasmodics, tranexamic acid, hormonal drugs. But in this moment there is no evidence that patients treated in the first 12 weeks of gestation in case of increased uterine tone are less likely to have miscarriages compared to those who did not take any drugs.
Expectant mothers are often diagnosed with "uterine tone during pregnancy." Those who bear their first child do not recognize this danger and often do not understand how everything can end. But even more “experienced” pregnant women are usually afraid of tone in the 1st trimester and mistakenly believe that nothing terrible will happen in the later period.
Why does uterine hypertonicity occur, how to recognize it, why pain cannot be tolerated, what drugs can be taken to get rid of it? You will find answers to these and other questions in our article.
The organ of the female reproductive system - the uterus - consists of external and internal mucous membranes, between which there is a muscle layer (myometrium). Like all other human muscles, the myometrium has the ability to contract and relax. But if a woman can “control” the muscles on her arms and legs, then she cannot control the muscle layer of the uterus. For example, the uterine muscles contract when a woman laughs, coughs, or sneezes.
This process occurs imperceptibly and painlessly, but until the woman becomes pregnant. When inside the uterus begins to grow fertilized egg, the female body tries to reject it as a foreign (as it seems to it, completely unnecessary) body. The myometrium contracts, and the expectant mother is in pain at this moment. This is called hypertonicity of the uterine muscles.
Painful sensations can be weak or strong, last a few seconds or minutes, appear a couple of times or disturb constantly. If a woman does not yet know about her pregnancy, she often does not understand the danger that threatens her and her baby. And if the gynecologist knows and has already managed to scare her that there should be no pain during pregnancy, she begins to worry, and thereby only makes it worse.
In a woman who was absolutely healthy before the conception of a baby, during pregnancy, the uterus comes into tone for the following reasons.
- "Sedentary" work or the need to stand on your feet for several hours, travel in public transport.
- stressful situations.
- Failure of the hormonal system in the 1st trimester: deficiency (it is produced by the ovary to relax the myometrium, in the 3rd trimester this task is performed by the placenta) or an excess of male hormones.
- Toxicosis, which is accompanied by severe vomiting (in the 1st trimester). An increased tone of the myometrium occurs because the muscles of the organ tense during vomiting. Toxicosis is considered normal in the first trimester. But if a pregnant woman constantly experiences nausea at the mere sight of food, if she loses weight, the child will not receive the necessary nutrients. Is not in the best way affect its development.
- The movement of the fetus at a later date (in this case, hypertonicity of the uterine muscles should not be afraid).
At risk are expectant mothers who have:
- harmful (smoking, addiction to alcohol);
- a large number of abortions;
- multiple pregnancy. A large load is created on the walls of the uterus. In some cases, she has to stretch to enormous sizes;
- special structure of the reproductive organ (bicornuate, saddle-shaped, baby uterus);
- negative Rh factor. If the pregnant woman has a blood type with a negative Rh factor, and the biological father of the child has a positive one, the mother's body tries to reject the fetal egg as a foreign body. But the first such pregnancy usually proceeds well;
- thyroid dysfunction;
- polyhydramnios;
- viral and infectious diseases, including those that are sexually transmitted (ureaplasma, chlamydia, mycoplasmosis, viruses);
- myoma;
- diseases of the gastrointestinal tract. Hypertonicity of the uterus appears with strong gas formation.
Some diseases, such as sexually transmitted infections, can only be treated in the third trimester, because antibiotics have to be taken. It is also impossible to refuse treatment: the placenta protects the child, but some substances can penetrate through it and adversely affect the development of the fetus.
Hypertonicity of the uterus throughout pregnancy manifests itself in different ways. In the 1st trimester it is:
- dizziness, nausea;
- dull pulling pain in the lower abdomen, as during menstruation, in the lower back or perineum (it can be of the same strength or “roll”, intensify, then weaken).
In the 2nd and 3rd trimesters, a “fossilized” abdomen is added to them. A tense uterus can be felt if you put your fingers on your stomach.
Another sign of increased tone is bloody discharge from the genital tract. They can be profuse or spotting, beige, brown, pink, or streaked with blood. Normally, only light discharge is observed. In all other cases, you should immediately contact a gynecologist.
At a later date, when big baby there is little space in the womb, you can see how the baby is “stretched”. At this moment, the muscles of the uterus tense up, and the woman feels well the fossil of the abdomen, sees how he changes his round shape(one side of the abdomen seems to sink, while the other, on the contrary, begins to bulge more strongly). It lasts just a few seconds and does not pose any danger to either the mother or the baby.
Diagnostics
In order to understand whether the tone of the uterine muscles in a patient is increased, doctors use three methods:
- palpation (palpation with fingers);
- tonusometry.
In the 2nd trimester of pregnancy, the doctor can "feel" the tone of the uterus with his fingers through the anterior wall of the abdominal cavity. During the examination, the woman lies on her back and keeps her legs bent at the knees. In this position, the abdominal muscles relax, and the uterus, if it is dense, is well palpable.
Ultrasound is used as an auxiliary diagnostic method. The results obtained allow us to understand the degree of threat (complications, miscarriage) and the need for hospitalization.
With tonusometry, muscle tension is detected using special sensors. This method is rarely used, since the other two provide comprehensive information.
Elimination Methods
Increased uterine tone is treated on an outpatient basis and in a hospital. The first option is chosen when the expectant mother is concerned about mild pain in the lower abdomen or lower back. At the same time, she does not have spotting, and up to this point the pregnancy has proceeded without complications. Hospitalization is recommended in the case when it is not possible to remove the increased tone for a long time.
At home, a woman should rest more, forget about sexual activity for a while, take antispasmodics (No-shpu, Drotaverine, Papaverine - a solution for intramuscular injections or rectal suppositories), sedatives (motherwort, valerian) and progestogen (Utrozhestan) drugs, as well as Magne B6 .
At medicines there are contraindications. You cannot self-prescribe medications. This must be done by a doctor. The dosage in each case, he selects individually.
- "Cat". It is performed as follows: kneel, rest your palms on the floor, carefully bend your back, then arch. Repeat 5-10 times. After that, it is better to lie down for half an hour or an hour, especially if the exercise is performed in the 3rd trimester of pregnancy.
- Tense facial muscles can cause uterine contractions. By relaxing the facial muscles, you can eliminate the hypertonicity of the uterus. To do this, the pregnant woman needs to get on all fours, lower her face down, relax her facial muscles. Breathe through your mouth.
- Knee-elbow posture. This exercise is performed as follows: a woman needs to kneel and rest her elbows on the floor, stand like this for 1-10 minutes. In this position, the uterus will be in a suspended position and will be able to relax.
Exercises should be performed carefully, at a slow pace. If the pain intensifies, you need to stop, rest, lie down. With severe persistent pain, it is better to call a gynecologist, consult or immediately call an ambulance.
If a pregnant woman has a high muscle tone for a long time that cannot be removed or spotting has appeared, doctors will insist on hospitalization. In the hospital, the expectant mother will have to observe bed rest.
In the 1st trimester, she will receive intramuscular injections of No-shpa, Papaverine, vitamins, sedatives, and Utrozhestan. If there is spotting, they will be stopped with Dicinon or Tranexam.
But all these remedies stop the symptoms and do not solve the main problem - the elimination of the cause.
In the 2nd trimester, a pregnant doctor may prescribe:
- electrophoresis with magnesia;
- droppers with Ginipral;
- vitamin and mineral complex.
In the 3rd trimester, the same drugs are used to treat increased uterine tone. If, according to the results of the ultrasound, it becomes clear that the tone is strong and the child receives little oxygen and nutrients, the expectant mother is prescribed Curantil or Trental.
These drugs are allowed to be taken only as prescribed by a doctor. For example, Curantyl can cause severe headaches. But if a woman takes several drugs, she will not be able to understand what exactly caused the adverse reaction. You need to tell your doctor about your condition. He will decide which medication to remove.
Possible negative consequences and prognosis
Uterine contractions are a pain that cannot be tolerated in the hope that everything will go away with time. The tone carries a great danger, first of all, for the developing fetus.
In the 1st trimester, spontaneous miscarriage (detachment of the fetal egg) can occur. Pregnancy may not be interrupted, but freeze due to the fact that the fetus did not receive oxygen and nutrients. In both cases, the pregnancy cannot be maintained.
In the 2nd and 3rd trimester, placental abruption does not occur, but another problem appears: the uterus, contracting, compresses the fetal bladder, as a result, the cervix opens and preterm labor begins. In some cases even if the cervix is closed. It is most often possible to save a baby if the gestational age is 36-38 weeks.
Prevention
To prevent increased uterine tone, pregnant women are advised to follow a few simple rules.
- Get tested for genital infections at the stage of pregnancy planning.
- Get registered in a timely manner, regularly go to "appearances" to the gynecologist, follow his recommendations.
- Sleep 8-10 hours a day.
- Be sure to breathe fresh air, but it is better to refuse long walks.
- Avoid stressful situations.
- Do not create excessive physical exercise.
- Eliminate the use of alcoholic beverages at the stage of pregnancy planning.
- Quit smoking.
- Do not lift heavy objects, especially in the 3rd trimester.
A pregnant woman should eat right. In her diet, there must be foods rich in magnesium:
- vegetables, greens (cabbage, basil, spinach);
- cereal crops (wheat, barley, buckwheat);
- dairy products (cheese, natural yogurt).
This microelement helps to relax the smooth muscles of the intestines and myometrium (the muscle tissue of the uterus). In addition, it has a beneficial effect on the central nervous system.
Conclusion
The tone of the uterus during pregnancy is a diagnosis that gynecologists put 60% of women. Symptoms of hypertonicity - pain in the lower abdomen or lower back, "fossil" of the abdomen, spotting. Muscle spasm can cause placental abruption (miscarriage) or preterm labor.
There are many reasons for the appearance of increased tone, but you can prevent its occurrence if you perform simple rules prevention: get plenty of rest, be less nervous, eat right and listen to the doctor's recommendations. Self-medication can lead to sad consequences.
With the body of the uterus during pregnancy, various changes will occur. It is not uncommon for a woman to be diagnosed with uterine tone. We will deal with all the questions in this article.
What is uterine tone
The uterus is a muscular organ. It consists of three layers - perimetrium, myometrium, endometrium. The muscular layer is the middle myometrium. With any movements - playing sports, laughing, coughing, the uterus is slightly tense, that is, it comes into tone. During pregnancy, there is a concept - hypertonicity, this is when the tone of the uterus increases significantly.What happens with increased uterine tone
During pregnancy, the uterus naturally increases in size. Her muscle layer increases along with it by about 10-12 times and at the same time thickens 4-5 times. Uterine contractions in pregnant women sometimes occur even during the normal course of pregnancy, this happens closer to childbirth and is called training contractions. They are not dangerous to the fetus and pass quickly. But basically, the uterus is in a relaxed state, which allows you to bear a healthy baby and give birth exactly on time (+/-). However, there may be factors that affect the tone of the uterus, it rises and the muscle tissue contracts. Unfortunately, this is a very dangerous and disturbing process that can cause miscarriage or premature birth.How to determine the tone of the uterus
You can understand that the tone of the uterus has increased by the following signs:- Aching pain in the lower abdomen.
- In the later stages, the stomach hardens.
- Bloody discharge appears, usually pink or brown.
Why there is an increased tone of the uterus during pregnancy
The reasons for the increased tone of the uterus are very diverse, but there is only one conclusion - the danger of fetal loss. Why a pregnant woman may experience increased uterine tone:- multiple pregnancy;
- polyhydramnios;
- too much large fruit;
- nervous tension, stressful situation;
- physical stress;
- bad habits;
- result of gynecological diseases and surgical interventions;
- inflammatory processes in the uterus (myoma, polycystic, endometriosis);
- back problems (scoliosis, osteochondrosis, muscle hernia, pinched nerve).
How long does uterine tone last
Depends on her condition and level of tone. On average, spasmodic sensations last from a few seconds to several minutes. There are different frequencies, 1-2 times per hour or a whole series of spasms. In the later stages, when the so-called training contractions appear, the tone of the uterus can be felt for a long time.When the tone of the uterus is normal
From time to time, the uterus comes into tone and this is absolutely normal. From intensive actions, the tone rises. If the contractions are not strong and do not occur often, then there is no reason to worry.What threatens the tone of the uterus
Regular hypertension in early term can lead to a miscarriage or the fertilized egg will not be able to attach inside. In the later stages, increased tone may result in the premature birth of a child. Also, an increased tone prevents the normal metabolism between the mother's body and the fetus. As a result, the normal development of the unborn child is disrupted. He doesn't get enough oxygen. Placental insufficiency may develop.How to relieve the tone of the uterus
Pregnancy, of course, is not a disease, and pregnant women have just as many worries as everyone else, if not more. In any case, as soon as the tone of the uterus has increased, the abdominal muscles have become hard and contracted, drop everything immediately and do everything to relax the muscle tissue. The following actions will help to eliminate the increased tone:What to do if you are away from home
Firstly, if you are in a stuffy room, you should go outside (even in winter, fresh frosty air will ventilate you a little and calm you down), sit down, take a deep breath, stretch your legs, loosen your tight hair and loosen your clothes, breathe evenly, try to relax completely. Sit so calmly for about 20 minutes. As soon as you feel that you are "letting go" do not try to get up abruptly. Slowly get up and try to get to the house or to the clinic as soon as possible.If you are at home
Lie on the couch, put a firm pillow under your head, relax completely, breathe deeply. Lie down for half an hour in this relaxed position. After the tone has returned to normal, sudden movements are not recommended.- Relaxing exercises. You need to choose a comfortable position, breathe deeply and calmly. Inhalation is shorter than exhalation. Inhale through nose, exhale through mouth. In this case, you should concentrate on the muscles of the face, then the neck and try to achieve their relaxation. Together with the muscles of the face, the whole body relaxes.
- Take the cat pose. You can bend over and stay in this position for a while, then arch your back and also linger. Repeat 3-4 times. If there is no desire to perform the exercise completely, then you can get on all fours in a knee-elbow position and you need to stand like that for several minutes.
- Take a warm bath with a relaxing aromatic oil such as lavender.
- Drink herbal tea or decoction of chamomile, valerian or motherwort.
The tone of the uterus, what to eat
Recommended for increased uterine tone to eat:- Chicken eggs.
- Lean meat.
- Boiled fish, fatty, but not in large quantities.
- Boiled vegetables.
- Apples, but not sour.
- Cereals.
- Dairy products.
How to treat uterine tone
Usually, with the threat of a miscarriage, a woman is recommended to undergo treatment in an inpatient department. There, medication relieves the tone of the uterus. If the situation is not so serious, then the doctor prescribes drugs with magnesium, possibly special vitamin complexes. It is recommended to refuse sexual contact, reduce physical activity, observe bed rest, rest more often and stay in a horizontal position.It should be remembered that uterine hypertonicity often occurs from stress, constant anxiety, negative thoughts, and an unhealthy lifestyle. Not always physical activity leads to increased tone, activities such as swimming or yoga are very good at helping to cope with stress and maintain excellent physical shape.
What drugs reduce the tone of the uterus
Pregnant women should always carry a bottle of water with them and a pack of antispasmodics, which will come to the rescue at any time.- No-shpa (drotaverine)
- Papaverine (tablets, vaginal suppositories);
- Magne-B6.
