How to treat uterine tone

Uterus and its state play an important role in the lives of women, especially during pregnancy. So when you visit the antenatal clinic doctor always pays attention to her condition, and especially - the increased uterine tone. Sometimes increased uterine tone accompanies the woman throughout the pregnancy.

The structure of the uterus and its functions

The uterus - a hollow muscular genital organ located in the pelvic cavity of women. Uterus consists of three layers: an internal mucous (endometrium), secondary muscle (myometrium) and external, which coats it in a thin film.

The main functions of the uterus are menstrual and childbearing. During menstruation occurs rejection endometrium, and then squeezing it from the uterine cavity by means of muscular contractions. During pregnancy, the embryo is introduced into the prepared lining of the uterus and develops there, which means that any reduction of muscles during pregnancy will be harmful. But during birth, these reductions will be necessary, since they reveal the birth canal and expel the fetus from the uterus.

What is a uterine tonic

The muscles of the uterus usually are calm, but during childbirth, they are beginning to shrink - this is the hypertonicity. For delivery is a positive phenomenon. But if it occurs during pregnancy, then threatened miscarriage Miscarriage - is more common than you think   or premature birth Premature birth - Recognize the signals of the body in time .

The central nervous system is usually "protect" the pregnant uterus, without letting it shrink. But a lot of stress (for example, a sudden fright) nervous system may not be able to slow down the contractions and is fraught with the most unpleasant consequences. Reduce uterine contractility and promotes progesterone - a female sex hormone that begins to produce in the second half of the menstrual cycle, and continues to be developed with the onset of pregnancy. A week before the birth begins gradually increase the excitability of the central nervous system, which achieves the highest degree by the time of birth, which causes the appearance of fights.

The reasons for increasing the tone of the uterus during pregnancy

The reason for the increased uterine tone in the early stages of pregnancy is often a lack of progesterone. This may result in abortion. Lack of progesterone can be caused by increased production of male sex hormones, which inhibit the production of progesterone, the uterine hypoplasia (small uterus during hyperextension of her growing fetus muscle fibers start to contract involuntarily), increased production by the pituitary gland (a gland of the brain) of the hormone prolactin, which inhibits the production of progesterone.

The reason for the increased uterine tone may change within itself, such as tumors, hormonal and inflammatory diseases.

In the later stages of pregnancy cause uterine hyper often it is hyperextension when polyhydramnios, multiple pregnancy, the baby is too large.

Finally, the causes of hyper can wear and external - it is stress, severe physical and mental stress, lack of sleep, and various respiratory diseases, exacerbation of chronic diseases, bad habits, etc.

How can manifest an increased tone of the uterus

If gipertonus small woman often does not feel it, but the strengthening of muscle contractions appear nagging pain in the lower abdomen and lumbosacral region. In later pregnancy, they are joined by cramping, sometimes cramping lasts long enough, the stomach becomes hard to the touch.

Hypertonicity of the uterus during pregnancy, be sure to shoot, otherwise it will lead to miscarriage or premature birth. In addition, it may cause complications in the fetus as muscle contraction may lead to constriction of blood vessels of the placenta, and therefore, insufficient supply of the fetus with oxygen and nutrients.

Diagnostics

Obstetrician-gynecologist already on the basis of examination of a pregnant woman can make a preliminary diagnosis of uterine hypertonus. Additionally applied studies such as ultrasound diagnostics (US) and tonusometriya (special sensor, which is applied to the abdomen of a pregnant determines the tone of the uterus.).

In the US during the contraction of the muscles of the uterus will be visible to place the muscle thickening. Particular attention is paid to cases where hypertonus develops in the region of the uterus, where it attaches to the placenta - it is dangerous, as can occur placental abruption.

Treatment

Pregnant women who have been diagnosed uterine hypertonus necessarily prescribe bed rest, sedatives herbal (valerian, motherwort, etc.) and tools, relieves muscle spasms (antispasmodic, for example, no-silos or papaverine). If there is pain in the abdomen, the woman sent for treatment in the department of pathology of pregnancy, maternity hospital.

If hypertonicity of the uterus developed due to a lack of progesterone, it is prescribed in the form of medications (eg, utrogestan).

Decreases muscular activity of the uterus is also administered intravenously or intramuscularly magnesium sulfate solution. Well it relaxes the muscles of the uterus such a drug as ginipral, but it gives a lot of side effects and has a contra-indication as premature detachment of the placenta Placental abruption - why is it so dangerous to a woman's life? .

A pregnant woman should take care of herself and her unborn child, and then at the first sign of uterine hypertonus consult your doctor.

Galina Romanenko

Related Articles

Cervicitis - the effect of infectious agents on the state of the cervix

Omission of the uterus: how to define and how to deal

Uterine fibroids - without symptoms, but with big problems

Polyps in the uterus: the threat of infertility