Signs that the uterus is in good shape during pregnancy. Increased uterine tone during pregnancy (uterine hypertonicity)

In such a crucial period of life as pregnancy, a woman may be haunted by certain problems, one of which is the tone of the uterus. It is important to know that increased uterine tone in early pregnancy is considered a common occurrence that can be easily eliminated. The main thing for a future mother is to monitor her health and, at the slightest suspicion of any violations, consult a doctor.

To get a complete picture of what constitutes an increased tone of the uterus, first you need to understand the structure and functioning of this organ. The uterus is a female reproductive organ that has a hollow structure and consists of myometrium. Myometrium, in turn, is a muscular membrane, which is formed by muscle cells and loose connective tissue with high elasticity.

During the period of bearing a baby, a woman's uterus increases significantly in size, its fibers stretch many times over. In order for the pregnancy to proceed normally, the tissues of the organ must always be in a relaxed state, not contracting for no reason. The cause of natural contractions can be considered training contractions, which are harbingers of childbirth, or real contractions that provoke the birth of a child immediately at the end of pregnancy.

In women suffering from increased uterine tone, the muscles of the organ are in a tense state for a long time, contracting from time to time for no reason. This provokes an increase in pressure in the uterine cavity and, if not properly treated, can lead to disastrous consequences. Uterine tone in the early stages is a fairly common problem. Noticing the symptoms of this condition, a woman should tell her doctor about it, get advice and a prescription for treating the disease.

The term "uterine tone" refers to the degree of tension of the muscle tissue of the organ, which is measured in millimeters of mercury. In medicine, several conditions of the myometrium are distinguished:

1. Hypotension of the uterus means that the muscles of the reproductive organ are too relaxed. This condition is considered a pathology, it can develop as a result of childbirth and be the cause of heavy bleeding in the early postpartum period.
2. Normotonus of the uterus is the normal state of the musculature of the organ. With normotonus, the uterus is in a calm state, while not being overly relaxed.
3. The increased tone of the uterus is manifested in the periodic or constant tension of the myometrium. This problem can be localized in a specific place, or it can cover the entire organ.
4. Uterine hypertonicity is a pathology that occurs exclusively during childbirth. Many obstetrician-gynecologists use this term to refer to an ordinary increased uterine tone that occurs during pregnancy.

Consequences of increased uterine tone

Many women, feeling mild symptoms of the disease, are in no hurry to complain to the doctor. Meanwhile, in some cases, increased tone can cause serious problems that threaten further pregnancy. The most deplorable consequence of this condition can be a spontaneous abortion, or, more simply, a miscarriage. In the last weeks of pregnancy, the tone of the uterus sometimes leads to premature pregnancy and is the cause of premature birth.

Another problem that such a disease threatens is fetal fading. During the normal course of pregnancy, the woman's blood vessels supply oxygen and various nutrients through the placenta, which are necessary for the development of the child. Increased tone can lead to the fact that the amount of these substances is noticeably reduced or stops altogether. As a consequence, the fetus suffers from hypoxia and may die.

Feeling slight pulling pains in the abdomen, some simply do not pay attention to them, while others, overly impressionable women, may immediately suspect the worst. Regardless of which category of pregnant you belong to, in case of any suspicious conditions, it is better not to delay and visit a doctor as soon as possible. Only he will establish the true cause of discomfort and, if necessary, prescribe the correct treatment.

Causes and symptoms of increased uterine tone

Let us consider in more detail the prerequisites for the occurrence of this state:

1. The main hormone responsible for the normal course of pregnancy is progesterone. In the first half of pregnancy, the corpus luteum intensively produces this substance in the amount necessary for the body. Progesterone is responsible for preparing the inner uterine epithelium for embryo attachment, as well as for relaxing the myometrium. But it also happens that a pregnant woman is deficient in progesterone. In such a situation, the woman's body begins to perceive the fetus as a foreign body, the muscles of the uterus tense and often contract, which can lead to rejection of the embryo and provoke a miscarriage.
2. Toxicosis in early pregnancy is also considered one of the causes of increased uterine tone. Frequent vomiting reduces the muscles of the abdomen, as well as all the organs inside. Daily manifestations of toxicosis cause frequent tension of the uterus, provoking tone. Unfortunately, in the first weeks of pregnancy, toxicosis is a common problem, which cannot be eliminated with medication. In such a situation, a woman can be advised to be careful, avoid foods that make her sick, and after a while this unpleasant phenomenon will pass by itself.
3. A possible cause of increased uterine tone can be a different Rh blood of the mother and her unborn child. In such a case, the body of the pregnant woman perceives the fetus as a foreign body and tries to get rid of it.
4. Any diseases and inflammations in the genitourinary system can also lead to tension in the myometrium. In addition, if the pregnancy is multiple, or the baby in the womb is very large, the muscles of the uterus stretch too much. Such excessive stretching is another prerequisite for the development of tone.
5. During pregnancy, it is important to monitor the quality of your diet, since intestinal disorders can also lead to increased uterine tone. Pregnant mothers are advised to eat safe foods that won't upset the stomach or cause flatulence.

In order to notice the presence of pathology in time, it is important to monitor the state of health and pay attention to various pains, pulling sensations and other manifestations of discomfort. The tone of the uterus in the early stages is characterized by the following symptoms:

1. In the first months of bearing a baby, an increased tone of the uterus makes itself felt with unpleasant pulling sensations in the lower abdomen. A woman may feel a slight dull pain, reminiscent of pain during menstruation. Sometimes these sensations extend to the lower back and sacrum.
2. When the fetus in the womb is already large enough, the tone of the uterus can be distinguished tactilely - the stomach hardens, it becomes as if “stone”.
3. Another symptom of increased tone is bloody spotting, they can be brownish or pinkish in color. As mentioned earlier, the tone of the uterus sometimes leads to spontaneous abortion, and its main symptom is bleeding from the genital tract. In the presence of blood or the above discharge, you should go to the hospital as soon as possible. Modern medicine, in most cases, eliminates the threat of miscarriage and enables a woman to safely carry the child to the desired date.
4. Sometimes signs of uterine tone in early pregnancy may be absent altogether. Feelings are so weak that a woman simply does not notice them.

Methods for diagnosing pathology

Determining the tone of the uterus at an early date is not so difficult. The doctor must first listen to the patient's complaints and, based on the symptoms, make a preliminary diagnosis. After that, the pregnant woman will be sent for an ultrasound examination, which will confirm or refute the presence of increased uterine tone. The use of ultrasound in this case is the most reliable and simple method of diagnosis. However, many gynecologists can determine a similar problem with the help of palpation.

Ways to eliminate the increased tone of the uterus

Having determined the presence of an increased tone of the uterus in the early stages, one should proceed to its treatment. To fix a problem, it is first important to identify its cause. Special tests for hormones will help determine the amount of progesterone in the female body, and if its level is low, the doctor will prescribe certain medications. In general, the treatment of increased uterine tone consists in the following actions:

1. The first step is to eliminate any factors that negatively affect the emotional and mental state of the expectant mother. A pregnant woman should be in a healthy and favorable atmosphere, avoid conflicts, fears, excessive nervousness, try to surround herself only with positive emotions and people who give them.
2. Overwork and insufficient rest aggravate the condition, so it is important for a woman to organize a normal work schedule that will allow her not to get too tired.
3. Important conditions in the treatment of uterine tone are good nutrition and healthy sleep. We must not forget about moderate physical activity, which, above all, will be a pleasure.
4. In difficult cases, when the increased tone provoked a threat of miscarriage, the woman will be admitted to the hospital for inpatient treatment. For this period, and also for some time later, the patient will be prescribed bed rest and abstinence from sexual activity.
5. As medicines, hormonal, sedative and other means that help to relax the myometrium can be used. Almost harmless herbal preparations, such as valerian, are used as sedatives. If this remedy turns out to be ineffective, and the emotional state of the woman does not return to normal, she may be prescribed Nozepam, Trioxazine or Sibazol.
6. To relieve the tension of the uterine muscles, many doctors advise taking "No-shpa" or putting papaverine suppositories in the anus. A popular and practically harmless drug today is Viburkol - rectal suppositories. Sometimes calcium channel blockers are used to relieve tension in the uterus, such drugs include Nifedipine and Corinfar.
7. If progesterone tests reveal a hormone deficiency, the doctor will most likely prescribe Duphaston or Utrozhestan - drugs that contain the necessary substance. Such treatment is relevant only for short periods of pregnancy.
8. If there is a threat of spontaneous abortion, accompanied by bleeding from the genital tract, the hospital will also use hemostatic agents.

Treatment of increased tone at home

Treatment of tone at home should be, first of all, agreed with the doctor. All non-pharmacological agents should be used as an additional therapy to the main treatment.

You can remove the tone of the uterus in the early stages by performing simple physical exercises aimed at relaxing the myometrium. Let's consider them in more detail:

1. Exercise "Cat" perfectly copes with this task, and it is very simple to perform. Get on all fours, resting your palms on the floor, throw your head back and arch your back. After a few seconds, return to the original position. You should not be too zealous with the exercise, physical efforts should not cause pain or discomfort. After several such manipulations, you need to lie down in a comfortable position and lie down for 30-40 minutes.
2. If for any reason it is difficult for you to bend your back, then just get on all fours, resting your elbows on the floor. In this position, you need to stay for several minutes. The uterus, being in limbo, will relax after a while.
3. It is believed that the relaxation of the muscles of the face also favorably affects the state of the myometrium. To achieve the effect, sit comfortably and tilt your head down. Try to breathe only through your mouth and, if possible, completely relax your facial muscles.

Tone of the uterus. Video

Almost every woman has uterine tone during pregnancy. Doctors say that there is nothing to worry about, you just need to rest more. Basically, they are right. However, where does it come from and what threatens a pregnant girl who refuses to listen to a doctor? More information about the causes of tone and not only can be found below.

What is uterine tone

The tone of the uterus during pregnancy is its contraction before the onset of childbirth. However, the uterus is a constantly active muscle that is always contracting. That is why this process is not always dangerous. It all depends on how much the reductions occur and for how long. To assess the degree of risk, it is imperative to consult a doctor.

In particular, during laughter or sneezing, almost all muscles in a person contract. That is why, in the case of the uterus, the short duration of such a process is important. If it is constantly in a compressed state, then this can be dangerous to the fetus.

What is the danger of tone during pregnancy and how to deal with it is written below.

Dangers of tone

In the early stages, hypertonicity is very dangerous, as it can cause a miscarriage. In the case of the second or third trimester, preterm labor may occur. In any case, the result is not very good for the mother. But in some cases, increased tone does not pose any harm to a woman and her child.

In the early stages, excessive contraction of the uterus can make it difficult for the implantation of the ovum. His rejection and death are also not excluded. The result is a miscarriage. Toning before childbirth, on the contrary, is very useful, as it causes "training contractions."

Excessive uterine activity can cause discomfort to the baby too. This is associated with the risk of crushing the umbilical cord. Then the baby will not be able to receive enough oxygen, the cause of which will be the development of hypoxia. Hypotrophy develops if the fetus does not receive enough nutrients through the umbilical cord.

The main causes of hypertension

Tonus during pregnancy can occur for any reason. Short-term contraction occurs when walking, laughing and other movements of the mother. However, if it is impossible to relax the muscles of the uterus for a long time, you should consult a doctor.

Here are the main reasons for the development of tone:

• Nervous stress.
• Fear.
• Overexcitation and overwork as a result of physical exertion.
• Hormonal disorders, as a result of which the level of production of the hormone progesterone decreases.
• Wrong way of life.
• Drinking alcohol and smoking.
• Inflammatory diseases.
• Infectious viral diseases.
• Multiple pregnancy.
• previous abortions.

This is only part of the reasons. As a result, a woman may feel pain in the lower abdomen, in the sacrum and lower back, and in rare cases, spotting may appear.

Symptoms of uterine tone

In some cases, you can independently determine that the uterus is in good shape. However, in most cases, specialist advice is required. Here are the symptoms that say that a woman needs more rest:

• Heaviness in the lower abdomen, pulling pains, back pain. Such sensations are typical for the first trimester.
• Pain in the sacrum, a hard abdomen and involuntary contractions occur during the second or third trimester.

Often the tone is easy to notice during a gynecological examination. It can also be seen during an ultrasound. This method allows you to determine the degree of uterine contraction in order to understand how appropriate medical intervention is.

Tone treatment

As a rule, all treatment takes place on an outpatient basis. But if the situation is critical, then hospitalization is necessary. In particular, it is carried out when a woman has bleeding. In this case, the intervention of specialists will be required to save the baby and avoid miscarriage or premature birth.

In all other cases, the recommendations are as follows:

• Compliance with bed rest.
• The use of antispasmodics.
• The use of hormonal substances, if the cause is a lack of progesterone.
• The appointment of antipodes, if a woman has an excess of male hormones.

If for a long time it is not possible to remove the tone, then the doctors will insist on hospitalization. This will allow you to be monitored 24 hours a day and understand why it is not possible to solve the problem with the help of medicines.

There are also special exercises that can help solve the problem with tone at home. If you had such a problem during pregnancy or are currently experiencing it, share it on. Most likely, this information will help many girls to calm down and make the right decision.

One of the most common problems during pregnancy is the high tone of the uterus, which creates an unpleasant pulling sensation in the lower abdomen.

The uterus is a hollow muscular organ, which consists of an outer mucous membrane (perimetrium), middle (myometrium) and internal (endometrium). The myometrium has the ability to contract, which is especially important during childbirth. When, during the period of carrying a child at different times, the uterus contracts, the doctors state that the tone of the uterus is increased. But a toned uterus is not always a problem, as the muscles are constantly contracting. This happens even when sneezing, coughing, vomiting, laughing, gynecological examination.

The deplorable consequences of increased uterine tone can be infrequent. This can end in a miscarriage when it comes to uterine tone in early pregnancy. In the later it is fraught with premature birth. And yet, the tone of the uterus is more often observed in the early stages. In this case, the phenomenon threatens the process of implantation (introduction) of the fetal egg into the endometrium of the uterus. Perhaps even his rejection or death. Then the doctors ascertain a spontaneous miscarriage. It is customary to talk about a miscarriage before 28 weeks of pregnancy, and after this period one can already talk about premature birth.

The tone of the uterus in the early stages threatens the normal development of the child. After all, then tense muscles pinch the vessels, and as a result, the fetus may suffer from oxygen deficiency (hypoxia). When, for this reason, the fetus does not receive nutrients, malnutrition is also possible, that is, growth stops and even missed pregnancy.

This article talks about how to relieve the tone of the uterus in early pregnancy. The article describes the doctor's recommendations, following which, you can reduce the tone of the uterus during pregnancy.

What is uterine tone?

The tone of the uterus is a characteristic of the state of the uterine muscles, which describes the degree of its tension and is measured in millimeters of mercury.

There are the following options for the state of the uterine muscles:

The uterus is hypotonic - this is a pathological condition of the uterus, in which its muscles are excessively relaxed, it is a complication of the early postpartum period, the cause of hypotonic uterine bleeding.
- The uterus in normotonus is a physiological state of both the pregnant and non-pregnant uterus, in which the muscles are at rest.
- The uterus in increased tone - a state of tension of the uterine muscles, which can be either permanent or temporary (contractions during childbirth). An increase in the tone of the uterus can be either in one specific place (local), or it can capture all parts of the uterus (total).
- Hypertonicity of the uterus - an anomaly of labor activity, in which the number of contractions in 10 minutes is more than four, i.e. this pathology occurs only in childbirth.

It should be noted that the expression "uterine hypertonicity", which is mistakenly used by some specialists and their patients, implying an increase in uterine tone during pregnancy, is incorrect, because. this term describes one of the types of anomalies of labor activity.

Causes of increased uterine tone

Increased uterine tone is very often observed in early or late pregnancy. There are many factors that cause tension in the muscles of the uterus during pregnancy. Usually these are various irritations that can cause tension in the muscular organ: sexual arousal, any physical activity, stress, nervous tension, etc. This phenomenon cannot be neglected, since the high tone of the uterus can be very dangerous.

When a pregnant woman first has uterine hypertonicity, she just needs to tell the doctor about this so that he sends her for an ultrasound diagnosis. In the absence of any pathologies during the diagnosis, a closed cervix of the uterus, a cervix over 3 cm long and a fetal heartbeat should be visible.

These indicators show that the appearance of increased uterine tone is not dangerous either for the pregnant woman or for the fetus. If during ultrasound diagnostics, the opening of the cervix of the uterus at a distance of more than 5 mm, a small uterus (length from 2.5 to 3 cm), this indicates a serious risk of miscarriage in the first trimester.

How to remove the tone of the uterus at home?

The uterus can contract not only under the influence of the factors described above, but also with the contraction of the bladder or intestines. The contraction of the bladder occurs as a result of its filling, and the intestines - at the moment food enters it. If a woman has no complications during ultrasound diagnostics, then spasms usually pass quickly and do not cause severe pain.

If uterine spasms cause unpleasant pain and are accompanied by any pathologies, then medical assistance may be required to relieve the tone of the uterus, so you should consult a doctor. If there are cramps in the lower abdomen, you should try to remove them yourself. To do this, you need to relax - sit down or lie down, stroking your stomach and talking to your future baby.

If possible, to relieve the tone of the uterus, you can try to take a relaxing warm bath. When taking a bath, it is not recommended to add various aromatic substances, because they can cause uterine tone or increase it. It is impossible to take a bath to relieve the tone of the uterus for women who do not have any pathologies, namely, discharge from the genital tract.

The main causes of increased uterine tone

The basis of the tone of the muscles of the uterus is the activity of the endocrine system, namely the synthesis of the hormone progesterone. This hormone is synthesized very actively in the first 2.5 months of pregnancy, later its synthesis declines. The hormone progesterone helps to reduce the tone of the uterus, as well as reduce intestinal tone.

This is the reason why women often experience constipation during pregnancy. Lack of progesterone production can lead to increased uterine muscle tone. The lack of progesterone is due to several reasons. First, underdeveloped organs of the reproductive system. An underdeveloped uterus cannot withstand the heavy load that affects it, and, as a result, it shrinks.

Secondly, the increased content of male hormones in the female body. They are produced by the adrenal glands. A woman can find out about this even before pregnancy by the following signs: menstrual irregularities, increased hairline, deterioration of the skin before menstruation, etc. Thirdly, the increased content of the hormone prolactin in the blood.

It manifests itself in the release of milk from the nipples and menstrual irregularities before pregnancy. Cause the tone of the uterus can not only lack of progesterone, but also various diseases suffered before pregnancy. These include: growth of the inner lining of the uterus, called endometriosis; inflammatory diseases of the uterus and its appendages.

The tone of the uterus during pregnancy can be identified independently by the following signs: heaviness and discomfort in the lower abdomen. Pain in the lower abdomen with increased tone of the uterine muscles is very similar to pain during menstruation. For diagnosis, in addition to ultrasound diagnostics, palpation can be used.

During probing of the abdomen with an increased tone of the muscles of the uterus, the abdomen will feel the firmness of the abdomen, which should normally be soft. To diagnose the tone of the uterus, you can use one of the most modern methods - tonusometry (measurement of the tone of the uterus using a special device).

Having learned about the tone of the uterus, it is extremely important for a pregnant woman to try to calm down and avoid unnecessary worries. Very often, when detecting the tone of the uterus, a pregnant woman is prescribed sedatives and advised to observe bed rest. Often, the tone of the uterus is treated in the hospital under the strict supervision of specialists, because there may be a risk of miscarriage.

Treatment of increased uterine tone

If the cause of uterine tone is any pathology, then it is necessary to start with its treatment. If the reason is insufficient synthesis of the hormone progesterone, then pregnant women are prescribed drugs Utrozhestan or Dufaston. Often, with uterine muscle tone, antispasmodic drugs are prescribed, such as Papaverine, No-Shpa, bromine infusion, valerian, vitamins E and C. Before you start taking any of these drugs, you should consult a doctor to avoid negative consequences.

A very good tool to cope with increased muscle tone is Magne B6. This drug allows you to restore the lack of vitamin B6 in the body. Magne B6 contains a large amount of magnesium, which reduces muscle tension. Vitamin B6, which is part of this drug, has a calming effect on the nervous system, which is simply necessary for pregnant women suffering from uterine hypertonicity.

To avoid spontaneous abortion in the early stages and premature birth in the late, increased uterine tone must be reduced. Most often, with the threat of termination of pregnancy, a pregnant woman is recommended to go to the hospital and undergo treatment. With an increased tone of the uterus, the supply of oxygen and nutrition to the fetus worsens, so treatment is necessary. To reduce uterine activity, special drugs called tocolytics are used. These are drugs belonging to different pharmacological groups, having a different mechanism of action, but one effect: they reduce increased uterine activity.

To remove the increased tone of the uterus helps:

Ginipral, partusisten, salbutamol, terbutaline. Currently, the most effective safe drug from this group is ginipral. In emergency cases, it is prescribed in the form of droppers, after which they switch to a tablet form.

Magnesium sulphate/magnesium sulphate, intravenous solution only, to reduce uterine tonus it is currently used only when other drugs are contraindicated for one reason or another

Drotaverine (no-shpa, spazmonet) 1-2 tablets. 3 times a day (120-240 mg of drotaverine). The appointment of the drug during pregnancy and lactation is not contraindicated. Prescribed with caution during pregnancy (I trimester) and lactation

Among other things, a pregnant woman who has an increased tone of the uterus is not recommended to have sex. This is due to the fact that the muscles of the uterus are strongly contracted during orgasm, which can cause a miscarriage.

To avoid problems associated with increased uterine tone, it is necessary to observe its prevention. To do this, a pregnant woman should avoid overwork, stress, nervous strain, and should also master some yoga techniques necessary for relaxation. Also, for the prevention of hypertension, you should go to an appointment with an endocrinologist, a gynecologist, and preferably a neuropathologist.

Muscle hypertonicity is a dangerous phenomenon, it can lead to serious consequences. Increased uterine tone in the early stages of pregnancy is the cause of fetal death, cessation of its further development and termination of pregnancy. In addition, it can lead to poor blood supply to the placenta and oxygen starvation.

In order to avoid problems, how to remove the tone of the uterus in the early stages of pregnancy, you must follow all the recommendations of gynecologists, take care of yourself and observe the prevention of muscle hypertonicity.

Starting from the first weeks of pregnancy, the entire body of a woman undergoes restructuring and preparation of optimal conditions for the development of a new life. And the mother is no exception. Natural stretching and its increase in size are often accompanied by specific sensations of varying severity. It is important to distinguish physiological changes and their manifestations from other, pathological conditions requiring medical control. We will talk about such a phenomenon as "the uterus is in good shape."

The tone of the uterus is involuntary contractions of its muscular layer (myometrium). Most often, this manifestation is a consequence of certain processes in the body, rather than an independent phenomenon. In the event of such spasms, it is important to control their duration and intensity. So, how is the tone of the uterus manifested and what are the methods for diagnosing this condition?

Signs of uterine tone

Depending on the degree of uterine tone, the symptoms may be more or less pronounced. Manifestations of hypertension that require a doctor's consultation are:

• Pain in the lower abdomen. The nature of sensations can be either pulling, similar to menstruation, or cramping (at a later date).
• Painful sensations in the sacrum, back, aching in them.
• Bloody discharge from the genital tract.
• Any discharge other than typical daily discharge.

In the case of such complaints, along with palpation, which the doctor will perform in the horizontal position of the pregnant woman, ultrasound monitoring is recommended. It can be performed both with the help of a vaginal probe and transabdominally. According to the results of the study, the doctor judges the localization of the tone - along the anterior or posterior wall of the myometrium, its intensity - 1 or 2 degree.

A woman can determine the presence of uterine tone on her own. To do this, she should lie on her back, relax, put her hand on her stomach. Gently probing it, the expectant mother should follow the sensations. If during the examination the abdomen is soft, this indicates that there are no obvious reasons for concern. A hard, dense stomach, “like a stone” is an alarm signal that requires special attention. In this case, it should be assumed that the tone of the uterus is increased. This condition can pose a serious threat to pregnancy, up to its termination.

Causes of uterine tone

An increase in the tone of the uterus is caused by causes that are not always directly related to it. Among the most common, we single out general factors that affect regardless of the gestational age, and those that are able to manifest themselves to the maximum only in a certain trimester.

General Factors

1. Overwork, stress.

These factors have a negative impact on the susceptible body of a pregnant woman, exposing it to additional stress.

1. Physical exercise.

Active sports during a "special position" can lead to unwanted muscle strain and, as a result, hypertonicity.

1. Inflammatory diseases of the reproductive system.

Previous interventions, chronic diseases of the uterus or its appendages create a risk of increased tone with an increase in the load on the organ (uterus).

1. Infectious and somatic diseases - acute respiratory infections, influenza, diseases of the heart, liver, kidneys or other organs, abnormalities in the work of the central nervous system.

Deviations in the functioning of body systems can cause a violation of the regulation of muscle contractions of the uterus.

1. Rhesus conflict.

A negative Rh factor of a pregnant woman can cause conflict with a positive Rh factor of a future dad. Then the mother's body perceives the fetus as a foreign body, which must be disposed of. The result is an increased contraction of the muscles of the uterus and hypertonicity.

1. Anatomy.

Individual structural features, the shape of the uterus (bicornuate or saddle-shaped) can serve as a predisposing factor to its excessive compression and spasms, and cause difficulties with bearing.

Trimester features

• The most frequent “provocateurs” of uterine tone in early pregnancy are hormonal disorders and severe toxicosis.

The lack of progesterone in the body - a hormone that is directly responsible for the normal tone in the uterus - is a serious bell, indifference to which can lead to a miscarriage.

Severe toxicosis is often accompanied by profuse and frequent vomiting. In this case, there is an intense compression of almost all abdominal muscles, including the muscles of the uterus.

• In the second and third trimesters, the causes of tone are physiological in nature.

Multiple pregnancy, large fetus, polyhydramnios cause excessive stretching of the uterus and increase tension in it.

Treatment of uterine tone

If the doctor diagnosed the tone of the uterus, the treatment of this unpleasant phenomenon will be aimed at relaxing its muscle layer, eliminating spasms. Specialized therapy is prescribed exclusively by a doctor, based on an analysis of the causes that caused this condition. Drug treatment will not have the desired effect without compliance with bed rest - the first and main requirement. The most widely used are the following "relaxing" drugs:

• No-shpa (injection or in the form of tablets), Papaverine and Magnesia.
• 3rd trimester - vitamin support (for example, Magne B-6). It is not recommended to completely eliminate contractions, because there is a gradual preparation of the body for labor.

In addition, medications are prescribed to eliminate the actual cause of the tone. If there is a shortage of progesterone, appropriate replacement therapy will make up for its deficiency. With a Rh conflict or an excess of male hormones, adequate treatment is also selected.

How to remove the tone of the uterus at home

Simple manipulations aimed at relieving the tone of the uterus and the pain caused by it can be performed by the pregnant woman herself, without leaving home.

Exercise "Cat"

Get on all fours, raise your head and arch your back. The deflection must be done on inspiration. Stay in this position for 3-5 seconds. Return to starting position. Repeat this several times and then rest for an hour. An important rule: perform the exercise smoothly, without sudden movements, while maintaining calm breathing.

Relaxation of facial muscles

Sit in a comfortable position and lower your head, trying to relax all the muscles of the face and neck as much as possible. Breathing is even, through the mouth. Try not to think about anything at this moment. The exercise lasts several minutes. This technique will not only relieve tension, but also teach you to feel and control your body.

aromatherapy

A warm shower with aromatic oils, a drop of oil in a medallion will calm you down, restore your mood and positive attitude. However, you should be careful both with the choice of oil (some, on the contrary, can increase tone), and with its amount.

Prevention of uterine tone

Any disease or pathological condition is much better to prevent than to eliminate. A few simple recommendations will help, if not to avoid tone, then significantly reduce the risk of its occurrence.

1. Daily walks in the fresh air - a portion of oxygen and excellent exercise in one bottle.
2. Regular gymnastics. Feasible physical exercises normalize muscle tone, give vigor and a positive attitude.
3. Proper nutrition. Try to exclude from the diet not only all "harmfulness", but also products that provoke increased gas formation. It is recommended to limit the consumption of a number of spices, such as garlic, parsley, celery. Salty and smoked foods lead to increased water intake, retain it in the body, which increases the risk of edema and polyhydramnios. This can cause tone.
4. Taking vitamins. The doctor will tell you the drugs you need.
5. If discomfort occurs, limit or completely refuse sexual activity for a while.
6. Avoid wearing tight clothing that will put pressure on your stomach and impair blood circulation.
7. The most important thing is more positive emotions. Smile, enjoy your wonderful state.

Careful attitude to your health, following the recommendations of the doctor will help you bear and give birth to a healthy baby. It is important to remember that the increased tone of the uterus during pregnancy is not a sentence, but a feature of its course, which requires closer attention.

The diagnosis of “uterus tone” is made for almost every second pregnant woman, both at the beginning of pregnancy and at its end. Everyone has heard about the consequences of such a state, and already from the first happy days of gestation, the future mother tries not to lose sight of the slightest deviation from the normal state. That is why many are so interested in what symptoms this unfortunate tone manifests itself.

To begin with, you still need to figure out what it is, and after that it will become obvious how it can manifest itself. So, even from the school desk, we must remember that the uterus is an organ that consists of muscle tissue. We also know that muscle fibers tend to contract. However, the pregnant body is by its very nature amazing. It is during the happy months of waiting for a new life that the brain “turns off” many functions and directs all its forces to pregnancy. Therefore, under normal circumstances, the muscles of the uterus are calm and relaxed so that the little man develops in favorable conditions. But after all, everything in our life is not always smooth and calm. Nervous stress, overstrain, overload, wrong lifestyle - all this confuses the "pregnant brain" and it can send the wrong instructions to the uterus. The fibers begin to shrink, their tone increases, and pressure “grows” in the uterus itself. Such contractions can be very dangerous, as they are able to "push out" the fetus.

With any of these symptoms, you should contact your gynecologist immediately. Only he is able to either confirm or refute the hypertonicity of the uterus. In a clinical setting, this is quite easy to do. When examining a pregnant woman with the help, the doctor clearly sees whether the muscle fibers are tense or not. By palpation (palpation), the doctor also feels tension in the abdomen and shortening of the cervix. There is a special drug that measures the force of uterine contraction during pregnancy. However, it is rarely used, since the symptoms of hypertonicity are noticeable.

The most dangerous tone of the uterus in the first trimester of pregnancy (up to 12 weeks). Its untimely diagnosis or ignoring it can cause an arbitrary miscarriage. Any pain and incomprehensible sensations in the uterus should be a good reason to see a doctor. It is necessary to treat the tone of the uterus during this period.

Very often, hypertonicity is observed in the second trimester of pregnancy. However, during this period, the uterus begins to "train", and the woman feels tension and relaxation, but without pain and rarely. They maintain a normal state with a familiar medicine - Magne B6.

But in the last weeks of pregnancy, the tone of the uterus is becoming increasingly difficult to determine. Now it is difficult to distinguish it from preparatory contractions, and the baby himself shoves his mother, because he becomes cramped in his tummy. If, nevertheless, uterine contractions are painful, and even more so regular, then urgently consult a doctor. Hypertonicity in the last trimester provokes.

Listen to your "pregnant body", but do not panic for any reason. Otherwise, you will only make things worse for yourself and your baby. Although the diagnosis of “uterine tone” is common, it almost always has a favorable outcome if the expectant mother is attentive to herself and remembers that pregnancy is a pleasure!

Take care of yourself!

Especially for- Tanya Kivezhdiy