Why tone during pregnancy. Uterine tone during pregnancy: symptoms, increased tone of the cervix. How to remove the tone of the uterus with the help of drug therapy

According to statistics, hypertonicity is observed in 60% of pregnant women. Most often it is diagnosed in the I and II trimester of pregnancy. If the increased tone of the uterus is observed for a long time, it can harm the fetus. This condition is especially dangerous if it is accompanied by pulling pains in the lower abdomen and bloody discharge from the genital tract.

What is increased uterine tone during pregnancy and why is it dangerous?

The uterus is a hollow organ, it consists of 3 layers: perimetrium, myometrium, endometrium. During the period of gestation, it increases in size, its muscles stretch, they lengthen by 10-12 times and thicken by 5 times.

The myometrium is a muscular layer that can contract during childbirth. During the period of bearing a child, he is relaxed; this condition is called the normal tone of the uterus. This allows you to bear the child. Also, normally, slight contractions are observed closer to childbirth, they are called training contractions. Thus, the body is preparing for delivery.

When the uterus begins to actively contract before childbirth, it is said that the tone of the uterus during pregnancy is increased.

But it is worth saying that hypertonicity is not always a problem, only if it is observed constantly. Sometimes it is noted throughout the entire period of bearing a child.

Hypertonicity can provoke a spontaneous miscarriage if it is observed in the early stages of pregnancy, in the second and third trimester it can cause premature birth.

As a rule, it is diagnosed at the beginning of pregnancy and can disrupt the implantation of the fetal egg, cause its rejection and death.

At a later date, increased tone can harm the fetus: it compresses the vessels of the umbilical cord and the child may experience oxygen deficiency, as a result, hypoxia will develop, due to lack of oxygen. nutrients, there may be hypotrophy, stunting of the child.

Factors provocateurs

There are many reasons that can cause hypertension.

Increased tone at the beginning of pregnancy, as a rule, is due to a deficiency of progesterone. Its main function is to prepare the inner layer of the uterus for implantation of the fetal egg. It is this hormone that relaxes smooth muscles and prevents the development of hypertonicity.

Other hormonal disorders, such as excess testosterone, can also cause this condition.

Starting from the 14th week, overload at work and an unhealthy lifestyle are considered the main causes of hypertonicity.

In addition, increased tone during pregnancy can be triggered by:

• severe toxicosis;
• uterine anomalies;
• Rhesus conflict;
• genital infections;
• excessive stretching of the uterus, caused, for example, by a large fetus, multiple pregnancies, polyhydramnios;
• neoplasm;
• abortions, miscarriages;
• stress;
• viral and bacterial diseases, such as acute respiratory infections, tonsillitis, pyleonephritis;
• flatulence.

Hypertonicity is only a symptom and you must first identify its cause and only then prescribe treatment.

Clinical picture

At the beginning of pregnancy, hypertonicity can be manifested by heaviness in the lower abdomen, pulling pains, as during menstruation, sometimes they can radiate to the lower back or sacrum, they can be cramping and aching in nature.

The tone of the uterus during pregnancy, the symptoms in the 2nd trimester are similar, in addition, the stomach becomes hard.

The same signs can be observed with hypertension and at the end of pregnancy.

Sometimes spotting may be observed. When they appear, you should immediately seek medical help.

In some women, hypertension may be asymptomatic.

Diagnosis and treatment

You can diagnose the tone of the uterus during a gynecological examination. To confirm the diagnosis, an ultrasound is prescribed to determine the condition of the muscles of the uterus.

There are also special devices that help measure the tone of the uterus, but they are rarely used, since it is not difficult to make a diagnosis. It is more difficult to determine the cause that caused hypertonicity.

It is from the cause, as well as how strong the tone depends on the tactics of treatment. If the situation is not very serious, then the treatment is carried out on an outpatient basis.

A woman must comply with bed rest. She is prescribed antispasmodics (no-shpa, papaverine), magnesium B6 and sedatives can also be prescribed.

With a deficiency of progesterone, a woman is prescribed drugs containing this hormone, such as duphaston and utrogestan, which can be taken up to 16 weeks.

When the cause of uterine hypertonicity is associated with an excess of male hormones, their antipodes are prescribed.

If the increased tone is provoked by toxicosis, medications are prescribed to facilitate its course, and when the cause is problems with the intestines, you need to take drugs that reduce flatulence.

With a Rh conflict, there is a therapy regimen.

In severe cases, hospitalization is indicated; in the hospital, the woman will be under the constant supervision of doctors. They can prevent the onset of preterm labor, for this they prescribe tocolytic therapy, which relaxes muscle tone and allows you to prolong pregnancy.

When blood appears from the genital tract, hemostatic drugs are prescribed, for example, Dicinon.

Except drug treatment physiotherapy and psychotherapy may be prescribed.

How to eliminate hypertension at home?

Sometimes you can remove the tone at home on your own and not only with the help of medicines, but by performing special exercises, for example, such as “cat”. To do this, you need to get on all fours, raise your head and arch your back, linger for a few seconds, and then slowly return to the starting position again. This exercise must be performed several times and then rest for an hour.

In some cases, to get rid of discomfort, you just need to have the uterus in limbo: for this, it is enough to take a knee-elbow posture.

In addition to these exercises, a woman can be prescribed sedatives (valerian, motherwort tablets) and antispasmodics. It is also necessary to observe bed rest, avoid stress, completely exclude sexual intercourse. All this together will help to quickly eliminate hypertonicity. But we must remember that the main thing is not only to remove the increased tone, it is very important to identify the cause that provoked this condition. To do this, you must strictly follow all the recommendations of the doctor.

When the tension in the uterus does not go away, there are painful sensations, and even more so bloody discharge from the genital tract, you should immediately call an ambulance and you will still need to go to the hospital, otherwise abortion is possible.

Prevention measures

To reduce the likelihood of developing hypertension, you need to follow a number of rules:

1. Avoid excessive physical and mental stress.
2. Learn how to deal with stressful situations.
3. Nutrition should be balanced, the diet should contain a sufficient amount of minerals and vitamins. If necessary, take a multivitamin prescribed by your doctor.
4. It is important to normalize the daily routine: go to bed, and also get up in the morning, if possible, at the same time. It is necessary to observe the sleep and wakefulness regimen.
5. It is necessary to give up bad habits, such as smoking, drinking alcohol and drugs. Alcohol and nicotine can not only provoke uterine tone, but also more serious pathologies. Therefore, it is desirable to get rid of addictions at the planning stage of conception.
6. It is important to regularly visit the fresh air and devote time to feasible physical activity.
7. An important role in the prevention and timely detection of uterine hypertonicity is played by constant monitoring by an obstetrician-gynecologist, examinations by doctors of a narrow specialization, passing all tests and studies, including ultrasound. It is necessary to monitor the entire pregnancy for the sensations and development of the fetus, this is especially important for a woman if she is at risk.

When an increased tone is detected, the pregnant woman needs to worry less. Because it can only make the situation worse. Moreover, in most cases, pregnancy still manages to be saved.
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If the future woman in labor begins to feel a strong tension in the muscles of the "press" or pain in the lower abdomen, she needs to inform the gynecologist as soon as possible.

These manifestations are normal, but do not exclude the development of a syndrome called increased uterine tone during pregnancy. Often this phenomenon is simply called tone, which is fundamentally wrong, since tone is a physiologically necessary state for a muscular organ, which is the uterus.

Abnormal uterine tension, if left untreated or preventive action, can progress to more severe complications, endangering childbearing. Read about the symptoms and risk factors for increased uterine tone during pregnancy and how to fix this problem.

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To imagine what the tone of the uterus is during pregnancy, let's remember the muscle layer of this organ - the myometrium. It consists of 3 layers of smooth muscle, elastic fibers and connective tissue. Myometrium has a contractile ability (tonus), which is actively manifested during labor and ensures the exit of the fetus from the uterus.

In certain situations - with any tension of the press, whether it be physical activity or coughing - the uterus, even without pregnancy, enters into tone, which is a normal reaction to contraction of the abdominal muscles. It is clear that before the onset of labor, intensive contractile activity of the myometrium is undesirable.

When the excitability and tension of the uterus are increased, this means that it has entered into an increased tone and does not allow the fetus to develop calmly, receive nutrition and breathe.

The symptomatic complex, when the myometrium of the uterus is compressed and tense, is called increased tone. Some clinicians (especially ultrasound specialists) define this condition as hypertonicity, but this term is not used in obstetrics. The hypertonicity of the uterus is spoken only in relation to labor.

If we talk about increased tension of the myometrium shortly before childbirth, for example, at 38 weeks, such uterine tone can be attributed to the so-called "training contractions", these periodic muscle contractions are safe for the fetus.

When tension in the uterus increases out of time - in the initial or middle period of pregnancy - and is characterized by increased intensity, this provokes an increase in pressure in the uterine cavity and threatens the course of gestation.

Uterine tone

Increased tone of the posterior or anterior wall

There are 2 degrees of uterine tone during pregnancy in accordance with which part of the muscular membrane is excited:

• 1 degree - when the posterior wall of the uterus is in increased tone;
• Grade 2 - tension of the myometrium, when the uterus comes into tone along the front wall.

It is believed that 1 degree of uterine tone is less dangerous for pregnancy, although it requires obstetric supervision. The 2nd one implies the tension of the entire myometrium, which becomes noticeable from the side of the anterior wall and is characterized by tangible clinical manifestations.

Could it be early?

High uterine tone is able to manifest in any period of pregnancy, including. This is not necessarily a signal of a pathological course of pregnancy, rather, on the contrary. The uterus, which has accepted a fetal egg into its womb, may react differently to its qualitatively new state, including quite tolerable pain. About physiologically justified pain during pregnancy says their nature:

• they are not localized in a certain part of the abdomen, but migrate to different points;
• do not progress, do not increase in strength, do not become more frequent;
• often given to the lower back or felt in the lower abdomen.

Their sporadic nature (irregularity) and dissimilarity to contractions also speak of the non-pathological nature of the pain. When there are too intense pain, and even more so - spotting, you need to rush to the doctor.

It is useful for women to find out how the increased tone of the uterus feels, so that by detecting it in a timely manner, measures can be taken to save the pregnancy. , And ?

How to determine yourself?

The future woman in labor is quite capable of independently determining the tone of the uterus, if she is attentive to her well-being. Symptoms vary in degree of pathology and are able to manifest both in the 1st trimester and in subsequent ones.

What are the signs?

The tone of the uterus of the 1st degree is usually not manifested by pathological signs, and the pregnant woman simply does not notice it. This condition is determined only with ultrasound, during which you can see a local thickening of the myometrium. Modern gynecologists generally tend to consider this situation normal, since:

• the zygote is usually attached to the back wall of the uterus;
• at the site of implantation, a reaction occurs in the form of a slight inflammation;
• this is accompanied by increased blood flow to the fetal egg;
• because of this, the posterior wall of the uterus thickens, which is quite logical, but is often interpreted by ultrasound doctors as an increased tone.

It is not rare that such a “diagnosis” (although this is just a symptom) is made for the purpose of reinsurance.

In the 3rd trimester, symptoms such as heaviness in the sacral area or pulling pain in the lower back may occur, which are quite tolerable. Despite the insignificance of the pain syndrome, a woman should still inform her doctor about these signs indicating uterine tone and, possibly, develop a sparing regimen for bearing a baby.

The tone of the uterus of the 2nd degree declares itself more pronounced, the symptoms of which occur in both the 1st and 2nd trimesters. Here are some manifestations that will help to recognize the tone of the 2nd degree:

• pain below and a noticeable induration of the abdomen, palpable tension ("fossil") in the muscle layer;
• spread of pain to the perineal area;
• a feeling of "bursting" in the external genital organs;
• spasm of the muscles of the rectum, the urge to empty the intestines;
• frequent urination or urge to it.

If a woman has previously suffered an injury to the cervical canal, a high tone is also manifested by contraction of the cervix, which cannot be determined independently, but is detected during an obstetric examination.

Symptoms by trimester

Symptoms of increased uterine tone do not correlate with the timing of pregnancy, its manifestations can open in the second and third trimester. The intensity of the signs correlates with the degree of tone tension.

If you do not get rid of the increased tone at the beginning of gestation, by the 3rd trimester the symptoms often worsen: at grade 1, back pain occurs, at grade 2, bloody discharge from the vagina, indicating an abnormal course of pregnancy and the danger of its failure.

The appearance of acute pain and traces of blood in the discharge, regardless of the gestational age, is a good reason for the hospitalization of a future woman in labor in a hospital.

Causes

It is also necessary to understand why the uterus comes into tone during pregnancy, which prevents it from being in the normotonus necessary for rest and development of the fetus.

The most common cause of increased uterine tone during pregnancy, experts call a lack of progesterone. This hormone is responsible for the normal course of the gestational period, reducing the excitability of the nerve receptors of the spinal cord and myometrium, reducing its contractility. A high tone of the uterus, provoked by a lack of progesterone, can result in consequences such as fetal hypoxia, "miscarriage", miscarriage or premature birth. The origin of this condition during pregnancy is also associated with other pathologies:

• hyperprolactinemia - when increased prolactin production provokes blocking of progesterone production;
• hyperandrogenism - early termination of pregnancy due to excessive production of male sex hormones;
• endometriosis - pathological growth of the endometrium;
• genital infantilism - a state of abnormal developmental delay of the reproductive system
• myoma - a benign tumor of the myometrium;
• inflammatory or viral diseases transferred in the early stages;
• a disorder of regulation of the central nervous system, manifested by a loss of the ability to maintain the optimal tone of the myometrium;
• thyroid diseases;
• genetic anomalies.

In addition to diseases, the tone of the uterus is influenced by external influences - harmful working conditions, daily duty, lack of sleep and other violations of the regime.

How to relieve muscle strain of the body?

If the body of a pregnant woman makes it clear that the tone of the uterus is increased, and this is confirmed by instrumental and laboratory studies, it is necessary to look for methods to combat this pathology. Doctors will take any action to remove the abnormal increase in tone and extend the pregnancy to 38 weeks.

But shpa

The main medicines used to relieve tense uterine tone are antispasmodics. The well-known antispasmodic drug No-shpa is often prescribed by doctors of antenatal clinics. The annotation for this medicine contains a warning about its use during pregnancy.

Despite the absence of embryotoxic and teratogenic effects in No-shpa, pregnant women are advised to use this medication with caution, correlating the likely risks to the fetus and potential benefit for woman. Usually, no-shpu is drunk at a dosage of 2 tablets per dose in order to remove a spontaneous increase in the tone of the uterus, if the woman has no contraindications prescribed in the annotation.

No-shpy tablet

Candles

Rectal suppositories, often prescribed for increased tone, also have an antispasmodic effect. The active substance of the suppositories is papaverine hydrochloride. According to the instructions, caution is recommended during pregnancy. The recommended dosage is 1-2 suppositories 2-3 times a day. The drug is injected into the anus after emptying the intestines, after cutting off the contour packaging around the perimeter of the candle with scissors.

Papaverine

Papaverine pills are recommended to be used with caution in uterine tone, that is, as prescribed by a doctor, since according to the annotation, the safety of this medication during pregnancy has not been established. Usually this antispasmodic is taken at a dosage of 1 tablet 3-4 times a day, unless otherwise prescribed by the doctor.

In urgent situations (with acute and radiating pain in the lower abdomen), papaverine and no-shpa solutions can be administered as injections. The dosage is determined by the doctor conducting symptomatic antispasmodic therapy.

Papaverine ampoules

What else can be done to reduce tone?

The main rule in the situation is what to do if a high tone of the uterus is found - to organize calmness and immobilization (immobility) for the pregnant woman, to warn the doctor. In case of acute pain and spotting - call the SMP.

Even with tolerable pain sensations, it is necessary to provide the woman with peace and medical assistance. If it turns out possible treatment at home, you should strictly follow all the appointments of a specialist.

To reduce tone, the treatment regimen includes:

• soothing medications (tinctures of valerian or motherwort) - they are designed to muffle the fear of losing a child, which exacerbates the increased excitement of the myometrium;
• with a deficiency of progesterone in the 1st trimester - medications Duphaston, Utrozhestan;
• antispasmodics described above.

A woman at home should be provided with a gentle mode of physical activity and a diet that excludes the possibility of constipation.

What is the dangerous condition?

The tension of the myometrium creates an unfavorable "environment" for the fetus inside the uterine cavity - it prevents the normal supply of oxygen and nutrition, inhibits growth. With 1 degree of uterine tone, the prognosis is usually favorable, timely action can suppress the increased tension of the muscular membrane. At grade 2, the risks of developing complications such as:

• oxygen starvation of the fetus;
• detachment of the placenta;
• spontaneous abortion at an early stage;
• out-of-term delivery in the 3rd trimester.

Knowing how dangerous the tense tone of the uterus is, a woman should in every possible way move away from unnecessary emotions, physical overwork and other dangerous influences that can provoke it. If the pathology has already been discovered, you should not hesitate to visit a doctor.

Danger of uterine hypertonicity

In what cases is treatment required?

Summing up what has been said, we note that the normal tone of the uterus is physiologically optimal for the muscular organ. If the condition is not characterized by obvious manifestations - pain, bleeding - no treatment is required.

Any uncomfortable and painful sensations in the abdomen and lower back or spotting during pregnancy should alert the expectant mother and force her to come for a consultation with a gynecologist. Even if the turnout is scheduled for a certain day, if there are characteristic signs, you should not wait for the appointed date, but go to the doctor as soon as possible.

Timely prescribed treatment for high uterine tone in most cases saves a pregnancy that is in jeopardy.

Conclusion

1. Normally functioning muscles of a living organism are always in good shape, this is the norm for any muscle group, including the myometrium.
2. Increased tension of the myometrium is called increased tone, which occurs both during pregnancy and without it.
3. If this symptom complex poses a threat to pregnancy and fetal development, a sparing regimen is developed for the pregnant woman, the diet is adjusted, and, if necessary, medication is prescribed.

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More than 60% of pregnant women experience diagnosis of uterine tone. Why does the uterus tone up during pregnancy? Doctors say that hypertonicity is not a disease at all, but a symptom that signals that certain processes are taking place in the body of a pregnant woman.

Western doctors are even more loyal to the tone of the uterus: they believe that muscle tension is physiological in nature and does not need to be corrected. Both Western and our doctors agree on one thing: if an increased tone is detected, additional studies should be carried out in order to prevent possible deviations and threats.

What does the uterus in good shape during pregnancy mean? Before talking about the definition of the concept of "uterine tone", let's deal with the structure of the uterus.

The uterus consists of three layers: perimetrium, myometrium and endometrium. middle layer Myometrium is a muscular tissue. Myometrium is responsible for the state of uterine tone. During pregnancy, it stretches and relaxes, creating for the baby the most comfortable conditions. On the eve of childbirth, the myometrium begins to actively contract, helping the baby to be born into the world.

Unauthorized contraction of the myometrium is the symptom that is called "uterine tone." If, under the influence of various reasons, the muscles of the uterus begin to contract outside the schedule, doctors talk about hypertonicity. You should not be upset when you hear about such a diagnosis: very often hypertonicity occurs for natural reasons. For example, a woman may feel nervous during a gynecological examination, and the doctor will feel uterine contractions.

Short-term muscle contraction is not dangerous. But prolonged hypertonicity, as well as the presence of additional symptoms, such as a feeling of discomfort, the cessation of fetal movements, may be the reason for the appointment of additional studies.

Prolonged hypertension is dangerous. The consequences of uterine tone differ in name, but do not differ in essence. In the 1st trimester, muscle contraction can lead to cessation of development and spontaneous abortion, death of the embryo.

special danger uterine tone presents in early pregnancy. It is at this time that the contraction of the muscles of the uterus can prevent the embryo from gaining a foothold on the surface of the endometrium, and the pregnancy will not take place.

At a later date, in the 2nd and 3rd trimester of pregnancy, the same consequences of uterine tone during pregnancy are called differently: spontaneous abortion and premature birth. In other words, a woman may lose a child.

Prolonged uterine tone is harmful to the fetus. The muscles of the uterus contract and clamp the placenta. The placenta does not deliver the right amount of oxygen. An oxygen-deprived fetus may develop oxygen starvation- . Consequences of hypoxia: developmental and growth retardation.

In the later stages, the tone of the uterus may be due to natural causes. The uterus is "training" and preparing for future births. As an athlete compresses and unclenches muscles to test their strength, so the uterus contracts and contracts, testing its own readiness for the upcoming "work". The so-called occur in some pregnant women after 20 weeks.

Causes of uterine tone during pregnancy

Since hypertension is not a diagnosis, but a symptom, determining the causes of such a condition is the primary task of a specialist. Only after determining the cause, treatment can be prescribed.

Causes of uterine hypertonicity:

• Hormonal disorders. It is responsible for the process of preparing the endometrium for the "implantation" of the ovum and the relaxation of the muscles of the uterus. The lack of progesterone in the body leads to the fact that too dense uterine muscles prevent the implantation of the embryo.
• Rhesus conflict. The reason for the occurrence of the Rh conflict is the difference in the Rh factor of the mother and father. A mother with a positive Rh factor reacts to a fetus that has received a negative Rh factor from the father as if it were a foreign body. As a result of the Rhesus conflict, hypertonicity occurs.
• infections and inflammatory processes - a common cause of uterine tone. Undertreated or occurring after pregnancy infectious diseases lead to the fact that the uterus "loses rest." Inflammation is accompanied by additional symptoms: itching, pain, discharge.
• Severe toxicosis. contributes to the development of uterine tone for physiological reasons. Severe vomiting leads to a sharp contraction of many muscles, including the muscles of the uterus. It is impossible to get rid of toxicosis, but its consequences can be minimized with the help of a special diet and medicines.
• Stretching of the uterus. The uterus can stretch excessively during multiple pregnancy, too large fetus.
• Medicines. The use of any medication during pregnancy should be treated with extreme caution. You just might not be aware of side effect some medicines. Even the most harmless means can lead to an increase in muscle tone.
• Stress- one of the most "popular" causes of tone. Pregnant women should not be nervous! In a stressful state, pressure rises, the muscles of the uterus contract, the child suffers from a lack of oxygen.
• Abortion. Pre-pregnancy abortions often lead to the appearance of synechia - intrauterine adhesions. In this case, pregnancy can take place with complications: uterine tone,.
• Gas formation. During pregnancy, changes occur in different systems of the body, including the digestive system. Increased gas formation and violation of peristalsis sometimes leads to the appearance of hypertonicity.

How does uterine tone manifest during pregnancy? Very often, the presence of uterine tone is detected during a gynecological examination or. Interesting fact: sometimes the causes of hypertonicity lie in the condition of the woman on the eve of the examination. The pregnant woman is nervous, and the uterus contracts.

In hospitals where pregnant women are placed "for preservation", the following trick is used to keep the experiment clean: morning examination in bed. The doctor approaches a woman who has just woken up and quickly probes her stomach. The pregnant woman does not have time to be frightened, and it turns out that she does not have any hypertonicity.

Signs of uterine tone appear depending on the duration of pregnancy. In the early stages of pregnancy (1 trimester), symptoms of uterine tone - aching pain in the lower abdomen, pain in the lumbar region. In the 3rd trimester, as a symptom of uterine tone during pregnancy, a woman experiences tension, feeling of heaviness. The abdomen seems to become stony, becomes dense, changes shape.

Diagnosis of uterine hypertonicity

Uterine hypertonicity can be a symptom of threatened miscarriage or premature birth. To avoid problems, you do not need to be afraid, but you need to regularly go to the doctor. Timely diagnosis can prevent the onset of dangerous consequences for the mother.

Uterine hypertonicity is determined on the basis of a medical examination and ultrasound. On palpation, the obstetrician-gynecologist can understand through the anterior abdominal wall whether the uterus is in good shape. Also, an apparatus is used to determine the tone of the uterus. tonometer, whose sensors are attached to the belly of a pregnant woman.

How to treat and what to do with uterine tone during pregnancy? With a "normal" uterine tone, doctors, most often, do not prescribe hospitalization.

It comes to inpatient treatment if hypertension accompanied by additional symptoms: pain or bleeding. In this case, hospitalization must be agreed. You can't provide yourself with bed rest at home, can you? Better lie quietly in the hospital, and let your family learn to cope for a while without you.

To reduce the tone of the uterus without the use of drugs in stationary conditions, the following procedures:

• endonasal galvanization;
• electrophoresis with magnesia;

• electroanalgesia;
• electrorelaxation.

If, from the point of view of the doctor, the manifestations of hypertonicity are not so dangerous, then outpatient treatment is prescribed with compulsory bed rest. To reduce the tone of the uterus during pregnancy, antispasmodic and sedative drugs are prescribed: No-shpa, Papaverine, Magne-B6. If the cause of hypertonicity lies in the lack of progesterone, drugs containing hormones are prescribed: or.

How to remove or slightly reduce the tone of the uterus during pregnancy at home? Lie down, calm down, forget about your household chores. Delegate household chores to your husband. Take a tincture of motherwort or valerian. Remember that for you now the most important thing is the health of the baby, relax and get enough sleep, finally. As a rule, timely rest and taking natural or medicinal preparations (Magne - B6, for example) have the desired effect. Hypertonicity recedes, and life is getting better!

Your task is to prevent an increase in the tone of the uterus during pregnancy. First of all, learn about your health problems even before conception.

Get tested, cure infectious diseases, correct the hormonal background. Modern medicine knows and knows a lot, but it needs your help. Timely detection of health problems will help to avoid unpleasant "surprises" during pregnancy.

Do not be nervous. Remember that the health of your baby is in your hands. Shut yourself off from troubles and do not react to non-negative phenomena. Feel free to ask your loved ones to help you. Rest if you feel the slightest discomfort. Go to the hospital according to the doctor's instructions. Not so much in order to be treated, but in order to get rid of domestic problems. Doctors are well aware that they won’t let you rest at home, so they often prescribe a hospital “for prevention”. Take advantage of your position.

A pregnant woman instinctively feels what she needs. Trust your body, remember your intuition. Do you want fruit? So your body needs. Looking to rest? Immediately drop everything and "fall" on the couch.

• Adjust your diet to include maximum amount fruits and vegetables.
• If doctors have prescribed bed rest for you, do not be heroic to the detriment of your baby. You need to lie down - lie down!
• Do not neglect the medicines prescribed by the doctor. The drugs will relax the muscles and bring the uterus back to normal.
• Drink at least 1.5 liters of liquid water per day, unless a large number of liquid is contraindicated (polyhydramnios,).
• Walk, do gymnastics for pregnant women.
• Avoid excessive physical activity. Pregnancy is not the time to lift weights and sprint.
• Change your wardrobe. Get rid of tight clothes and buy special trousers with elastic at the top and a “blouse blouse” instead.

Video about uterine tone during pregnancy

We invite you to watch the video, in which you will find answers to many questions. Why does an increased tone of the uterus occur? In what cases is this considered the norm, and in what cases it is not. Why do some women not have a similar diagnosis in early pregnancy?

Dear mothers, present and future! We all know what a huge responsibility lies on your shoulders. Let's help each other: let's share our experience. Feel free to tell your stories, ask questions, argue. Let your advice and recommendations help other pregnant women understand their condition, overcome fear and turn into calm mothers shining with blissful smiles.

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;
• the result of transferred 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 has 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 early hypertonicity can lead to miscarriage or the fetal 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 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.

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

In the state of pregnancy, women often hear the diagnosis "uterus in good shape." A phrase that is common in auditory perception can become threatening and lead to irreversible consequences. You should carefully consider the medical verdict and ask the gynecologist an important question: what does this phenomenon mean and whether it is necessary to fight it.

What is uterine tone during pregnancy

The uterus is a hollow muscle, contracting is its natural state. The organ consists of layers:

• external - perimetry;
• middle (muscular) - myometrium;
• internal - endometrium.

When sneezing, coughing, medical gynecological examination or ultrasound, the uterus contracts - it comes into tone for a short time. Prolonged contraction of the muscle layer is called "hypertonicity". This is a dangerous condition for pregnancy. It is necessary to recognize the symptoms in time and eliminate the causes.

Symptoms

The growing fetus stretches the tissues, during this period the muscles relax. You can determine the tone of the uterus by a number of symptoms and during an instrumental examination by a doctor. At each stage of bearing a baby, contractions appear with varying degrees of intensity, have their own characteristics and consequences. Contractions can be local (tonus along the posterior wall of the uterus) or general. A woman can understand that the uterus is in good shape by internal sensations and some external signs.

In the early stages

At this stage, cases of tone are observed frequently. Main features:

1. Aching pain in the lower abdomen.
2. Pulling sensations.
3. Cramps like contractions, or like menstruation.
4. Discomfort, pain in the lumbar region.

Sometimes the increased tone does not manifest itself, so doctors recommend undergoing an ultrasound scan. This procedure accurately determines the condition of the muscles.

Signs of uterine tone in the second trimester

At this stage (from 8 to 16 weeks), cases of hypertonicity are detected much less frequently. They are no less dangerous than in the first and third trimester of fetal formation. You should immediately consult a gynecologist, feeling the appearance of:

1. Pain in the lower abdomen.
2. Tactile sensations of the "fossil" of the entire abdomen.
3. Bloody secretions.

The diagnosis is confirmed by a medical examination. If the uterus is in good shape during pregnancy in the second trimester, this threatens with abnormal fetal development or premature birth.

In the 3rd trimester

The most responsible and difficult stage. The body prepares for childbirth, muscle contractions become more frequent. It is difficult to independently determine what it is: a manifestation of habitual spasms or tone. Only a doctor can diagnose a deviation from the norm. If, upon examination at the 32nd week, the uterus is open, and the ECG of the child inside the womb is unstable, the specialist will immediately understand the presence of an increased tone. To prevent the risk of miscarriage, visits to your gynecologist should be frequent. In all cases, with bloody discharge, an urgent need to call a doctor.

Causes

The following reasons can cause a state of increased tone:

• overwork / slight malaise;
• stress / depression;
• physical pathologies (underdevelopment of the reproductive organ);
• lack of the hormone progesterone;
• Rh-conflict of systems for providing mother and child;
• severe toxicosis with vomiting;
• infectious diseases;
• age characteristics of a woman's body;
• chronic or acquired diseases;
• general psychological mood;
• the physical condition of the woman;
• loads;
• in special cases - sex with uterine tone.

When the uterus is in good shape, what does this mean for a woman who is looking forward to the appearance of a child? Clinical consequences, dangers for the woman in labor and the baby can be described by an experienced specialist. Wrong lifestyle and behavior of a pregnant woman can leave an indelible mark.

What is dangerous increased uterine tone

Increased tone negatively affects the child and mother. During the period of bearing a child, hypertonicity means the risk of abortion: in the early stages of miscarriage, in the later stages - premature birth. In the second trimester, prolonged muscle contraction leads to a deterioration in blood circulation with the placenta, insufficient oxygen is supplied to the fetus, which causes hypoxia. Placental abruption occurs as a result of the fact that it does not contract with the myometric layer.

Treat with medication when the uterus is in hypertonicity, what does this mean? The condition involves a mandatory visit to a doctor who will correctly diagnose and prescribe the necessary drugs. In the initial stages, it can be antispasmodics: "No-shpa", "Papaverine", motherwort, valerian. For prevention, pregnant women are prescribed vitamins A and E, light breathing exercises are prescribed, more walks in the fresh air.

How to remove the tone of the uterus at home

You can remove the tone of the uterus by resorting to simple methods:

1. Go to shower. After standing for 10 minutes under warm water, lie on your back, relax all the muscles.
2. Take magnesium with food. Oatmeal or buckwheat porridge, almonds, herbs, beans, nuts (forest) are rich in minerals.
3. Do a light external massage of the abdomen and back. To reduce muscle tension, ask your relatives to rub your back until it burns, massage your head and neck.
4. Wear a bandage. It is used to reduce stress on the lower uterine wall. The bandage should not cause discomfort and feel like something foreign. How to wear, you can find out by looking at the corresponding photos.

Every woman has to be nervous before childbirth, the main thing is not to experience constant stress. Low mood negatively affects the entire course of pregnancy. Remember: the well-being of childbirth and the health of the baby depend entirely on the mother. Ideally, medical intervention in the natural process of gestation and birth should be minimal.

Video about uterine hypertonicity during pregnancy