Myometrium hypertonicity during pregnancy: causes, treatment, consequences

2024 Author: Priscilla Miln | [email protected]. Last modified: 2024-01-01 17:06

Uterus contraction is a normal condition, just like any other muscle. With the contraction of muscle fibers, the uterus is in good shape, that is, in tension, the pressure on its internal cavity increases. During pregnancy, hypertonicity is observed in most women and does not harm he alth, but in some cases this condition is dangerous when carrying a child, requires special examination and treatment.

Myometrium hypertonicity during pregnancy requires increased attention, because it depends on the state of the uterus to provide the fetus with oxygen and useful nutrients. Hypertonicity of the myometrium along the anterior and posterior walls is the cause of the transferred vessels through which oxygen is supplied to the child.

Causes of occurrence

During a routine examination in the gynecologist's office, such a diagnosis as frequent uterine contractions is made very often. The course of this symptom can be harmless or, conversely, dangerous to the he alth of the expectant mother and child. The reasons for the tone can be very different. The female body during pregnancy is rebuilt and works in a different way, not like always. The behavior of the uterus is influenced by both external and internal factors:

• diseases of the uterus;
• presence of chronic diseases;
• abnormal shape of the uterus;
• hormonal deficiency;
• repeated abortions or uterine surgery;
• bad habits;
• bad sleep, stressful situations;
• large fruit;
• multiple ovarian cysts;
• polyhydramnios.
• infancy of the uterus (small size, underdevelopment).

A more accurate cause can be determined after an ultrasound examination. The doctor writes a referral for blood tests to determine the level of hormones.

Early pregnancy

Myometrial hypertonicity at the beginning of pregnancy indicates that the woman's body does not produce enough progesterone or there is an excess of male hormones.

The reason for the increased tone of the uterus in the second trimester is:

• disturbed fat metabolism;
• constant stress;
• excessive exercise;
• inflammatory diseases of the reproductive system;
• magnesium deficiency;
• large fruit size;
• multiple pregnancy.

Severe toxicosis, accompanied by profuse vomiting, leads to frequent contraction of many muscles, including the uterus. The most dangerous phenomenon that can accompany pregnancy is the Rh conflict, which causes rejection of the fetus, a clear symptom of this is the tone of the uterine myometrium.

There are reasons causingincreased tone, which are not at all dangerous, for example, strong gas formation in the intestines. Painful sensations are associated with gases that press on the walls of the uterus. In this case, you need to exclude celery, garlic and s alty foods from the diet.

Symptoms of increased tone

Any woman will be able to determine the hypertonicity of the uterus, especially in the early stages of pregnancy. This does not require a paid gynecologist:

• drawing pains similar to those that occur during menstruation;
• heaviness in the very bottom of the abdomen;
• back pain radiating to the sacrum;
• bleeding, but not always.

At a later date, in addition to all the above reasons, the firmness of the abdomen is added.

Myometrium treatment

If during the examination it turned out that the tone of the uterine myometrium does not pose a direct threat to the life and he alth of the woman and the fetus, treatment is carried out at home. In critical situations, the expectant mother is sent for hospitalization. Discharge for outpatient treatment:

• "Papaverine";
• "No-Shpa";
• "Magne B_6";
• sedatives;
• Means containing magnesium: Partusisten, Brikanil and Ginipral.

All medicines are prescribed by a doctor, during their use the condition is monitored, blood pressure, blood sugar and heart rate are checked. All these drugs are used to eliminate pain symptoms and alleviate the condition of the pregnant woman.

"MagneB_{6" take 1-2 tablets daily, with meals, drinking plenty of water. Take the drug under medical supervision. The drug reduces the level of iron in the blood, and this leads to anemia. Side effects expressed as nausea, constipation, flatulence, vomiting.}

In case of progesterone deficiency in the early stages of pregnancy, hormonal preparations are prescribed to preserve it - Dufostan or Utrozhestan. It is important to remember that only a doctor can prescribe and cancel treatment, since you need to stop taking hormonal drugs gradually.

Treatment in the second and third semesters

In the second trimester, stronger and more effective means are prescribed, for example, "Ginipral". If there is a risk of placental abruption, the medicine is not used. By the third trimester, the fetus is quite mature, but there is such a pathology of pregnancy as excessive detachment of the placenta. Here, an emergency decision is made to induce labor or a caesarean section in order not to lose the child and save the life of the mother.

You can relieve pain by kneeling on a chair and slowly arching your back on all fours. The head is raised up. Next, you need to gently arch, like a cat, as far as the stomach allows, the chin is pulled to the chest. After this exercise, you need to sit down in a comfortable position, stretch your legs and rest.

Inpatient treatment and diagnostics

Increased tone of the uterus is easily determined during a routine examination by a gynecologist, the doctor feels the fossil of the uterus. Woman lying on her backon palpation (examination), bending the legs at the hips and knees to relieve tension in the abdomen.

But the most accurate and common way is an ultrasound examination (ultrasound). Scanning will determine the degree of development of pathology. There are special preparations, myometers or tonusometers. Such equipment is rarely used in more complex cases, because the pathology is easily detected by other methods.

The decision to hospitalize is taken as a last resort, when the pregnancy is initially difficult or all attempts have been made to relax the muscle, but myometrial hypertonicity does not change. The woman is provided with absolute peace in the hospital, the doctor monitors the condition of the future woman in labor and the child and takes measures in case of any changes in the behavior of the uterus.

In the hospital, "Magnesia" is prescribed for intramuscular injection. Oral treatment:

• magnesium gluconate;
• magnesium citrate;
• magnesium orotate;
• magnesium lactate;

For kidney disorders, drugs are not prescribed or are used as carefully as possible.

How to help yourself with sudden pain?

Sudden hypertonicity of the myometrium: what to do? First of all, you need to take the most comfortable position and relax, breathe evenly and calmly. It is recommended to drink a sedative, such as motherwort. Take medicines for increased uterine tone, the pain should go away within 15-20 minutes. If this does not happen, you need to call an ambulance.

Consequences of uterine hypertonicity

Bin some cases, uterine hypertonicity is a real pathology of pregnancy, which can lead to premature birth or miscarriage. Compressed vessels often cause hypoxia (lack of oxygen) or hypotrophy (growth retardation) of the fetus.

Myometrial hypertonicity can also lead to the following consequences:

• prolonged labor;
• indication for caesarean section;
• postpartum hemorrhage.

The uterus cannot contract on its own, so the doctor monitors her tone in the hospital. If the woman is exhausted and unable to give birth herself, a caesarean section is decided to save the baby.

If it so happens that the myometrium is heterogeneous, it causes a lot of problems, so it is important to monitor your he alth and the behavior of the abdomen. If it often becomes hard and pain is felt, you should definitely seek help from a doctor. This will save you from many troubles and allow you to bear a he althy baby.

Complications:

• pathology can cause miscarriage;
• inhibit fetal development;
• premature placental abruption.

Heterogeneous myometrium

Obvious signs that a woman's myometrium is heterogeneous - a painful sensation in the lower abdomen, blood discharge. This condition appears due to the influence of the following factors:

• hormonal failure;
• abortions and other intrauterine curettage;
• having multiple pregnancies;
• injuriesthe inner lining of the uterus.

Prevention measures

To avoid many of the problems associated with bearing a child, pregnancy must be planned. It is important to prepare for it in time, undergo an examination, and conduct a course of treatment for chronic diseases.

Every woman should register with a antenatal clinic before 12 weeks of pregnancy and regularly visit an obstetrician-gynecologist, it would be useful to visit a private clinic where a paid gynecologist will conduct an examination.

It is important to ensure proper sleep and quality rest, switch from hard work to lighter work, eliminate emotional overstrain and physical activity.

The main condition for preventing the appearance of uterine hypertonicity is an attentive attitude to one's he alth and a scheduled examination by a gynecologist. This condition is regarded as a threat of termination of pregnancy, so it is very important to seek medical help in a timely manner.