Inguinal hernia is quite widespread among the population and occupies the first place among all other types of hernias. It is known that an inguinal hernia occurs more frequently in men and its prevalence is 96%. Women are less likely to suffer inguinal hernia, approximately 3-10% of the men in the background. However, quite often inguinal hernia occurs in pregnant women, which is due to many reasons. Approach to the surgical pathology during pregnancy is individual and depends on many factors. Operate a hernia or not during the period of gestation of the child, the doctor decides, taking into account the peculiarities of pregnancy Pregnancy - nine awaited months   and the status of women.

Problems during pregnancy

The inguinal canal, which is a space in the form of a gap between the rectus abdominis is the most "weak" places in the body. Men through the inguinal canal passes spermatic cord, in women the round ligament of the uterus. Inguinal hernia is a way out of the abdominal cavity (most of the gastrointestinal tract) through the inguinal canal. As a rule, the hernial sac contains a segment of the omentum or bowel loops.

There is an inguinal hernia Inguinal hernia - why is it dangerous?   if there is a defect in the inguinal canal. It provokes the formation of increased intra-abdominal pressure. In pregnant women with uterine growth pressure in the abdomen increases, and this is due to the high frequency of this pathology among surgical expectant mothers. In addition, to provoke the appearance of a hernia can be constipation (which is not uncommon during pregnancy), chronic cough, weight lifting, heavy physical activity and the weakness of the abdominal muscles (usually during childbearing anterior abdominal wall muscles are stretched and lose their tone). In addition, the pregnant uterus puts pressure on the lower abdominal region and groin, which is also an additional factor in the emergence of an inguinal hernia.

The clinical picture

Symptoms of an inguinal hernia during the childbearing little different from the clinic of the disease in nonpregnant women. First, in the groin area determined protrusion. Bulging has an oval shape and myagkoelastichnuyu consistency. On palpation is painless, although many pregnant noted some discomfort in the area of ​​protrusion, which is directly proportional to the gestational age. Education appears in the standing position, especially after prolonged or excessive exercise, but disappears in a horizontal position and at rest. Sometimes there is irradiation of pain in the lumbar and sacral region.

The larger the hernia formation, the greater the discomfort and inconvenience while walking or exercise. Also with inguinal hernia occurs frequent and difficult urination and constipation. These symptoms are typical for the period of pregnancy, but the presence of inguinal hernia them worse. In addition, for inguinal hernia characterized by rumbling in the stomach and flatulence.

Births in the presence of inguinal hernia

Which way will take delivery, it depends largely on the size of the hernia Hernia: Types and symptoms - which are the most dangerous?   and the presence of comorbidity. Independent labor possible with a small protrusion and subject to the availability of special support bandage. In addition, an obstetrician during bearing-down period holds hernia hand (to prevent infringement).

Caesarean section is performed at larger sizes inguinal hernia and presence of comorbidities (malposition, complicated pregnancy, anomalies of labor). As a rule, after the birth for a while inguinal hernia disappears without a trace.

Management of pregnant women with inguinal hernia

First of all to all pregnant women who have an inguinal hernia, it is recommended to wear a special brace (the entire period of gestation of the child). Second, pregnant with such pathology is strictly forbidden to lifting weights and exercise. Also shown expectant mothers perform special exercises to strengthen the muscles of the abdominal wall, as well as adherence to a special diet.

Surgical removal of an inguinal hernia during pregnancy is not carried out, except in an emergency (infringement of hernia).

Anna Sozinova

Related Articles

Inguinal hernia: surgery is necessary

Inguinal hernia in children - causes and treatment

Inguinal hernia in men - the types and causes of

Inguinal hernia in infants: a doctor or a midwife