Hypertonicity of the myometrium along the anterior wall of the uterus during pregnancy 12 weeks

The uterus is a muscle, it has nerve fibers and contracts before birth to push out the fetus. Often, when examining a pregnant woman, a gynecologist makes a diagnosis of uterine hypertonicity and speaks of the threat of miscarriage and the need for hospital treatment.

This conclusion is reached when signs of an impending spontaneous abortion are identified. They appear in the form of waves of contractions, but the cause of this condition may not be pathology, but even the woman’s excitement during the first diagnosis.

Why does the myometrium thicken?

In some pregnant women, diagnostic tests reveal thickening of the myometrium. In gynecology, the muscular layer of the uterus is called the myometrium. Its thickness varies depending on what stage of the menstrual cycle a woman is at or during pregnancy. To prevent the development of pathological processes, you need to know what caused the thickening of the myometrium.

Quite often, local thickening occurs on the anterior wall of the uterus. This is due to hormonal disorders or gynecological, obstetric and even endocrinological diseases of the woman.

Changes can be detected during menstruation, which gradually disappears. The level of progesterone and estrogen changes, which contributes to normal fluctuations in myometrial thickness. Thus, phase 2 of the menstrual cycle can affect local thickening of the myometrium up to one and a half centimeters, and at the end of the menstrual cycle the thickness can be only a couple of millimeters.

The myometrium may also thicken due to the duration of pregnancy. This is due to the fact that the fetus is enlarged and hormonal and physiological changes occur. Using ultrasound, you can detect not only normal thickening, but also identify pathologies such as:

uterine fibroids;
threat of miscarriage;
adenomyosis;
endometriosis.

Diagnostics

The primary conclusion about the possible development of uterine hypertonicity during pregnancy is made by a medical specialist based on clinical examination data. They include interviewing the woman, gynecological examination, palpation (palpation of tissue) of the uterus through the abdominal wall.

In doubtful cases, as well as to identify a limited increase in uterine tone, an instrumental examination is prescribed, which includes ultrasound diagnostics, as well as a functional research technique - tonusometry.

Depending on the results of an additional objective study, the woman’s gestational age, as well as the individual characteristics of the body, the doctor determines further treatment and diagnostic tactics.

Why is there a threat of miscarriage?

After an ultrasound examination performed in the first trimester of pregnancy, the specialist records local thickening of the myometrium along the anterior wall of the uterus. The thickening indicates pathological disorders after 5 weeks; before this period, the thickening indicates implantation of the fertilized egg, which is not a pathological process.

The threat of miscarriage may arise due to the following reasons:

if the embryo has a drop-shaped or scaphoid shape;
if the uterus is in a state of hypertonicity;
if the external contours of the uterus are greatly changed.

How is tone recognized?

In gynecology, uterine hypertonicity is defined as tension in the muscle layer during pregnancy. Normally, it should not be present, especially in the early stages, and in the later stages such contractions are training contractions during which nothing needs to be done (for example, at 38 weeks). In this case, the condition means that labor will begin in 1-2 weeks.

It should be noted that there is no single criterion that allows one to accurately determine the tone, therefore, when the process is not expressed, doctors often make a different diagnosis. It’s another matter when the doctor feels contractions with his hands during an examination. In this case, treatment of the pathology and its causes is necessary.

Adenomyosis and endometriosis

Quite often, adenomyosis develops during inflammatory processes in the uterus. With this disease, the endometrium is able to grow into the layers of the uterine walls. This disease can be detected in the presence of such signs as: spotting type discharge; menstrual irregularities; presence of pain; During the study, both local thickening of the anterior and posterior walls of the uterus can be detected. Adenomyosis is a form of endometriosis in which there is significant impairment of the muscular layer of the uterus.

The endometrium is the lining layer of the uterus. During inflammatory processes, endometrial cells are damaged and endometriosis develops. Previously, medical experts believed that this disease was a sign of certain gynecological diseases. Modern medicine has identified it as an independent nosological unit. One of the forms of this disease is the internal form of endometriosis, which indicates the location of inflammatory foci in the thickness of the endometrium. With endometriosis, local thickening of the myometrium along the posterior wall is often detected. This form of thickening can lead to the development of malignant neoplasms of the uterus. In this case, not only thickening is observed, but also a pronounced asymmetry of the uterus due to the development of a lesion in its wall.

Hypertonicity of the anterior wall of the uterus

Causes
Symptoms
Diagnostics
Removal methods
Dangers and complications

Uterine hypertonicity should be understood as excessive tension of the muscles of the uterus, not associated with the normal onset of labor. Very often, this phenomenon appears in the very early stages of pregnancy, so it can lead to miscarriage.

Uterine hypertonicity can be local (limited) in nature and occur along the anterior or posterior wall of the uterus. The localization of muscle tension is of great importance, but it is also necessary to take into account the placenta attachment site, since the likelihood of miscarriage or other negative consequences largely depends on this factor.

Symptoms of hypertonicity of the anterior wall of the uterus

In contrast to excess tension in the muscle layer along the posterior wall, symptoms of hypertonicity of the anterior wall of the uterus are usually more pronounced. The presence of this violation can be suspected if the following signs appear:

feeling of tension in the uterine area;
pain in the lower abdomen, similar to what a woman usually feels on the eve or in the first days of menstruation;
increased pain with physical activity;
discomfort and tension in the perineal area;
increased urination;
more frequent bowel movements.

dangerous If the above symptoms are accompanied by a change in the nature of vaginal discharge, especially the appearance of traces of blood in it, you should immediately contact a medical facility.

Diagnostics

The main diagnostic method for signs of hypertonicity of the anterior wall of the uterus during pregnancy is ultrasound examination.

Despite the fact that this procedure is usually prescribed to expectant mothers only 3 times during the entire period of bearing a baby, if alarming symptoms occur, they should undergo additional examination - this will not harm the baby, unlike the situation when the time to start treatment is missed.

During an ultrasound procedure, hypertonicity of the uterus is easy to identify: in the presence of this disorder, the front wall bends slightly inward. In addition, this side is usually thinner than the back, so it will not be difficult for a specialist to make a diagnosis.

The doctor may also refer the patient to undergo additional examinations: for example, a blood test to check hormone levels to determine the cause of the increase in uterine tone.

important The doctor pays special attention to the condition of the cervix, since shortening its length or opening the pharynx may be a symptom of impending premature birth or miscarriage.

Methods for relieving hypertonicity of the anterior wall of the uterus

If signs of increased uterine tone appear along the anterior wall, the woman must take the following measures:

stop any physical activity and try to take a horizontal position;
try to relax the facial muscles, the tension of which directly affects the tone of the muscular layer of the uterus;
take a body position in which the uterus will be in a free position: for example, standing on all fours. In this position, you should carefully arch your back, while slowly raising your head. After a few seconds, you can return to the starting position and repeat the exercise several times;
if signs of hypertonicity do not disappear, you should urgently contact a medical facility .

After passing the examination, the doctor may recommend the following methods for eliminating hypertonicity along the anterior wall of the uterus:

taking low-dose hormonal medications (allowed only after passing the appropriate tests and establishing a deficiency or excess of individual hormones);
prescription of antispasmodics;
taking medications that have a sedative effect - in the presence of excessive emotional excitability and anxiety of a woman;
prescribing medications containing magnesium.

Dangers and complications

In the absence of adequate and timely treatment, when signs of increased hypertonicity of the anterior wall of the uterus appear, the following negative consequences for the woman and fetus are possible:

additionally However, not in all cases, increased hypertonicity of the anterior wall of the uterus can lead to such disastrous consequences.

You need to worry when the diagnosis is confirmed by an experienced specialist and the corresponding signs are present: pain, unusual discharge from the genital tract, etc. In such a situation, the life of the unborn baby is at stake, so you should count on the help of specialists.

Source: https://baby-calendar.ru/mama/matka-pri-beremennosti/tonus-matki/perednej-stenki/

What are the consequences of uterine hypertonicity?

Hypertonicity of the uterus during pregnancy requires maximum attention. This is due to the fact that the fetus needs a normal supply of nutrients and oxygen. This significantly affects the further outcome of pregnancy. Most often, hypertonicity is accompanied by vascular compression, and the importance of these vessels lies in the fact that they contribute to the nutritional and oxygen supply of the fetus. This factor adversely affects the fetus. However, premature birth or miscarriage are not always provoked due to myometrial hypertonicity.

What are the reasons for the development of myometrial hypertonicity? Often these factors include the following:

When hormonal levels decrease. This condition is especially dangerous for pregnancy up to 10 weeks. This is due to the fact that the placenta is just being formed during this period.
When the level of androgens increases, the myometrium succumbs to hypertonicity.
Diseases suffered during pregnancy. Tumors, inflammations, abortions and infectious diseases are also the cause of increased uterine tone.
Multiple external factors also affect myometrial tone. These may include malnutrition, lack of sleep, alcoholism, smoking or constant anxiety.
Another factor in myometrial hypertonicity is underdevelopment of the uterus or its small size.

How to properly prevent myometrial hypertonicity is a question of interest to many pregnant women.

To prevent such a condition, even when planning a pregnancy, a woman must be fully examined for all infectious diseases and eliminate existing ones.

Infections during pregnancy are fraught not only with hypertension, but also with much more dangerous effects (during childbirth, a child can acquire many rather unpleasant diseases that cause blindness or even death). In addition to hypertonicity, there is also a condition of uterine hypotonicity, which during pregnancy may not cause any inconvenience, but problems may arise during childbirth.

Features of the 1st trimester

In the early stages, symptoms may appear in the 1st trimester (13 weeks), signaling a lack of progesterone. Increased tone is noted, and to prevent uterine hypertonicity from developing, maintenance treatment is prescribed, which is not always carried out inpatiently for up to 13 weeks. If a woman’s condition requires only observation, treatment is outpatient.

It should be borne in mind that the pathology is dangerous in the 1st trimester, and up to 13 weeks you should consult a doctor even if symptoms are mild. It is important to understand that uterine hypertonicity is not a separate disease, but a sign of pathology, which most likely and often leads to miscarriage.

At up to 13 weeks, a woman can feel the tension of the uterus herself. To do this, just lie on your back and carefully feel the lower abdomen - it will be hard.

Possible reasons for changes in myometrial thickness

At its core, thickening can be both a gynecological and obstetric indicator. And even endocrinology sometimes plays a role in the development and symptoms of local myometrial thickening.

Thus, thickening is observed during menstruation, and in the subsequent stage of endometrial proliferation it disappears. Such fluctuations are normal, because they are directly related to changes in the level of progesterone and estrogen in the female body. For example, upon the onset of the second phase of the menstrual cycle, the thickness of the myometrium can be 10-14 mm, whereas after the end of menstruation it is already 1-2 mm.

It is clear that during pregnancy, myometrial thickening increases in proportion to the duration of pregnancy itself. This is due to a general increase in the volume of the organ where the unborn baby develops, with physiological changes in accordance with hormonal levels and fetal growth.

Thickening of the uterine wall is an ultrasound indicator and, in addition to physiologically normal thickening during pregnancy, can be detected in the following pathological conditions:

Threat of miscarriage
Uterine fibroids at any stage
Adenomyosis
Endometritis of the uterus.

Let's take a closer look at these pathologies.

Threat of miscarriage

According to objective data, ultrasound in the early stages of pregnancy (in the first trimester) reveals local thickening along the anterior wall of the uterus. If this sign is detected before five weeks of pregnancy, then this is not a pathology and only indicates that implantation of the fertilized egg has occurred and its immersion into the wall.

If, in addition to thickening, hypertonicity of the uterus and a scaphoid or drop-shaped shape of the embryo are detected (which in itself is a pathology), as well as a visible change in the outer contour of the uterus - its raised section of the uterine wall above a flat surface, then they speak of a threat of miscarriage.

The same can be said if the same local thickening of the myometrium is found along the posterior wall of the uterine vault. However, ultrasound data must also be confirmed by an objective study of the woman’s condition and reliable clinical indicators - nagging pain in the lower abdomen and lower back, spotting, as well as additional detection of an area of subarachnoid hematoma during the study. Such a hematoma is formed due to detachment of the ovum.

User comments

The main causes of uterine hypertonicity

In the early stages of pregnancy, hormonal disorders of the reproductive system can lead to increased uterine tone. The most common cause of increased uterine tone is conditions associated with decreased production of the pregnancy hormone, progesterone. Progesterone deficiency prevents the fertilized egg from implanting into the lining of the uterus (endometrium). With a lack of progesterone, the uterus becomes toned, which can result in spontaneous miscarriage. Another reason may be structural changes in the uterine wall: Uterine fibroids are a benign tumor of the uterus. Endometriosis is the growth of the inner lining of the uterus - the endometrium - in unusual places. Inflammatory diseases of the uterus and uterine appendages, suffered before pregnancy and detected during pregnancy. This is due to the fact that any inflammatory process of the uterus makes its wall defective and incapable of stretching. Inflammation of the ovaries leads to hormonal deficiency. Also, an increase in uterine tone can occur when the muscles of the uterus are overstretched, caused by multiple pregnancies, polyhydramnios, or a large fetus. The cause of increased uterine tone may also be a violation of the central mechanisms of maintaining uterine tone, that is, malfunctions of the central nervous system and regulation of muscle tone. This happens with heavy physical work, a chronic stressful situation at work or at home, any acute infectious disease (flu, acute respiratory infections, tonsillitis, pyelonephritis, especially with increased body temperature, etc.).

Hypertonicity of the uterus is characterized by nagging pain (in 60% of cases) in the lower abdomen, in the lower back, and in the sacral area. In later stages of pregnancy, cramping pain may occur, and the woman may complain that the uterus is “petrified.”

Pain associated with increased tone of the myometrium (uterine muscles) goes away with oral or intramuscular injection of antispasmodics (NO-SPA relieves or reduces pain).

Regardless of the causes of hypertension, bed rest, sedatives, antispasmodics, and drugs that reduce the activity of the uterus are recommended for all pregnant women. Hospitalization is carried out in all cases when an increase in the tone of the uterus is accompanied by nagging or cramping pain in the lower abdomen or lower back. Bed rest is provided either in a hospital setting or (in rare cases) at home. Treatment with sedatives is mandatory, since the fear of losing a child only aggravates the existing hypertension. Commonly used are motherwort tincture and valerian tincture. If motherwort and valerian are ineffective, the doctor prescribes SIBAZOL, NOZEPAM, TRIOXAZINE, etc. In cases of increased tone in the first trimester of pregnancy, if the cause of the threat of increased tone is progesterone deficiency, progesterone drugs are prescribed - DUFASTON, UTROZHESTAN. To eliminate increased tone, antispasmodics are usually used: NO-SPA intramuscularly or orally, PAPAVERINE in suppositories, etc. These remedies can be used when increased tone appears and independently. In this case, it is recommended to take 2 tablets of NO-SHPA and/or use a suppository with PAPAVERINE.

Source of the article: https://www.baby.ru/wiki/lecenie-gipertonusa-miometria-pri-beremennosti/

Uterine fibroids

The video describes uterine fibroids:

Every third woman over 30 years old has myomatous nodules in the uterus. Having different sizes and shapes, they are located in the walls, bottom and dome of the organ. In the body, these nodules are located along the anterior and posterior walls of the uterus. At the onset of atypical growth of myomatous nodes, ultrasound clearly reveals local thickening of the uterine wall.

When fibroids are examined, a lumpy and tense surface is determined, and local compactions are sometimes found. By palpation it is also possible to detect that the thickened posterior wall of the uterus (or anterior) creates an asymmetry of the organ.

Adenomyosis of the uterus

Adenomyosis is a common case of inflammation of the uterus, in which the endometrium grows into other layers of the uterine wall. Along with such symptoms of adenomatosis as spotting, irregular menstruation, pain, examination also reveals thickening of the uterine walls, including the posterior wall of the uterus. And, although the term “adenomatosis” is registered in the international histological classification, it can still be regarded as one of the forms of endomeriosis, when serious changes appear in the muscle layer of the uterus.

Endometriosis

There is no clear answer to the question of what endometriosis is. The endometrium is the inner layer, lining the wall of the organ. Inflammation and morphological changes in the structure of endometrial tissue are called endometriosis. Until recently, endometriosis was considered a manifestation of various diseases of the genital organs in women, and only very recently it was identified as an independent nosological entity. Despite its wide distribution among women, there are still many blind spots in this disease for gynecologists.

This disease is discussed in more detail in the video:

Reasons for increased uterine tone

Hypertonicity during pregnancy can be caused by various factors, the most common of which are:

Changes in the hormonal background of a woman’s body with a decrease in the level of the hormone progesterone.
The presence of chronic inflammatory processes affecting the genital organs. They usually worsen during pregnancy due to physiological immunosuppression (immune suppression).
Infectious pathology of the urogenital system, including diseases characterized by sexual transmission.
Experienced severe stress and negative emotions.
Physical or mental fatigue of a woman.
Diabetes.
Oncological processes of various localization in the body, characterized by the formation of malignant or benign neoplasms. Some tumors can be hormonally active and affect the level of progesterone in a woman's blood.
Smoking or occasional drinking during pregnancy.
Complicated course of pregnancy, provoked by changes in the fetus or placenta (polyhydramnios, large fetus, multiple births).
Exacerbation of somatic or infectious diseases.

Quite often, changes in the functional activity of the myometrium can provoke acute respiratory infections. Therefore, if signs of a cold appear, it is advisable to see a gynecologist.

Causes

During a routine examination in a gynecologist's office, a diagnosis such as frequent uterine contractions is made very often. The course of this symptom can be harmless or, conversely, dangerous for the health of the expectant mother and child. The reasons for tone can be very different. During pregnancy, the female body is rebuilt and works differently, not as it always has. 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 surgeries;
bad habits;
poor sleep, stressful situations;
large fruit;
multiple ovarian cysts;
polyhydramnios.
infantility of the uterus (small size, underdevelopment).

A more precise cause can be determined after an ultrasound examination. The doctor writes a referral for blood tests to determine hormone levels.

Hypertonicity of the anterior wall of the uterus during pregnancy

Sveta

I'm going to the hospital

I’m writing more for myself, so that my memory doesn’t blur. Second pregnancy, 16 weeks. I noticed tone for a couple of weeks (I didn’t notice it with the first one), I signed up for a paid appointment. Spotting, colic, strange discharge: yellow, green, with a smell, etc. - no. Demon….. Read more →

Anaid

about hypertonicity

Let's talk about “hypertension”. In fact, there is no concept of “hypertonicity” in obstetrics (except for rare cases of uterine hypertonicity during childbirth). This term is a creation of post-Soviet ultrasound specialists, often based on an erroneous understanding of what they see when performing an ultrasound of the pelvic organs.

Firstly, the uterus is a muscular organ, so the muscles must be in a certain tone, and not completely relaxed or, on the contrary, compressed or contracted. Secondly, increased tone, or local contraction of the muscles of the uterus is not hypertonicity. In the early stages of pregnancy, talk about uterine hypertonicity or...

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shoe

7 weeks exactly. Jumped up((((

There were no signs of trouble... I worked in the morning, then carried IKEA shopping in the heat, then took a bath. The result was bleeding... ...Tears, drool, snot...Saturday - everyone works until 18:00. Time 18:00. I rushed to the only miraculously open center to see a gynecologist.

The gynecologist twirled her finger at my temple about everything, about stopping duphaston, about the bath I took, about the weight. I’m writing, but I’m ashamed to write all this, where was my brain????????!!!!!!! Well, about I didn’t know that I shouldn’t take baths... first and foremost...

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6th week of pregnancy, I had an ultrasound, they said we were developing well, but they diagnosed myometrial hypertonicity. There was a local thickening of the myometrium along the anterior wall of the uterus up to 32 mm.

I called the doctor and told him to just put popavirin suppositories. I ask you to prescribe Duphaston, but he won’t prescribe it. I don’t want to risk it, I think I might start taking it myself.

How effective is this duphaston? And what do they usually do in the face of such a threat? Continue reading →

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Pimka

About “hypertonicity”...

All the same excerpts from Elena Petrovna’s articles. Another post about a painful topic. All for those who want to look at modern obstetrics and seem to look at such familiar stereotypes in a new way.

“An obstetrician-gynecologist is a person who looks for problems where others look for happiness,” says someone’s joke.

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It hurts quite a lot and pulls at the bottom. A short period of time.

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1 screening.

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Article about hypertonicity. Maybe someone will find it useful.

The author of the article is Elena Petrovna Berezovskaya - a doctor-researcher, obstetrician-gynecologist, founder and director of the International Academy of Healthy Life, author of books, publicist.

About “hypertonicity” “An obstetrician-gynecologist is a person who looks for problems where others look for happiness,” says someone’s joke.

What do some doctors base their diagnosis of “threats” on when they frighten women about possible pregnancy loss? Most often, they use three criteria, separately or together: “hypertonicity” on ultrasound, pain in the lower abdomen, and spotting. Let's talk about “hypertonicity”. In fact, the concepts… Read more →

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They also said that I have hypertonicity along the anterior wall and that my cervix is a little short. The ultrasound specialist said that there is a very high risk of miscarriage. I have been in the hospital for 5 days. I take a hemostatic agent and papaverine, I take folic acid, vitamin E, Magnefar B6 and duphaston. Discharges…

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I’ll say right away that from the first days of the delay I had nagging pain and I myself decided to start drinking Duphaston as prescribed to me earlier. At 6 weeks, I went to see my gynecologist, who was planning my pregnancy.

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MamOlya

Let's talk about “hypertonicity”.

“An obstetrician-gynecologist is a person who looks for problems where others look for happiness,” says someone’s joke.

In fact, there is no concept of “hypertonicity” in obstetrics (except for rare cases of uterine hypertonicity during childbirth). This term is a creation of post-Soviet ultrasound specialists, often based on the erroneous understanding that they... Read more →

Olga

Decipher it please

Preferential localization of the placenta: the anterior wall of the uterus reaches the area of the internal os, but does not overlap it. The structure is diffusely heterogeneous, with hypoechoic areas; no zones of detachment were identified.

Myometrium without structural features. Myometrial hypertonicity is not detected. The cervix is 41mm, the internal os is not dilated. First pregnancy. Very worried. Pregnancy 13 weeks according to ultrasound. On ultrasound, everything is ok with the baby, but the placenta......

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oh, I'm scared...

oh, girls, yesterday I was more or less calm... And today something is bothering me... Yesterday I went for an ultrasound, I didn’t take anyone with me, neither my mother nor my sister. I don't think there's any point in all this. I had an ultrasound almost in the evening with Larisa Sergeevna.

Yesterday, 21 dpp was Conclusion: The body of the uterus is enlarged to 3-4 weeks of pregnancy, the endometrium is decidually dilated to 17 mm. One fertilized egg of a round shape is visualized in the uterine cavity, corresponding to the 3rd weeks of pregnancy. External diameter = 15 mm, internal = 10 mm.

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Ultrasound of the second trimester, 18-19 weeks, 07/20/2015

Source: https://www.BabyBlog.ru/theme/gipertonus-perednei-stenki-matki-pri-beremennosti

In 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 increased uterine tone in the second trimester is:

impaired fat metabolism;
constant stress;
excessive physical activity;
inflammatory diseases of the reproductive system;
magnesium deficiency;
large fetal size;
multiple pregnancy.

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

There are reasons that cause increased tone that are not at all dangerous, for example, severe 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 salty foods from your diet.

What threatens myometrial hypertonicity at different stages of pregnancy?

In the first trimester, increased contractile activity of the uterus leads to miscarriages, since at this stage the fertilized egg is weakly attached to the uterus.

In the second trimester, there is a risk of developing fetoplacental insufficiency, characterized by premature aging of the placenta. With this pathology, the fetus does not receive enough oxygen and other nutrients, which negatively affects its development and the functioning of the cardiovascular and other systems. There is a high risk at this stage:

intrauterine fetal death due to severe hypoxia;
retardation in physical development;
premature birth, which often ends in the death of the baby if he was born before 22 weeks.

In the third trimester, pregnant women face the same dangers as in the second. Prolonged hypoxia can lead to irreversible changes in the brain, cardiovascular and central nervous systems. These children are often diagnosed with:

retardation in physical and psychological development;
speech delay;
epilepsy;
pathologies associated with the functioning of the immune system.

The severity of complications depends on the duration of the pathological condition, localization, early diagnosis and other factors. Tone can bother a woman throughout pregnancy or occur from time to time under the influence of unfavorable factors. In both cases, the pregnant woman needs an examination to exclude serious pathologies.

Treatment of myometrium

If during the examination it turns out that the tone of the uterine myometrium does not pose a direct threat to the life and health of the woman and fetus, treatment is carried out at home. In critical situations, the expectant mother is sent to hospitalization. For outpatient treatment the following are prescribed:

"Papaverine";
"No-Shpa";
"Magne B6";
sedatives;
products containing magnesium: “Partusisten”, “Bricanil” and “Ginipral”.

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

"Magne B6" take 1-2 tablets daily, during meals, with plenty of water. The drug should be taken under the supervision of a doctor. The medicine reduces the level of iron in the blood, which leads to anemia. Side effects are expressed in the form of nausea, constipation, flatulence, vomiting.

Principles of treatment

Treatment of uterine hypertonicity during pregnancy in a woman is necessarily complex. It is aimed at normalizing the tone of the smooth muscle elements of the myometrium, as well as preventing the development of complications. Several therapeutic areas are used for this:

Etiotropic therapy.
Pathogenetic treatment.
Symptomatic treatment.

The effectiveness of the therapy is assessed by a gynecologist. Treatment at home is possible only if the pathological process is mild, the risk of spontaneous abortion is minimal, and the woman follows medical prescriptions in a disciplined manner.

General and dietary recommendations

Regardless of the reason for the increased tone of the uterine walls during pregnancy, treatment measures necessarily include general recommendations, which include:

Rationalization of the work and rest regime.
Sufficient activity of a pregnant woman with the exception of excessive physical activity.
A diet with sufficient intake of proteins, carbohydrates, vegetable and animal fats with limited consumption of fatty and fried foods.
Quitting smoking and alcohol.
Adequate 8 hours of sleep. The optimal time for sleep is from 22.00 pm to 6.00 am.
Limiting the impact of stress factors on the body of a pregnant woman. This also applies to negative emotions - for a normal pregnancy, a woman must feel the support and care of loved ones.

It is advisable to follow the recommendations throughout pregnancy, and not just during therapeutic measures.

Etiotropic therapy

Etiotropic treatment involves the implementation of therapeutic measures aimed at eliminating the influence of the main causative factor that led to an increase in the tone of the walls of the uterus of a pregnant woman. Depending on the diagnosed cause, treatment may include:

hormonal drugs to normalize progesterone levels;
compensation for diabetes mellitus with insulin or glucose-lowering drugs;
treatment of infections.

Sometimes treatment aimed at eliminating the influence of the causative factor is not prescribed. This may be due to its possible negative effect on the body of the developing fetus, or in cases where the cause of hypertension has not been established.

Pathogenetic therapy

Pathogenetic treatment is primarily aimed at normalizing the functional activity of the uterine myometrium and reducing the tone of its walls. For this purpose, drugs from several clinical and pharmacological groups are used:

Sedatives - reduce the influence of the central nervous system on the autonomic nerve fibers of the uterus. The doctor chooses medications that do not have a negative effect on the body of the developing fetus. The drugs are especially effective for hypertension caused by stress, neurosis, and sleep disorders.
Antispasmodics are drugs that have a direct effect on smooth muscle cells. They lead to a decrease in their tone. The drugs are prescribed for significant hypertonicity of the uterus, with a high risk of spontaneous abortion.
Vitamin-mineral complexes containing magnesium ions and B vitamins - drugs affect nerve fibers, thereby helping to normalize the regulatory influence of the autonomic part of the nervous system on the myometrium.

To quickly reduce the tone of the uterus in a pregnant woman in a medical hospital, parenteral administration of a solution of magnesium sulfate is carried out, which has a direct effect on the smooth muscles of the organ, relaxing them.

Prevention of the development of uterine hypertonicity during pregnancy includes the implementation of general recommendations that are aimed at limiting the impact of factors unfavorable for the woman’s body and the developing fetus. For timely diagnosis and initiation of treatment for a pathological condition, it is important for a woman to undergo periodic preventive scheduled examination by a gynecologist.

Treatment in the second and third semesters

In the second trimester, stronger and more effective drugs 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 sufficiently mature, but pregnancy pathologies such as excessive placental abruption occur. Here an emergency decision is made to induce labor or a caesarean section, so as not to lose the child and save the life of the mother.

You can ease the pain by kneeling on a chair and slowly arching your back on all fours. The head is raised up. Next, you need to carefully bend over like a cat, as far as your stomach will allow, with your chin pulled towards your chest. After this exercise, you need to sit down in a comfortable position, stretch your legs and relax.

Hospital treatment and diagnosis

Increased tone of the uterus is easily determined during a routine examination by a gynecologist; the doctor feels the fossilization of the uterus. The woman lies on her back during palpation (examination), bending her legs at the hips and knees to relieve tension in the abdomen.

But the most accurate and widespread method is ultrasound examination (ultrasound). The scan will determine the degree of development of the pathology. There are special drugs, myometers or tonometers. Such equipment is rarely used in more complex cases, because the pathology is easy to detect using other methods.

The decision to hospitalize is made 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 expectant mother and child and takes measures for any changes in the behavior of the uterus.

In the hospital, Magnesia is prescribed for intramuscular administration. Treat orally:

If there are problems with the kidneys, medications are not prescribed or are used as carefully as possible.

Consequences of uterine hypertonicity

In 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 malnutrition (stunted growth) of the fetus.

Myometrial hypertonicity can also lead to the following consequences:

long labor;
indication for caesarean section;
postpartum bleeding.

The uterus cannot contract on its own, so in the maternity hospital the doctor monitors its tone. If a woman is exhausted and cannot give birth on her own, a decision is made to have a caesarean section 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 health 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 carry a healthy baby.

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

What is the danger of myometrial hypertonicity?

In the early stages. Hypertonicity in the first trimester is usually caused by low progesterone levels. Because of this, the blastocyst, having descended into the uterine cavity, cannot attach to the endometrium, because progesterone prepares for implantation. The fertilized egg is expelled from the body in the first week of gestation, when many women do not even suspect that conception has taken place. In the first months, uterine tension causes miscarriages and chronic miscarriage.
In the second trimester. In the middle of the term, the formation of the placenta ends. Increased tone causes it to peel off, the fetus receives less nutrients, which affects its development, it lags behind in weight and size, and organ defects develop. Often the consequence of hypertension in the middle of the term is a frozen pregnancy.
At the end of the term. In the third trimester, hypertension can cause premature birth. The labor process is usually protracted, and the woman may be sent for a caesarean section. The condition is accompanied by prolonged postpartum bleeding.

Preventive actions

To avoid many problems associated with bearing a child, pregnancy should be planned. It is important to prepare for it in a timely manner, undergo examination, and undergo a course of treatment for chronic diseases.

Every woman must register with an antenatal clinic before 12 weeks of pregnancy and regularly visit an obstetrician-gynecologist; it would be a good idea to visit a private clinic, where the examination will be carried out by a paid gynecologist.

It is important to ensure yourself adequate sleep and quality rest, switch from hard work to easier work, and eliminate emotional stress and physical activity.

The main condition for preventing the appearance of uterine hypertonicity is careful attention to your health and a routine examination by a gynecologist. This condition is regarded as a threat of miscarriage, so it is very important to seek medical help in a timely manner.

Preventive recommendations

In most cases, myometrial hypertonicity can be prevented. To do this, married couples are advised to prepare for pregnancy in advance, namely:

quit smoking, stop drinking alcohol and drugs;
stop taking medications prohibited during pregnancy;
take tests for sex hormones and infections;
do an ultrasound of the pelvic organs;
take care of proper nutrition so that there is no nutritional deficiency in the body.

In case of unplanned conception, you need to register as quickly as possible and undergo an initial examination.

During pregnancy, women are advised to:

get plenty of rest and good sleep;
spend a lot of time outdoors;
do light exercises for pregnant women;
avoid stressful situations;
visit a gynecologist regularly;
do not refuse a scheduled examination;
limit communication with infectious patients;
If you suspect hypertension, go to the doctor immediately.

At the antenatal clinic, pregnant women with complaints of spotting and pain in the lower abdomen are admitted without waiting in line. If a woman feels unwell and cannot walk on her own, it is better to call an ambulance.

With timely detection of myometrial hypertonicity, the prognosis is usually favorable. Ignoring the problem and lack of treatment often leads to the death of the fetus or the birth of a child with pathologies.

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