Diagnosis and treatment of uterine tone during pregnancy. What to do if you are diagnosed with uterine hypertonicity? What does uterine hypertonicity mean during pregnancy?

It is necessary for both pregnant women and couples whose plans are to conceive a child to know about the increased tone of the uterus, because this phenomenon occurs very often and is a risk to the health of mother and baby.

What is the tone?

The uterus is an organ made of muscles, hollow inside. Normally, the organ is relaxed, but under the influence of various factors, tension can occur, expressed in its contractions.

During pregnancy, the uterus grows significantly due to the fact that the muscle fibers of the organ lengthen significantly (at least ten times) and thicken (four to five times). Usually the uterus is at rest, this allows you to bear a child.

Periodic minor reductions organ, this usually begins to occur shortly before childbirth, thus the body prepares for the birth of the child.

However, it happens, sometimes even throughout pregnancy, that the organ is constantly in a state of excitement– muscles are constantly subject to contraction. When they are compressed, a tone of the organ occurs, also called hypertonicity, and accordingly the pressure in it increases.

Hypertonicity is considered a pathology, requiring treatment, because it can cause premature birth and even miscarriage, because when the tone increases, the vessels through which the baby’s body receives the dose of oxygen and nutrients necessary for development are compressed.

Why does the tone of the uterus increase?

Typically, the tone of the uterus increases as a result of external influences, such as sudden fear, stress, which results in excitement.

When tone manifests itself in the early stages of pregnancy, among the reasons one should look for possible hormonal disorders, for example, uneven production of progesterone. This is especially dangerous since the placenta has not yet formed.

And here in the second trimester The cause may be general overload of the body, fatigue, stressful situations.

Also, hypertonicity can be the result of transformation of the uterus, this is infantility (underdevelopment) of the organ, or fibroids and endometriosis. The muscles of the uterus that are stretched beyond measure also become a provoking factor, such happens with polyhydramnios or when a mother is pregnant with several children.

One of the factors leading to the occurrence of hypertonicity is previous infectious diseases or other diseases leading to complications (pyelonephritis, tonsillitis). Women who have previously had abortions are also susceptible to this pathology. having harmful addictions(smoking, drinking alcohol).

Symptoms

Among the symptoms of hypertonicity, we highlight four immediately felt:

• discomfort in the pelvic area, from barely noticeable to serious pain;
• sensations characteristic of the menstrual cycle;
• pain in the lower back;
• Bloody discharge and pain similar to frequent contractions are possible.

Consequences of hypertension

With this pathology Both the baby and the mother suffer. The first trimester is characterized by the threat of miscarriage, later - premature birth. There is another threat - fetal death.

When tone seems insignificant to a woman, this is not a reason to give up on it, because it can also give a bad outcome. In the future, this event will be reflected in the general condition of the baby, since oxygen starvation does not remain without consequences for the growing body.

Treatment methods for uterine hypertonicity

At the first signs of hypertension, you should consult an obstetrician-gynecologist. He will recommend adhering to a certain daily routine or prescribe medication therapy. Will be pregnant peace is needed, you need to normalize your emotional state and ensure the correct daily routine.

Restful sleep, long walks in the air and physical activity within reasonable limits are important. Sometimes they are prescribed bed rest or prohibited from having an intimate life. Sometimes the patient is shown hospitalization and drug treatment in the hospital, under 24-hour medical supervision.

As a rule, doctors prescribe drugs that have a sedative effect. Antispasmodic medications are used to relax the muscles of the uterus. When tone increases due to a lack of hormones, hormonal therapy is prescribed.

When present bleeding, it is recommended to use hemostatic drugs. And, of course, complex therapy includes vitamin supplementation, physiotherapy and psychotherapy.

In emergency cases, a pregnant woman can take No-shpy tablet to relieve uterine contractions. However, you should immediately contact a doctor. You cannot self-medicate, even if the pain has disappeared, you need to consult a specialist, because the life and health of your baby may depend on delay.

Expectant mothers are often diagnosed with “uterine tone during pregnancy.” Those who are carrying their first child do not recognize this danger and often do not understand how everything can end. But even more “experienced” pregnant women are usually afraid of tone in the 1st trimester and mistakenly believe that nothing bad will happen in the later stages.

Why does uterine hypertonicity occur, how to recognize it, why pain cannot be tolerated, what medications 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 muscular layer (myometrium). Like all other human muscles, the myometrium has the ability to contract and relax. But while a woman can “control” the muscles in her arms and legs, she cannot control the muscular layer of the uterus. For example, the uterine muscles contract when a woman laughs, coughs or sneezes.

This process occurs unnoticed and painlessly, but until the woman becomes pregnant. When a fertilized egg begins to grow inside the uterus, the female body tries to reject it as a foreign (as it seems to him, completely unnecessary) body. The myometrium contracts, and the expectant mother experiences 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 bother you constantly. If a woman does not yet know about her pregnancy, she often does not understand the danger that threatens her and the 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 things worse.

In a woman who was absolutely healthy before conceiving a baby, during pregnancy the uterus becomes toned for the following reasons.

1. “Sedentary” work or the need to stand on your feet for several hours, travel on public transport.
2. Stressful situations.
3. Malfunction 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 excess of male hormones.
4. Toxicosis, which is accompanied by severe vomiting (in the 1st trimester). Increased myometrial tone occurs because the muscles of the organ tense during gagging. Toxicosis is considered normal in the first trimester. But if a pregnant woman constantly feels sick just by looking at food, if she loses weight, the baby will not receive the necessary nutrients. This will not have the best effect on his development.
5. Fetal movement in the late term (in this case, hypertonicity of the uterine muscles should not be feared).

Expectant mothers who have:

• harmful (tobacco smoking, addiction to alcoholic beverages);
• 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, children's uterus);
• negative Rh factor. If a pregnant woman has a blood type with a negative Rh factor, and the biological father of the child has a positive blood type, the mother’s body tries to reject the fertilized 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 severe gas formation.

Some diseases, such as sexually transmitted infections, can only be treated in the third trimester, since antibiotics must be taken. It is also impossible to refuse treatment: the placenta protects the child, but some substances can penetrate through it and negatively affect the development of the fetus.

Hypertonicity of the uterus manifests itself in different ways throughout pregnancy. In the 1st trimester it is:

• dizziness, nausea;
• a dull nagging pain in the lower abdomen, as during menstruation, in the lower back or perineum (it can be of equal strength or “roll up”, intensify, then weaken).

In the 2nd and 3rd trimesters, a “fossil” of the abdomen is added to them. A tense uterus can be felt by placing your fingers on your abdomen.

Another sign of increased tone is bloody discharge from the genital tract. They may be copious 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 stage, when there is little room for a large baby in the womb, you can see how the baby “stretches out.” At this moment, the muscles of the uterus tense, and the woman clearly feels the fossilization of the abdomen, sees how it changes its rounded shape (one side of the abdomen seems to sink in, while the other, on the contrary, begins to protrude more). This lasts literally a few seconds and does not pose any danger to either mother or baby.

Diagnostics

In order to understand whether the patient’s uterine muscle tone 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, can be easily felt.

Ultrasound examination 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.

During tonuometry, muscle tension is detected using special sensors. This method is rarely used because 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 bothered by mild pain in the lower abdomen or lower back. However, she has no bleeding, and up to this point the pregnancy has been uneventful. Hospitalization is recommended in cases where the increased tone cannot be relieved for a long time.

At home, a woman should rest more, forget about sexual activity for a while, take antispasmodics (No-shpu, Drotaverine, Papaverine - solution for intramuscular injection or rectal suppositories), sedatives (motherwort, valerian) and progestin (Utrozhestan) agents, as well as Magne B6 .

Medicines have contraindications. You cannot prescribe medications for yourself. The doctor must do this. He selects the dosage individually in each case.

• "Cat". It is performed as follows: kneel down, place your palms on the floor, carefully bend your back, then arch it. Repeat 5-10 times. After this, 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 uterine hypertonicity. To do this, a pregnant woman needs to get on all fours, lower her face down, and relax her facial muscles. Breathe through your mouth.
• Knee-elbow pose. This exercise is performed as follows: a woman needs to kneel and rest her elbows on the floor, stand like that for 1-10 minutes. In this position, the uterus will be in a suspended position and will be able to relax.

The exercises must be performed carefully, at a slow pace. If the pain intensifies, you need to stop, rest, lie down. In case of severe, persistent pain, it is better to call a gynecologist, get a consultation, or immediately call an ambulance.

If a pregnant woman’s high muscle tone cannot be relieved for a long time or bloody discharge appears, doctors will insist on hospitalization. In the hospital, the expectant mother will have to remain on bed rest.

In the 1st trimester, she will be given intramuscular injections of No-shpa, Papaverine, vitamins, sedatives, and Utrozhestan. If there is bleeding, it will be stopped with Dicinon or Tranexam.

But all these remedies relieve symptoms and do not solve the main problem - eliminating the cause.

In the 2nd trimester, a pregnant woman’s doctor may prescribe:

• electropheresis with magnesium;
• droppers with Ginipral;
• vitamin and mineral complex.

In the 3rd trimester, the same drugs are used to treat increased uterine tone. If, based on the results of the ultrasound, it becomes clear that the tone is strong and the child is receiving 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, Chimes can cause a severe headache. But if a woman takes several medications, 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

Contraction of the uterus is a pain that cannot be tolerated in the hope that it will go away on its own over time. The tone carries a great danger, first of all, for the developing fetus.

In the 1st trimester, spontaneous miscarriage (detachment of the ovum) may occur. Pregnancy may not be interrupted, but may freeze due to the fact that the fetus did not receive oxygen and nutrients. In both cases, it is not possible to maintain the pregnancy.

In the 2nd and 3rd trimester, placental abruption does not occur, but another problem appears: the uterus, contracting, compresses the amniotic sac, as a result of which the cervix opens and premature labor begins. In some cases, even if the cervix is ​​closed. It is most often possible to save the baby if the gestational age is 36-38 weeks.

Prevention

To prevent increased uterine tone, pregnant women are recommended to follow a few simple rules.

1. Get tested to detect sexually transmitted infections at the stage of pregnancy planning.
2. Register in a timely manner, regularly go to “appearances” with the gynecologist, and follow his recommendations.
3. Sleep 8-10 hours a day.
4. Be sure to breathe fresh air, but it is better to avoid long walks.
5. Avoid stressful situations.
6. Do not create excessive physical stress for yourself.
7. Avoid drinking alcohol while still planning pregnancy.
8. Stop smoking.
9. Avoid lifting heavy objects, especially in the 3rd trimester.

A pregnant woman should eat properly. Her diet must include foods rich in magnesium:

• vegetables, greens (cabbage, basil, spinach);
• cereals (wheat, barley, buckwheat);
• dairy products (cheese, natural yogurt).

This trace element helps relax the smooth muscles of the intestines and myometrium (muscle tissue of the uterus). In addition, it has a beneficial effect on the central nervous system.

Conclusion

Uterine tone during pregnancy is a diagnosis that gynecologists make for 60% of women. Symptoms of hypertonicity are pain in the lower abdomen or lower back, “fossilization” of the abdomen, spotting. Muscle spasms can cause placental abruption (miscarriage) or premature birth.

There are many reasons for the appearance of increased tone, but you can prevent its occurrence if you follow simple rules of prevention: get more rest, be less nervous, eat right and listen to the doctor’s recommendations. Self-medication can lead to dire consequences.

More than 60% of pregnant women experience diagnosis of “uterine tone”. Why does the uterus become toned during pregnancy? Doctors say that hypertonicity is not a disease at all, but a symptom that signals that certain processes are occurring 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 adjustment. Both Western and our doctors agree on one thing: if increased tone is detected, additional research must be carried out in order to prevent possible deviations and threats.

What does a toned uterus mean during pregnancy? Before we talk about the definition of the concept of “uterine tone,” let’s understand the structure of the uterus itself.

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

Unauthorized contraction of the myometrium is the symptom called “uterine tone.” If, for various reasons, the muscles of the uterus begin to contract out of schedule, doctors talk about hypertonicity. Don’t be upset when you hear about this diagnosis: very often hypertension occurs for natural reasons. For example, a woman may become nervous during a gynecological examination, and the doctor will feel uterine contractions.

Short-term muscle contractions are not dangerous. But prolonged hypertonicity, as well as the presence of additional symptoms, such as a feeling of discomfort, cessation of fetal movements, may be a reason to prescribe 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 termination of pregnancy, death of the embryo.

Special danger The tone of the uterus is present in the early stages of pregnancy. It is at this time that contraction of the uterine muscles can prevent the embryo from attaching to the surface of the endometrium, and pregnancy “will not take place.”

At later stages, 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 her child.

Prolonged uterine tone is harmful to the fetus. The muscles of the uterus contract and compress the placenta. The placenta does not deliver the required amount of oxygen. A fetus that does not receive enough oxygen may experience oxygen starvation— . Consequences of hypoxia: development and growth delay.

In later stages, uterine tone may be due to natural causes. The uterus is “training” and prepares for future births. Just as an athlete squeezes and unclenches his 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 hypertonicity is not a diagnosis, but a symptom, determining the causes of this condition is the primary task of a specialist. Only after determining the cause can treatment be prescribed.

Causes of uterine hypertonicity:

• Hormonal disorders. It is responsible for the process of preparing the endometrium for the “implantation” of the fertilized egg and relaxation of the muscles of the uterus. A lack of progesterone in the body leads to the fact that the muscles of the uterus are too dense and prevent implantation of the embryo.
• Rhesus conflict. The reason for the occurrence of Rh conflict is the difference in the Rh factor of the mother and father. A mother's body with a positive Rh factor reacts to a fetus that has received a negative Rh factor from its father as if it were a foreign body. As a result of Rh conflict, hypertonicity occurs.
• Infections and inflammatory processes– a common cause of uterine tone. Infectious diseases that are not fully treated or that occur after pregnancy lead to the fact that the uterus “loses peace.” Inflammation is accompanied by additional symptoms: itching, pain, discharge.
• Severe toxicosis. promotes 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 medications.
• Uterine distension. The uterus can stretch excessively during multiple pregnancies or when the fetus is too large.
• Medicines. Taking any medications during pregnancy should be treated with extreme caution. You simply may not be aware of the side effects of some medications. Even the most harmless means can lead to increased 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, and the child suffers from a lack of oxygen.
• Abortion. Abortions preceding pregnancy often lead to the appearance of synechiae - intrauterine adhesions. In this case, pregnancy may occur with complications: uterine tone,...
• Gas formation. During pregnancy, changes occur in different systems of the body, including the digestive system. Increased gas formation and impaired peristalsis sometimes lead to 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 hypertension lie in the woman’s condition on the eve of the examination. The pregnant woman gets nervous and the uterus contracts.

In hospitals where pregnant women are placed “for preservation”, the following trick is used for the purity of the experiment: a morning examination in bed. The doctor approaches the woman who has just woken up and quickly palpates her stomach. The pregnant woman does not have time to get scared, and it turns out that she does not have any hypertension.

Signs of uterine tone appear depending on the duration of pregnancy. In the early stages of pregnancy (1st trimester), symptoms of uterine tone - nagging 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 turn to stone, becomes dense, and changes shape.

Diagnosis of uterine hypertonicity

Hypertonicity of the uterus can be a symptom of threatened miscarriage or premature birth. To avoid problems, there is no need to be afraid, but you need to see a doctor regularly. Timely diagnosis can prevent the onset of dangerous consequences for the mother.

Hypertonicity of the uterus is determined on the basis of medical examination and ultrasound. By palpation, the obstetrician-gynecologist through the anterior abdominal wall can understand whether the uterus is in good shape. Also, to determine the tone of the uterus, a device is used blood pressure monitor, the sensors of which are attached to the pregnant woman’s belly.

How to treat and what to do for uterine tone during pregnancy? With “normal” uterine tone, doctors most often do not prescribe hospitalization.

We are talking about inpatient treatment if hypertension accompanied by additional symptoms: pain or bleeding. In this case, you must agree to hospitalization. You can’t provide yourself with bed rest at home, can you? It’s better to lie quietly in the hospital, and let your family learn to cope without you for a while.

To reduce the tone of the uterus without the use of drugs in a hospital setting, following procedures:

• endonasal galvanization;
• electrophoresis with magnesium;

• electroanalgesia;
• electrorelaxation.

If, from the doctor’s point of view, manifestations of hypertonicity are not so dangerous, then outpatient treatment with mandatory 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 hypertension lies in a lack of progesterone, hormone-containing drugs are prescribed: or.

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

Your task is to prevent an increase in the tone of the uterus during pregnancy. First of all, find out about your health problems before you conceive.

Get tested, cure infectious diseases, correct hormonal levels. Modern medicine knows and can do a lot, but it needs your help. Timely identification of health problems will help avoid unpleasant “surprises” during pregnancy.

Do not be nervous. Remember that your baby’s health is in your hands. Isolate yourself from troubles and do not react to negative phenomena. Don't be shy about asking your loved ones to help you. If you have the slightest ailment, rest. According to your doctor's instructions, go to the hospital. Not so much to get treatment, but to get rid of problems at home. Doctors are well aware that they won’t let you rest at home, so they often prescribe hospital care “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? This means your body needs. Need a rest? Immediately drop everything and “collapse” on the sofa.

• Adjust your diet to include as many fruits and vegetables as possible.
• If doctors have prescribed bed rest for you, do not act as a hero to the detriment of your baby. You need to lie down - lie down!
• Do not neglect medications prescribed by your doctor. The drugs will relax the muscles and bring the uterus back to normal.
• Drink at least 1.5 liters of water per day, except in cases where large amounts of fluid are contraindicated (polyhydramnios).
• Take a walk, do exercises for pregnant women.
• Avoid excessive physical activity. Pregnancy is not the time for lifting weights and sprinting.
• Change your wardrobe. Put away tight clothes and instead buy special trousers with elastic at the top and a “blouse-blouse”.

Video about uterine tone during pregnancy

We invite you to watch the video in which you will find answers to many questions. Why does increased uterine tone occur? In what cases is this considered the norm, and in what cases is it not? Why do some women not have this 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. Don't be shy, 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 beaming with blissful smiles.

Sometimes a woman has problems during pregnancy that subsequently cause uterine tone.

This is a rather dangerous pathology, especially when it comes to early pregnancy. It is necessary to identify hypertension as soon as possible and take the necessary preventive measures. Otherwise, a miscarriage or premature birth is possible!

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

To understand what is hidden behind the name of the pathology, it is enough to understand the organ that it affects. As you know, the uterus is not just a formation of connective tissue with its own functions, like many other organs. First of all, it is a muscle that can contract, grow and increase in size due to pregnancy, and at the right time “push out” the child, helping him to be born.

At normal times, she is relaxed, although the tone of the uterus may be present without pregnancy. But during pregnancy this condition intensifies. In order to carry a child to term normally, the organ must always remain relaxed, contracting only occasionally just before birth. The latter phenomenon is called training contractions.

But things don't always go so smoothly. Sometimes the organ is constantly under tension, periodically contracting. This condition is called increased tone - and it can become permanent. In some situations, local pathology disappears on its own, and sometimes complex treatment from a good doctor is required.

First of all, this condition is dangerous due to increased pressure inside the organ cavity. It puts pressure on the baby, thereby gradually leading to miscarriage or premature birth. Such “training contractions” may be safe at a later stage like 40 weeks, but not at 29 or 30.

Regardless of the timing, it is better to consult your doctor, otherwise you risk giving birth in your own apartment.

Possible consequences of pathology

The first and most important consequence that threatens many women is premature birth. If tone begins not at 8 or 9 months, but earlier than expected, there is a risk of giving birth to a premature baby. This is dangerous, but in our time there is practically no threat - modern medicine even takes care of children born at the beginning of the third trimester or the end of the second.

It’s worse when the corresponding sensations appear in the first trimester, in the early stages. In this case, there is a significant risk of miscarriage, which will not only kill the child, but will also not benefit the woman herself. Therefore, if appropriate symptoms appear, go for an ultrasound scan as soon as possible. Delay is dangerous for the life of mother and baby!

A slightly less dangerous, but no less unpleasant consequence is a decrease in uteroplacental blood flow. The uterus narrows, the gaps between its vessels decrease. This leads to a significant lack of nutrients in the child’s body. Hypoxia occurs, subsequently leading to the death or underdevelopment of the fetus.

The amount of nutrients the child receives from the mother’s body decreases. As a result, developmental delays occur and various diseases develop.

In the future, the child may experience problems with harmonious growth and maturation, and lag behind his peers. There may be severe developmental delays, even mental retardation or mental retardation.

Norms of uterine tone by stage of pregnancy

Since the uterus becomes toned during premature contractions even during a normal pregnancy, this condition can be considered normal. It is necessary to determine at what time the first manifestations began. And, if tone occurs in the third trimester, there is no need to worry.

Neither the front nor the back wall should normally tense up until the 12th week. During normal periods, a woman should not experience any discomfort at all during these periods. Nagging pain in the lower abdomen, slight tension - all this should alert you. It’s better to go to the doctor right away, saying something like “I’m worried about my tone.”

If symptoms appear at week 20, this means that the body is gradually preparing for a future event. He's starting to train, so there's no need to worry. If you're feeling uneasy, check your contractions for three conditions.

Namely:

• they are painless.
• they are rare.
• they do not carry additional symptoms.

Mild sensations are normal. If the rule is not confirmed, consult your doctor. He will help: either prescribe treatment, or examine and calm you down. After all, pregnant women should not be nervous.

Finally, in the third trimester, such manifestations are almost always normal. Signs of hypertonicity cannot be ruled out, but in most cases the tension is caused by the child himself, starting to push and shove in every possible way in the stomach. Treatment is prescribed only if the sensations become too painful or harm the baby or mother.

How to independently determine the tone of the uterus

First of all, it is necessary to distinguish the normal state from hypertonicity. The latter usually manifests itself in the early stages, feels painful, unpleasant and sometimes unbearable. Grade 1 tone comes unexpectedly, becomes too frequent, and intensifies over time.

Myometrial tension is characterized by discomfort and painful symptoms in the lower abdomen. A heaviness and unpleasant pulling sensation appears. Partially reminiscent of pain during inflammation or before the onset of the menstrual cycle. Over time, the signs become more vivid, unpleasant and frequent.

In the second trimester, the pain often radiates to the sacrum or lower back and becomes quite severe. Towards the end of pregnancy, symptoms appear visually. The abdomen becomes noticeably tense and hard, slightly compressed and retracted. With primitive palpation, strong hardness is felt. This condition is quite dangerous.

Sometimes spotting and spotting appears. These signs indicate a very dangerous and rapid progression of the pathology. In this case, it is better to call emergency help as quickly as possible and go to hospital as soon as possible.

There is also a “silent course”, that is, passing without symptoms. In this case, the pathology is determined only by ultrasound examination. Therefore, it is important to undergo a timely examination, not to violate the established schedule and not to neglect the advice of your doctor.

Usually, if significant hypertension is detected, it is necessary to take pills and use suppositories. Since the causes of the pathology are varied, the treatment regimen is prescribed individually, depending on the nature of the disease and the characteristics of a particular organism.

First of all, these are antispasmodics that can reduce tension and relax the uterus. Most often, Nosh-pa and other drugs with similar effects are prescribed. Suppositories can also be prescribed for the same purpose. The drugs mainly used are Utrozhestan, Papaverine, Nifedipine, Duphaston, and sometimes Magnesia.

If the cause is a deficiency or excess of any hormones, the specialist prescribes appropriate hormonal medications.

Examinations are carried out to determine the degree of development of the disease. They try to eliminate not only the consequences, but also the causes. Examinations are becoming more frequent; it is necessary to monitor the course of the disease.

Bed rest is prescribed. In some cases, the pregnant woman even undergoes conservation. Particularly dangerous degrees of pathology are characterized by the need to constantly lie in one place throughout pregnancy. Sometimes even the simplest movements are prohibited.

Sex when the uterus is tense is prohibited. Therefore, if a woman stays at home and does not go to the hospital, the attending physician prohibits any intimacy between the couple. If you value the health of your common child, it is better to abstain from any sexual intercourse at all.

How to avoid uterine tone during pregnancy - preventive measures

It is necessary to avoid foods that can increase tension in the uterus. This includes black tea, expensive blue cheese, and various fish dishes, especially raw fish. There is no need to get too carried away with white bread, drink alcohol or smoke cigarettes.

Live the lifestyle recommended for an exemplary pregnancy. Follow the correct work and rest schedule, as well as a daily routine. Try not to overload yourself, do not allow any unnecessary physical activity. If you continue to go to work, leave some time for rest and relaxation after a hard day.

Avoid hot baths with aromatic foam. It’s nice to lie around in these, but it won’t do you any good. It is not completely clear why this pathology occurs, but baths are considered a risk group. It’s better to take a shower, maybe a contrast shower if your health allows it.

Watch your health. Avoid getting infected with ARVI or more serious diseases. Under certain conditions, they can easily cause increased tone, thereby putting the child’s health at risk.

Sexually transmitted infections are also dangerous. To avoid hypertension, check with a gynecologist before pregnancy and cure all current illnesses. Regular examinations should not be forgotten until the birth itself. This way you can easily identify any diseases that increase the tone of the uterus and treat them in time!

This video will tell you why hypertonicity occurs and what it threatens:

Conclusion

If you sense and recognize the disease in a timely manner, it will not cause any problems. It is enough to follow the instructions given by the attending physician, and you can calmly carry a healthy child to the due date.