Elevated uterine tone is the most common pathology in pregnancy. At different periods of pregnancy, increased tonus has various causes. So, in the early stages, hypertension is associated with a low production of progesterone in the yellow body, and in the late ones - rapid growth of the fetus, multiple pregnancy, deformities of the uterus (myoma). We will consider possible clinical manifestations of increased uterine tone, its causes and how to deal with it.
Increase in the tone of the uterus during pregnancy
The increase in the tone of the uterus during pregnancy is manifested in the form of periodic pain in the abdomen, lumbar region and sacrum, similar to menstrual. At the same time the uterus becomes dense for a while, after a while these symptoms disappear. Very often, clinical manifestations of increased tone arise with emotional and physical stress, during sexual intercourse.
The tone of the uterus during pregnancy has various degrees of manifestation:
- The tone of the uterus of the 1st degree is clinically manifested by short-term painful sensations in the lower abdomen, the uterine compaction, which does not cause significant discomfort and disappears at rest.
- The tone of the uterus of the 2nd degree is manifested by more pronounced pains in the abdomen, lower back and sacrum, the uterus becomes very dense. The pains are removed by taking antispasmodics ( No-shpy , Papaverina, Baralgina).
- 3 degree or strong tone of the uterus during pregnancy requires qualified treatment. In this case, with minor physical, mental stress, tactile irritation of the abdominal skin, there are severe pains in the abdomen and lower back, the uterus becomes stone. Such attacks are called hypertension.
Constant increase in the tone of the uterus before childbirth is considered to be training fights , which prepare the uterus for the forthcoming birth.
Diagnosis of late uterine tone
To diagnose an increased uterine tone during pregnancy, the following survey methods are used:
- a survey of a pregnant woman gives an idea of the nature of pain and their connection with physical and nervous stress;
- examination and palpation of a pregnant woman at a later date will make it possible to determine the strain of the muscles of the uterus during the examination. During the examination, the woman is on the couch, lying on her back with legs bent at the knees and hips. If the uterus is n tonus, then it is soft when palpated, it is easy to determine the position of the fetus through it. With increased tone, the uterus becomes denser, a sense of stone may appear;
- ultrasound examination will not only determine the increased tone of the uterus, but also determine the tone on the back and front wall of the uterus. Tone of the uterus along the front wall is characteristic for attaching the placenta to the front wall;
- Tonometry is performed with the help of a special apparatus, the sensor of which is mounted on the abdomen.
How to live with a constant tone of the uterus during pregnancy?
If a woman constantly senses an increase in the tone of the uterus, then you need to analyze your lifestyle. Reducing the tone will help avoid bad habits (if any), prevent mental and physical overstrain, rational day regimen, frequent outdoor walks. With the appearance of painful sensations, No-shpa is recommended, which does not harm the baby. In pregnant women prone to increase the tone of the uterus No-shpa should always be present in the cosmetic bag. Reduce the emotional tension and normalize sleep with preparations of valerian and motherwort. From sex with an increased tone of the uterus, you need to refrain, as any physical stress causes a contraction of the smooth muscles of the uterus.