Any woman dreams of bearing and giving birth to a healthy baby. However, not all of us have nine months of gestation without cloud. Many future mothers have pathologies that darken the joy of expectation of the child. These include hypertension of the uterus during pregnancy.
The uterus is a hollow organ of smooth muscles. It consists of three layers: perimetry - the outer layer, the middle muscle layer - the myometrium and the inner mucosa of the endometrium. In pregnancy, muscle fibers are in a state of relaxation, in a normal tone. However, sometimes they contract, the myometrium contracts, and pressure develops in the uterine cavity. This is what is called hypertonicity.
How to determine the hypertension of the uterus?
With hypertension of the uterus, a woman usually feels heaviness and pulling pains in the lower abdomen, which have a cramping character. In addition, with uterine hypertension in pregnancy, symptoms are the fossilization of the uterus (the abdomen becomes hard), painful sensations in the waist and in the pubic region. The gynecologist will suspect a hypertonic on shortening of a neck of a uterus at survey.
Hypertension of the uterus in pregnancy: causes
Recently, expectant mothers who face hypertension are becoming more and more. Hypertonus occurs for various reasons, but most often the root cause are hormonal disorders.
- Hypertension of the uterus at an early stage is associated with an inadequate production of the hormone progesterone, which is responsible for maintaining the normotonus of the uterus. The lack of a hormone is caused by underdevelopment of the uterus, hyperandrogenia (excess of male sex hormones), hyperprolactinaemia (elevated prolactin level).
- To hypertension in pregnant women can cause endometriosis - inflammation of the inner shell of the uterus.
- Inflammatory processes in the uterus and appendages, as well as the transmitted genitourinary infections, are also the cause of contraction of the uterine muscles.
- Frequent cause of hypertonia in expectant mothers is stress and anxiety, as well as physical activity.
What is dangerous for hypertension of the uterus?
In the first three months, progesterone not only supports pregnancy, but also reduces the contractile activity of the uterus. With a deficiency of this hormone, the fetoplacental system is not developing enough and the normotonus suffers. Therefore, hypertension of the uterus in the first trimester leads to a spontaneous miscarriage and a violation of intrauterine development. In the second and third trimesters, as a result of hypertonia, fetoplacental insufficiency develops, which causes the fetus to suffer from a lack of oxygen. Premature births, interruption of pregnancy are possible.
How to remove hypertension of the uterus?
As a rule, for all pregnant women with a diagnosis of "hypertension of the uterus" are mandatory bed rest, spasmolytic drugs, soothing drugs.
Sedatives are needed to reduce stress from fear in a pregnant woman to lose a child. Usually it is a tincture of motherwort, valerian, nosepam, sibazole.
Spasmolytic drugs help to relax the muscular fibers of the uterus - NO-SHPA, candles Papaverin. The same effect has homeopathic Viburkol suppositories.
Relieves muscular spasm of the uterus and soothes Magne-B6 - a combined preparation of magnesium and vitamin B6.
If hypertonia is caused by progesterone insufficiency, the future mother is prescribed drugs
With moderate hypertension of the uterus, treatment at home is possible. If the tone is increased, hospitalization is necessary. In a hospital under the supervision of doctors, an infusion of a 25% solution of magnesium sulfate or Ginipral, Partusisten will be administered.
Pregnant needs physical rest, avoidance of stress, transition to easy work. Future mothers are advised to abandon sex with hypertension of the uterus, as orgasm leads to a decrease in uterine muscles, which can provoke miscarriage or premature birth.