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We remove the increased tone of the uterus without medication. Uterine tone during pregnancy: what is behind one of the most common diagnoses? What drugs reduce the tone of the uterus

Even those who have not yet carried a baby under their hearts have heard about this condition. More information about this is recommended not only for pregnant women, but also for those who are planning to conceive a child.

How to explain the condition in which the tone is increased, and what is it

Before explaining this condition, you must first understand and understand what the uterus is.

Every pregnant woman knows about the increased tone of the uterus

Uterus- This is the internal genital organ that is present in women. It is able to contract, its basis is the myometrium.

During pregnancy, a woman's uterus is enlarged, this is due to the development of the baby inside the mother. At the same time, muscle fibers also increase, become longer and thicker. During pregnancy, the muscles of the uterus are relaxed, at rest, and the pregnant woman does not experience any discomfort. When the time comes for childbirth, the uterus begins to contract a little. These contractions are usually called contractions, only these contractions are considered training.

But sometimes it happens that the muscles of the uterus are constantly in a contracted and tense state. In this state, the muscles of the uterus contract, the organ contracts, pressure begins in the uterine cavity.

This is a condition that can cause pathology, it must be treated immediately in order to prevent miscarriage, as well as eliminate the threat of miscarriage.

Causes of increased tone during pregnancy

The most cherished dream of any woman, especially one who carries a baby, is to bear a healthy baby. But very often, ultrasound overshadows this condition with such a diagnosis as increased tone. We can assume that this is a disease in the body of a pregnant woman, but the correct statement will be this: tone is more Negative consequences processes that take place in the body of a pregnant woman.

Increased uterine tone can pose a threat to pregnancy

The main reason for the increase in tone is considered to be stressful conditions in pregnant women. Also, this can include overexcitation, or muscle strain, which can be caused by physical exertion.

The tone can increase, both in the early and late stages of pregnancy. Very often, this condition characterizes the early stages of pregnancy, at which time the uterus may contract, but it is not yet ready for the upcoming birth. In this case, a dull pain is characteristic, which is present in the lower abdomen, but it happens that a woman does not feel these changes, and this condition can be recognized only after an ultrasound scan.

The reason for its increase in the first trimester of pregnancy is hormonal disruptions, and various disorders of the hormonal system, this may be the missing production of progesterone in the body of a pregnant woman.

The second trimester of pregnancy can also be characterized by this condition. As a rule, the cause here is overload, as well as an unhealthy lifestyle. In addition to all this, various kinds of causes can serve inflammatory processes that occur in the body during pregnancy.

An increase in tone can also occur due to the fact that the muscles of the uterus are overstretched, this can occur as a result of multiple pregnancy, or polyhydramnios in the body of a pregnant woman, as well as large fruit.

During the course of pregnancy, diseases such as acute respiratory infections and influenza are dangerous; a complication after these diseases can also be increased tone.

In the third trimester of pregnancy, increased tone usually leads to premature birth.

Some experts divide the causes of this disease into two groups:

The first group includes only somatic causes that may arise as a result of physiological problems that appear in a pregnant woman.
The second reason includes mommy's wrong lifestyle. Let's dwell on this in more detail.

Various infections, as well as the course of the menstrual cycle in pregnant women, can lead to tone. It can also include drinking alcohol or smoking.

Many women suffer from morning sickness in early pregnancy. In the second trimester, this condition disappears, but as a result, it is replaced by an increased tone of the uterus.

Another very important reason for this condition is the different rhesus of the mother and baby. This also includes placenta previa. This is a serious deviation during pregnancy, it is almost impossible to deal with it, but it is always necessary to hope that the placenta will move into place on its own.

psychosomatic reasons. The tone for these reasons arises as a result psychological problems and various types of stress. All this affects nervous system pregnant, loosens her. It is by characterizing these problems that tone can occur in the third trimester, and the consequences are premature birth.

To eliminate the tone, it is necessary to correctly identify its causes.

Symptoms of uterine tone during pregnancy

Almost every pregnant woman is faced with such a diagnosis. Regardless of the gestational age, every expectant mother will worry about her baby and will try to monitor all the deviations that occur in her body. It is for this reason that many pregnant women are interested in the symptoms that are characteristic of increased tone.

It is important to know the symptoms of increased uterine tone

How will the internal state of the uterus manifest itself during external environment. The pregnant woman herself can determine this condition if she understands the symptoms.

To do this, the pregnant woman must lie on a hard surface, with her stomach up. Starting to feel the stomach, you should feel that it is soft, in this case there is no tone.

If your stomach is elastic, it may even resemble a thigh in hardness, then the presence of tone is likely. With a tone in a pregnant woman, there are pains in the abdomen, especially below, as well as a feeling of heaviness. This pain feels like premenstrual pain. Sometimes this pain is cramping, in which case it is manifested by bloody discharge, which is similar to menstruation.

When any of these symptoms occur, you should immediately contact your doctor. Only he can either refute or confirm the presence of uterine tone.

What to do if the tone of the uterus is increased?

The opinion of Russian doctors

The first thing to do is to diagnose the pathology as well as this condition.

The main symptom, according to doctors, is tension in the muscles of the uterus, as well as sensations of pain in the abdomen. At the first symptoms of increased tone, it is believed that the girl’s body lacks the hormone progesterone, it is this hormone that is responsible for the normal course of pregnancy, as well as for its preservation.

Only diagnostics, ultrasound results, as well as a doctor's examination can make a diagnosis of uterine tone. In some cases, when this diagnosis is established, the patient is hospitalized, usually in the gynecology department, but it happens that in the pathology department for pregnant women.

Only a doctor can unequivocally determine the tone of the uterus and assess the risks

A referral to gynecology is given only in cases where the increased tone is accompanied by bloody discharge, and also if the pain in the abdomen has become prolonged and it is getting worse.

This condition is treated with sedatives, which are made on the basis of herbs, and antispasmodics are also added here. At the same time, a pregnant woman needs constant peace and no negative emotions.

Opinion of foreign doctors

Abroad, this deviation is not considered a pathology, and it is not treated.

It is believed that the uterus is a muscular organ that must contract. And this should not only happen in pregnant women.

Tension in the uterus can be caused by:

long walk;

uncomfortable position of the abdomen when the pregnant woman is in this position for a long time;

travel by public transport;

and many other factors that contribute to an increase in the tone of the uterus of a pregnant woman.

It is believed that even an ultrasound sensor can act as a provocateur for increasing the tone of the uterus.

But still, foreign doctors claim that the tone of the uterus can lead to premature birth, as well as to miscarriage. In this case, the condition of the pregnant woman deteriorates sharply, there are pains in the lower abdomen, spotting, and the general condition worsens. A pregnant woman feels constant fatigue, irritability, abdominal pain can be both sharp and short, and prolonged and intensifying.

What to do if the uterus is in good shape?

If this condition is not accompanied by abdominal pain, then it is necessary:

take a light sedative, thanks to which the general condition of the body will be improved, unnecessary experiences will be eliminated;

drink weak tea;

take a non-hot bath;

and watch relaxing movies.

There are many options that can be taken when the uterus is in good shape. If the tone of the uterus is not accompanied by pain, then it releases very quickly and this condition passes in a short time. And also this does not mean at all that the tone will act as a risk of losing a child and terminating a pregnancy. Therefore, do not upset yourself that you are at risk, and your pregnancy is at risk.

Indeed, in foreign countries, uterine tone is not considered a disease, but this should not mean that doctors do not react to this condition in any way.

Always with this condition, an ultrasound is prescribed. According to the results ultrasound they look not at the muscular layer of the uterus, but at the length of its neck. In the event that the uterus is 3 cm longer than its layer, and is also closed, then there is no reason to worry.

If the cervix is short and also ajar, then these are clear signs of spontaneous abortion. If such a condition is accompanied by pain, cramps, and also sensations of contractions, then this condition can accelerate the termination of pregnancy, as well as miscarriage.

According to foreign doctors, it can be concluded that the tone of the uterus is still a physiological condition, but if this condition worries the pregnant woman, and is also accompanied by pain, then you need to contact the gynecologist who is observing you.

Diagnosis: uterine tone at 20 weeks of gestation

A term of 20 weeks already means that the first half of pregnancy is over. This time is considered the most beautiful, the tummy is already a little noticeable, but as long as it does not prevent the pregnant woman from moving around, others may not yet notice how the expectant mother has changed. The expectation of the child should proceed harmoniously, the situation should be calm. This is important not only for the mother, but also for the future baby.

If the course of pregnancy takes place in a favorable environment, then this time can be considered a vacation, or vacation time. This will continue until the baby grows up and becomes a tangible burden for mommy.

But it happens that a pregnant woman leads the wrong way of life, and the result of this may be the tone of the uterus. Very, often, when a pregnant woman hears such a diagnosis, she immediately begins to panic and fear for her baby, as well as for the preservation of pregnancy. Therefore, the question immediately arises whether there can be a threat of miscarriage during pregnancy for a period of 20 weeks.

The tone of the uterus is characterized by muscle abnormalities, which in some cases lead to such consequences as the loss of a child. When the pregnancy proceeds normally, the muscles do not contract, and at the slightest deviation, the muscles contract and this leads to muscle contraction, as well as uterine tone.

Tonus can occur in any trimester of pregnancy, and its appearance does not depend on the term. But usually this group includes those pregnant women who have previously had abortions, or whose cervix is injured. Injury can be obtained during previous births, or in the treatment of diseases that have arisen.

Unfortunately, at a short time, for example, at the 20th week of pregnancy, the weight of the baby is still small, and he cannot survive outside the mother's womb, even with the most modern possibilities of medicine. There are cases that it is possible to have children, but the gestational age is 24 weeks.

Uterine tone at 20 weeks can still cause miscarriage

The onset of a threatened miscarriage usually does not occur noticeably, the first thing a pregnant woman will feel is pain in the lower abdomen. And if he begins to feel his stomach, he will notice that he has become hard.

At this stage of pregnancy, the stomach, in principle, should not hurt, but if this happens, then you should immediately visit a doctor. If you do it on time, you will be able to save the baby. Usually, in such cases, a special device is placed on the cervix that holds it. In this case, the pregnant woman is assigned complete rest, in which any physical activity is prohibited.

If there is a lack of progesterone in the body, then the appointment of utrogestan, and in some cases duphaston, is likely.

When treating uterine tone, it is imperative to control the amount of sugar in the body, as well as pressure and heartbeat.

Very effective tool in the fight against tone, papaverine is considered, which in almost every case is prescribed to pregnant women.

When establishing this diagnosis, pregnant women are advised, first of all, not to panic. The more the pregnant woman will be nervous and panic, the more the tone of the uterus will increase.

Magne - B6 is also considered an effective remedy that is used for increased uterine tone, it replenishes the lack of vitamin B in the body of a pregnant woman. This drug is prescribed when there is already a clear threat of miscarriage in a pregnant woman with a serious degree of tone. This drug allows you to improve metabolic processes in the body, as well as help increase the immunity of a pregnant woman. Thanks to this drug, the level of absorption of vitamins into the blood, as well as magnesium cells, increases. The duration of taking this drug is on average one month. Approximately pregnant women are prescribed 3 ampoules of the drug per day.

Bad habits and stress can provoke uterine tone

In conclusion, I would like to say that during pregnancy it is necessary to take care of yourself. This applies not only to the last trimester of pregnancy, but also to the time when the conception of the baby just happened.

A pregnant woman should take her condition seriously and understand that the absence of stress, good nutrition, and the rejection of harmful substances, all these factors are the key to maintaining your health.

It is important that pregnant women give up smoking and drinking alcohol.

Physical activity should be carried out only in the amount that is allowed by the doctor. Pregnant women are recommended walks in the fresh air, which bring replenishment of the body with positive emotions. It is also necessary to visit the theater, various exhibitions of painting, and cultural monuments. It is necessary to accustom a child to art now, when he is in the womb.

And most importantly, take care of yourself.

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.

If the tone is insignificant, then the woman may not feel it at all.

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 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).

With an increased tone, a woman develops aching and pulling pains in the lower abdomen, her health deteriorates sharply, a feeling of heat appears, the stomach becomes hard, begins to pull the muscles of the back and lower back, and there is a feeling of urge to defecate. You should immediately respond to this and take immediate action.

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.

If the seizures do not go away, it is better to consult a doctor early.

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.

Beets, raw foods, soft blue cheeses, alcohol, carbonated and coffee-containing drinks, strong tea, including green, junk food like fast food, smoked meats, canned food, marinades should be abandoned.

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 refrain from sexual intercourse, 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.

Any drug should be prescribed only by a doctor. Do not self-medicate.

If the tone of the uterus from periodic training contractions turns into chronic, measures can and should be taken to reduce it. Constantly tense in any trimester is a stress factor for both the mother and the child, whom he threatens with oxygen starvation and lack of nutrients.

First of all, let's deal with those symptoms of uterine tone that will indicate that the situation is becoming dangerous:

pulling, aching pain in the lower abdomen, which does not go away even after a long rest;
persistent acute pain in the lower abdomen, in the perineum or in the anus;
bleeding from the vagina.

But why bring pregnancy to tragedy, and yourself to exhaustion? At the first signs of unpleasant tension of the uterus, the following non-medical measures can be taken:

Stop here and now. Wherever and with whomever you are, take a break from what you are doing. Are you walking in the park? Stop, lean against a tree, or sit on a bench and take deep breaths. Late for an important meeting? Stop and think: what in the world could be more important than your growing child? Catching up with public transport? Spit! The next one will come. And things will always wait. Hurry up in kindergarten for an older child? Call the teacher or relatives - use assistants! Are you in a hurry to clean the house and prepare dinner for the arrival of your husband? Let him show his best qualities and help you with the housework. After all, you are carrying his child - take care of him! In any situation, wherever painful tension finds you, you can stop rushing this very minute.
Relax right now. Were you able to stop the fuss? Fine! Now it is important to relax the body. From any position of the body, you can always find a way out to an even more comfortable one. Here it is useful to remember the rule of Henry Ford, who once said: "Why stand when you can sit, and why sit when you can lie down?" Lean back in a chair or put your head on your elbows lying on the table - if you are at work, but at home, find an opportunity to lie down and "let go" of the body. Take a mental journey inside yourself, not forgetting every cell - you will be surprised how much tension is inside! Let it go, relax everything that is possible - every finger, every muscle that you "reach" with your attention inside and out. Ideally, you should feel the whole body, like a soft wet cloth.
"Let go" face and mouth. The face is the mirror of the soul, and the muscles of the face are a reflection of our emotions. The opposite is also true: by relaxing the muscles of the face, you can quickly achieve relief from emotional stress. In the case of an increased tone of the uterus, this is extremely important, since it is the emotional stress that primarily leads to its painful tone. Pay attention to your face - relax the muscles of the forehead, temples, cheeks, muscles around the eyes, eyelids, muscles around the mouth, chin, neck ... great attention give your mouth and throat muscles - the lips are soft and relaxed, the tongue lies heavily in the mouth and is not ready to toss and turn, even if you are asked about something important right now, the vocal cords are relaxed, breathing is even and deep ... It is believed that the mouth and throat energetically connected with the uterus. Tension, "lump", unspoken words in the throat - this is also a clamp in the uterus. Why are you holding it? Let go!
Breathe "breathing out" the pain. When you feel your mind, face and body completely relaxed, pay attention to the lower abdomen. Inhaling deeply, "stretch" the tension from the uterine area upwards. As you exhale, imagine exhaling pain through a relaxed, pliable throat. You can think of tension as a hot elastic ball: when you inhale, you lift it up, when you exhale, you dissolve it and release it from yourself forever. Another image: inhaling deeply, direct a soft, calm exhalation to the uterus. Imagine that the uterus can breathe - through the perineum you "exhale" the pain and tension with the intention to leave the unpleasant sensation ... Think of any image that will work for you. Creative thinking- a powerful weapon against any psychosomatic stress. This skill is developed quite quickly - by the time you give birth, you will notice that "softening", involuntary relaxation and deep breathing become your natural reaction to any irritating factor. Is this not the best preparation for childbirth?
Use relaxing scents. In order not to be caught off guard by sudden tension, carry an amulet or aroma medallion with you with one of the relaxing aromas. From among the well-known relaxants, choose those that are pleasant to you. Delicate jasmine aroma relieves stress, helps the body to mobilize hidden reserves. Slightly tart and sweet smell of lotus not only soothes, but also relieves fatigue. This fragrance is commonly used in various spiritual practices. Mirra is a mild antidepressant that helps to cope with stress and insomnia. Sweet, "candy" rose relieves nervous tension, fights stress and panic, relieves nightmares, but for some, its smell seems too cloying. The sweet aroma of vanilla creates a feeling of comfort and peace. Essential oils of chamomile, lemon balm, mint, valerian, geranium and lemon wormwood have a similar effect. At home, you can use an aroma lamp, put a few drops of your favorite aroma oil on a handkerchief and put it in a closet with linen or at the head of the bed. Baths with aromatic oils are also good - for better dissolution in water, drop a few drops of oil on salt or add essential oil in a tablespoon of alcohol, and then pour this emulsion into water.
Relaxing bath. Coming home with a feeling of overexertion of the uterus, make yourself warm - but not hot! - a bath. Even in the absence of aromatic oils, warm water itself will help to relax and relieve tension. Make sure that the bathroom is not stuffy - open the door a little so that you do not feel dizzy. Lying in warm water, relax and breathe as described above. After the bath, plan to rest. It is best if you take a bath before bed. If this is not possible, try to lie down for at least an hour after taking a bath and only then get down to business.
Calming tea. Mix 2 parts lemon balm, 2 parts mint, 1 part valerian and 1 part motherwort. If you find motherwort too bitter and unpalatable, reduce the amount, but don't cut it out completely. Brew the mixture in a thermos (for 30 minutes) or in a water bath (for 15 minutes). Take it warm with honey. Wrap yourself in a warm blanket, give yourself a rest. Do not rush to jump up and run about, even if the acute symptoms of stress have passed - give yourself time to recover.

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How to remove the increased tone of the 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, the tone can cause a miscarriage, at a later date (3 trimester) it can 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, resulting in 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. A woman is prescribed bed rest, prescribed 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 (complete absence physical activity, whereas at home it can be problematic to provide 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.

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 late term nothing bad will happen.

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 a fetal egg begins to grow inside the uterus, 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 down, rest your palms on the floor, carefully bend your back, then bend. 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.

May occur in the 1st trimester miscarriage(detachment gestational sac). 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 activity for yourself.
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.