Increased tone of the uterus during pregnancy, what to do. Symptoms: how to determine that the uterus is toned

Often this symptom of a threatened miscarriage goes unnoticed by the expectant mother, which leads to more serious consequences.

Have you ever played sports? Did you lift weights? Clench your hand into a fist as hard as you can. Look at the muscles of your arm: they have enlarged, become clearly contoured, thickened and become toned. Just as skeletal muscles are activated, the muscles of the uterus (myometrium) also become toned. The only difference is that the processes of tension and relaxation of the muscles of the arms, legs, and back are subject to your desires, since their work is controlled by the central nervous system. With the uterus, things are more complicated; nothing depends on your will.

The uterus is toned: symptoms

What symptoms can tell us about uterine tone? This is primarily a nagging, monotonous, prolonged pain in the lower abdomen, without clear localization. “Somewhere below, like during menstruation,” patients often say. The pain may radiate to the lumbar region, sacrum, and perineum. In the second and third trimesters, placing her hands on her stomach, the expectant mother independently determines a dense uterus with clear contours. Bloody discharge from the genital tract may often appear. It is important to remember that any non-light discharge - beige, brown, pink, streaked with blood, scarlet, copious, spotting - is regarded as bloody. They are dangerous during pregnancy and require immediate medical attention.

Diagnosis: uterine hypertonicity

A woman's uterus is a hollow muscular organ located in the middle part of the pelvic cavity. Like any smooth muscle tissue, the myometrium has properties - excitability, tone, stretching, plasticity and elasticity. Normally, the uterus should be relaxed during pregnancy. It is in this case that favorable conditions are created for the attachment of the fertilized egg and the formation of the placenta. In the uterus, the growth and development of the fetus occurs, extrafetal structures are formed - the placenta, amniotic fluid, umbilical cord, membranes.

For a number of reasons, the myometrium may become toned - the muscle thickens and becomes dense. During an examination of a woman in a chair in the first trimester of pregnancy, the obstetrician-gynecologist very clearly identifies the increased tone with his hands. The thickening of the uterine wall is also seen during the examination by the doctor conducting ultrasound diagnostics. At the same time, in conclusion, he usually refers to the problem using the following terms: “myometrial tone is increased” or “myometrial hypertonicity.”

Consequences of hypertension

Every expectant mother should understand that, no matter how the tone is determined - at an appointment during an examination by an obstetrician-gynecologist, by herself or during an ultrasound examination - this is a threat of termination of pregnancy. The tone of the uterus requires close attention of both the woman and the doctor leading the pregnancy.

The tone of the myometrium in the first trimester leads to detachment of the fertilized egg, chorion (the so-called future placenta) and, as a result, a spontaneous miscarriage occurs. Often, termination of pregnancy does not occur, but due to the large area of ​​detachment, the pregnancy freezes and stops in its development due to impaired nutrition and oxygen delivery. In this case, the woman is often not bothered by bleeding, only periodic nagging pains in the lower abdomen appear. And with a screening ultrasound examination at 11-13 weeks, it turns out that the pregnancy is not developing, frozen at 6-7 weeks, a large retrochorial hematoma is visualized (an accumulation of blood when the fertilized egg separates from the chorion - the precursor of the placenta).

In the 2nd and 3rd trimester, myometrial tone rarely leads to placental abruption, only if it is abnormally located (low placentation) or if the placenta overlaps the area of ​​the internal os.

But there is another danger. The uterus compresses the amniotic sac with the baby and amniotic fluid, of which there is already a lot after 20 weeks (600–1500 ml at full term). The pressure on the lower segment, the internal pharynx, increases. The amniotic sac, under the influence of tone, begins to work like a wedge, the cervix opens and premature birth occurs. It happens that amniotic fluid drains while the cervix is ​​preserved. But the result is the same - termination of pregnancy.

Causes of hypertension

There are many reasons for the appearance of uterine tone during pregnancy. It is rarely possible to single out just one; more often they are combined: stress, lack of sleep, heavy physical labor, long hours of work, sports, air travel, long-distance travel, sexual activity before 12 weeks of pregnancy, colds. Bad habits play an important role - smoking, alcoholism, but there are other factors that lead to increased uterine tone.

Infections. First of all, these are sexually transmitted infections: chlamydia, mycoplasma, ureaplasma, viruses, etc. They cause inflammatory processes in the pelvic organs, including in the uterus. The synthesis of anti-inflammatory cytokines is enhanced - these are biologically active substances that provide an inflammatory response in the body and adversely affect the course of pregnancy and fetal development. These include interleukins and interferon, which increase myometrial tone. In addition, in this case there is a high probability of intrauterine infection of the baby.

Hormonal disbalance. Progesterone deficiency is an equally rare cause of increased myometrial tone. Progesterone is especially important in the first trimester of pregnancy. It relaxes the myometrium, promotes normal processes of implantation and placental formation. In the first trimester, this hormone is synthesized by the corpus luteum of the ovary; with insufficient progesterone function, little progesterone is produced, and pregnancy occurs against the background of uterine hypertonicity, which leads to the threat of miscarriage. By 16 weeks, the placenta takes over the synthesis of hormones, and the risk of miscarriage decreases.

In addition to progesterone deficiency, there are a number of hormonal disorders, as a result of which pregnancy proceeds with the threat of termination: hyperandrogenism (increased levels of male sex hormones), hyperprolactinemia (increased levels of the blood hormone prolactin), pathology of the thyroid gland - hyper- or hypothyroidism, autoimmune thyroiditis.

At-risk groups. After surgical interventions in the uterus (abortion, diagnostic procedures), childbirth complicated by an inflammatory process, adhesions can form - intrauterine synechiae. In such cases, pregnancy occurs against the background of increased uterine tone, with the threat of miscarriage, and with bleeding.

Endometriosis, fibroids(especially the location of the tumor, when it protrudes into the uterine cavity, deforming it) - all these are circumstances accompanying the increase in myometrial tone during pregnancy.
In women with disturbances in the hemostatic system (a complex of body reactions aimed at preventing and stopping bleeding), with changes in the parameters of the blood coagulation or anticoagulation systems, and the presence of antibodies to cell phospholipids, pregnancy proceeds with increased uterine tone, starting from the earliest stages.

Multiple pregnancy, pregnancy complicated by polyhydramnios, oligohydramnios, often occurs against the background of uterine tone and is complicated by premature birth.

Patients with chronic diseases, with severe somatic pathology (for example, bronchial asthma, diabetes mellitus), who have had colds and viral diseases during the current pregnancy, very often have uterine tone.

How to treat uterine hypertonicity

The tone, of course, needs to be removed, the uterus needs to be relaxed, otherwise this condition may result in spontaneous miscarriage.

If the expectant mother is not included in any of the risk groups, everything is fine with her health, this is the first pregnancy that occurred without any problems and has been proceeding well until now, there was no bleeding from the genital tract during the entire period of gestation, but with In this case, the woman is bothered by minor nagging pain in the lower abdomen and, according to the doctor, the tone of the uterus is increased or the uterus is excitable upon palpation - outpatient treatment can be carried out, but with mandatory bed rest. Therefore, it is important to remember that there is no question of any work, even routine work, around the house!

In this case, antispasmodics are prescribed (NO-SPA in tablets, CANDLES WITH PAPAVERINE), vitamins, MAGNE B6, sedatives (VALERIAN, MOOMORN), it is possible to prescribe gestagenic drugs - DUFASTON, UTROZHESTAN. Dosages and treatment regimens are prescribed individually for each patient by a doctor.

If the expectant mother at home or at work feels characteristic nagging pain in the lower abdomen, and there is no way to contact the attending doctor, you need to drink NO-SHPU in a dosage of 0.04–0.08 g, you can administer a SUPPORT WITH PAPAVERINE rectally and take 2 tablets of VALERIAN .

If the expectant mother is at risk, there is bleeding, cramping,
various pains in the lower abdomen - immediate hospitalization is required. Treatment provided in the hospital will depend on the duration of pregnancy and the clinical picture.

In the 1st trimester, intramuscular injections of PAPAVERINE, NO-SHPA, PROGESTERONE, vitamins, sedatives (sedatives), UTROZHESTAN or DUFASTON are usually prescribed. These drugs have different mechanisms of action, but the result of their use is the same - relaxation of the uterine muscles. In case of bleeding, it is necessary to prescribe hemostatic (hemostatic) drugs - SODIUM ETHAMSYLATE, DICYNONE, TRANEXAM.

After 16 weeks, the arsenal of drugs to reduce uterine tone expands, and at the same time, there is no need to use hormonal drugs. At this time, they usually begin to be gradually withdrawn, in the absence of indications for longer use.

Additionally, physiotherapeutic treatment may be prescribed to help relax the uterine muscles. These methods include:

Endonasal galvanization is the use for therapeutic purposes of a continuous direct current of low strength and low voltage, supplied to the body contactally, through electrodes.

Electrophoresis with magnesium is the effect on the body of direct current and particles of a medicinal substance introduced through the skin or mucous membranes - magnesium sulfate.

Electroanalgesia is pain relief using weak electrical discharges delivered through the skin, which block the transmission of pain impulses to the brain.

Electrorelaxation of the uterus is the effect on the neuromuscular apparatus of the uterus with an alternating sinusoidal current to suppress the contractile activity of this organ. If there is a threat of miscarriage from 15–16 weeks, electrorelaxation is a more preferable method over other methods of treating the threat of miscarriage, since there are no side effects of medications, and the effect occurs already during the procedure.

Electrorelaxation of the uterus can be used to provide emergency assistance in case of threatened miscarriage.

In the 2nd and 3rd trimester, intravenous drip administration of GINIPRAL, MAGNESIUM SULFULATE is possible.

Injections of antispasmodics - PAPAVERINE, NO-SPA - are also indicated. Recommended drugs are calcium channel blockers (NIFEDIPINE, KORINFAR). These drugs block calcium channels in the myometrium, calcium is not transported, and the muscle cannot contract and relaxes.
To enhance the antispasmodic effect, add tablet forms of drugs that reduce the tone of the uterus - GINIPRAL, NO-SHPU in tablets, as well as CANDLES WITH PAPAVERINE.

Vitamins must be included in the treatment regimen: in injection form - intravenously, in tablet form in order to improve metabolic processes and normalize the activity of the central nervous system.

Sedatives are also prescribed in tablet form or in the form of tinctures. It is necessary to use drugs that improve uteroplacental blood circulation (CURANTYL, PENTOXYFYLLINE, EUPHYLLINE, TRENTAL), drugs that improve metabolic processes (ACTOVEGIN, COCARBOXYLASE, RIBOXIN, POTASSIUM OROTATE, CALCIUM PANTOTHENATE, LIPOIC ACID), antihypoxants (drugs that increase the resistance of fetal nerve cells to lack of oxygen - INSTENON, PIRACETAM), hepatoprotectors (substances that improve liver function - CHOFITOL, ESSENTIALE).

Increased muscle tone of the uterus is not a reason for emotions, but for a more attentive attitude towards yourself. Therefore, if the doctor has diagnosed the expectant mother with uterine hypertonicity, she should not be upset, but just pay a little more attention to herself and her condition and listen to the advice of the attending physician.

Easy pregnancy and healthy baby - the dream of almost every woman. The course of pregnancy and the development of the fetus is greatly influenced by the condition of the reproductive organs of the expectant mother, and especially the uterus.

The uterus is a hollow organ in a woman’s body, located in the pelvic cavity and consisting of several layers of muscle fibers. It is in it that the embryo develops and the fetus is born. Like all muscles, the uterus can contract due to external and internal factors. Such contractions are called increased tone. Increased uterine tone (hypertonicity) is a fairly common pathology during pregnancy and all expectant mothers have at least a little idea of ​​what it is.

Let us consider this deviation in more detail and establish its causes, possible consequences and ways to combat it.

Symptoms and types of pathology

Tension of the uterine muscles in pregnant women can be either temporary or permanent. The tone can be increased in all parts of the uterus (total tone), or in a specific place (local).

Signs of a pathological condition:

• Pulling pain in the lower abdomen, similar to pain during menstruation
• Feeling of heaviness in the stomach
• Pain in the pubic and lumbar region
• In some cases, increased fetal motor activity

Single and short-term manifestations of symptoms should not cause panic. They can be caused by sneezing, coughing or laughing. In some women, tone increases briefly during an examination by a gynecologist due to nervous tension.

With localized increased uterine tone, it can occur on the anterior or posterior wall of the uterus. In the second case, timely detection of the disorder is quite difficult due to the absence of characteristic symptoms. Sometimes excess tension in the muscles of the uterus can only be detected using ultrasound (ultrasound). The risk of increased tone along the posterior wall depends on the woman’s age: pregnant women under 18 years of age and over 30 years of age are most susceptible to it. Increased tone of the posterior wall of the uterus in the presence of pain may be evidence that processes are activated that disrupt the normal course of pregnancy. This condition can lead to miscarriage or premature birth.

Increased tone, localized on the anterior wall of the uterus, may indicate the presence of serious chromosomal abnormalities in the fetus, for example, Down syndrome. In this case, the muscles of the uterus tense up due to the fact that the female body is trying to get rid of a sick or completely non-viable embryo.

Experts distinguish three degrees of increased uterine tone:

I degree. Brief pain in the lower abdomen and hardening of the uterus, which do not cause serious discomfort. They disappear when the pregnant woman is at rest.

II degree. More severe pain in the abdomen, lumbar region and sacrum. There is a high density of the uterus.

III degree. Even minor physical and mental stress can lead to severe pain in the abdomen and lower back. The uterus becomes extremely hard. This condition requires qualified treatment.

Reasons for increased tone

Why does increased uterine tone appear during pregnancy? There are many factors influencing the increase in tension in the muscles of the uterus; they can be either external or a consequence of problems in the mother’s body.

In some cases, deviation of tone from the norm is due to hormonal imbalances:

• Insufficient level of progesterone production by the corpus luteum;
• Increased production of male hormones by the adrenal cortex (hyperandrogenism). Before pregnancy, the problem may manifest itself in the form of menstrual irregularities, excess hair on the face, abdomen and pubic area;
• Increased levels of prolactin in the blood (hyperprolactinemia). Before pregnancy, it can manifest as milk discharge from the nipples and an irregular menstrual cycle.

Other causes of hypertension:

• Uterine hypoplasia (incomplete development of the organ due to congenital or acquired defects);
• Endometriosis (the presence of non-functional tissue inside the uterus);
• Uterine fibroids (benign tumor);
• Inflammatory processes;
• Sexually transmitted infections;
• Exposure to toxic substances;
• A large number of abortions in history;
• Physical exercise;
• Very large fetus, multiple pregnancy;
• Polyhydramnios;
• Bad habits of the expectant mother (alcohol, smoking).

For whatever reason, the tone of the uterus is increased, neglect of this condition can lead to dire consequences, including spontaneous termination of pregnancy.

Increased uterine tone in the first trimester

The first trimester is an anxious time for an expectant mother. Uterine tone in early pregnancy is a common phenomenon. It can pose a serious threat to the processes that are responsible for the successful implantation of the fertilized egg into the endometrium of the uterus. In the worst case, this condition can result in rejection of the fertilized egg or its death.

In the first trimester, tension in the uterine muscles can appear as a result of even minor influences of external irritants, such as:

• anxiety and stress
• physical exercise
• sexual intercourse
• late going to the toilet

At the same time, the expectant mother feels tension in the lower abdomen and how this area hardens. Sometimes these sensations may be accompanied by mild pain in the lumbar region. If these symptoms are present, the pregnant woman needs to relax and rest. Most likely, the muscles will return to normal on their own. In cases where lumbar pain is excruciating and accompanied by cramping pain in the lower abdomen, an urgent visit to a doctor is necessary, since such processes may indicate a threat of miscarriage.

Second trimester and uterine hypertonicity

In the second trimester, for most pregnant women, toxicosis subsides and their well-being significantly improves. It is believed that this is the most favorable time during the entire pregnancy. However, it can be overshadowed by increased uterine tone.

The reasons for its occurrence may be the same factors as in the first trimester. They also include a reason such as rapid fetal growth. In this case, tone may appear at approximately 20 weeks.

How can you determine in the second trimester that the muscle fibers of the uterus are under tension? The expectant mother may feel slight contractions of the uterus. Most often, they do not cause severe discomfort and can be eliminated by stopping physical activity or taking a horizontal position. Nagging pain in the lower back may indicate that there is increased tone in the posterior wall of the uterus.

Increased tone of the uterus in the second trimester can lead to worsening blood circulation in the placenta. This is a rather dangerous condition that can lead to hypoxia (oxygen starvation of the fetus). Hypoxia, in turn, leads to the fact that the fetus does not receive the necessary nutrients. This condition can end quite tragically - in a frozen pregnancy. Another serious complication of hypertension can be placental abruption. This happens because it is not typical for the placenta to contract during uterine contractions, and it begins to separate from the uterine walls.

If the contractions are pronounced and excruciating pain of a compressive nature appears, it is necessary to urgently consult a doctor. The combination of these symptoms may signal the onset of an involuntary miscarriage.

Features of tone in the third trimester

Increased uterine tone in the last stages of pregnancy can be determined by the feeling of stretching in the lower abdomen. In some cases, short-term “petrification” of the abdomen occurs.

If these symptoms do not disappear for a long time, are accompanied by spasmodic and stabbing pains, bloody discharge, then you should immediately seek medical help. If hypertonicity occurs at 28–38 weeks, the patient requires drug therapy. Inattention to increased tone can lead to premature birth and even the death of the child.

It is important not to confuse hypertension in the third trimester with premature birth. Most often, spasms and contractions at 38–40 weeks are normal and are of a training nature. This physiological process is called preparatory Braxton Hicks contractions. They are a consequence of hormonal changes that occur when the body prepares for childbirth. However, this process is characterized by painlessness, short duration and does not provoke dilatation of the cervix and the onset of labor. The onset of labor is characterized by contractions with a regularity of more than three times per hour.

Diagnosis of hypertension

There are several methods for detecting increased uterine tone during pregnancy:

• A conversation with the pregnant woman, during which you can find out what the nature of the pain is and determine whether it is associated with physical activity or stress;
• Examination of a woman in later stages. If the uterus is in normal condition, then upon palpation (feeling) it will be soft. Otherwise, the specialist will feel that it is compacted.
• Ultrasound can give the most complete picture regarding the condition of the muscle fibers of the uterus. The presence of increased tone is revealed quite simply: on the screen you will see how its front wall bends slightly inward. In addition, this side will be thinner than the back.
• Tonuometry is a procedure that is carried out using a special device and sensor that is applied to the pregnant woman’s abdomen.

In some cases, doctors direct the patient to take a blood test for hormones, low or high concentrations of which can cause increased uterine tone.

Treatment. What to do if you have increased tone?

When identifying the tone of the uterine muscles, it is necessary to determine the causes of this condition in order to prescribe an effective course of treatment.

In many cases, increased tone can be overcome with outpatient treatment. Increased tone can have a negative impact on the development of the fetus, so everything must be done to quickly solve the problem. It is important to maintain bed rest, stop sexual activity and remain in a state of emotional peace. Depending on the causes of uterine tension, a woman may be prescribed appropriate medications: antispasmodics (no-spa, papaverine), drugs that increase progesterone levels (utrozhestan and duphaston), sedatives (motherwort). If a doctor gives a referral for inpatient treatment, then you should not neglect this recommendation. After all, few people can provide themselves with absolute peace at home.

Everyone knows that prevention is better than cure. Following simple medical recommendations will help the expectant mother keep the uterus in a relaxed state, as well as avoid many complications of pregnancy. While waiting for a child should not be accompanied by severe physical exertion, stress and anxiety. The expectant mother should pay special attention to proper rest, proper nutrition, walks in the fresh air and timely visits to the gynecologist. Bad habits should be completely eliminated.

Following these simple rules will help a woman minimize the risk of uterine tone and subsequent complications.

Free consultation on the results of prenatal diagnostics

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Kyiv Yulia Kirillovna

If you have:

• questions arose regarding the results of prenatal diagnostics;
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*consultation is carried out for residents of any region of Russia via the Internet. For residents of Moscow and the Moscow region, personal consultation is possible (bring with you a passport and a valid compulsory medical insurance policy)

With the onset of pregnancy, every woman may face a number of previously unknown diagnoses. One of them is the tone of the uterus in early pregnancy. Sounds terrifying, doesn't it?

What is uterine tone? Why is it rising? Should I be afraid of such a diagnosis and is it possible to cope with this condition on my own?

What kind of diagnosis is this - uterine tone?

According to statistics, 6 out of 10 pregnant women hear the phrase from their gynecologist: “You have increased uterine tone during pregnancy”! This is followed by a list of prohibitions and referral to a hospital. But doctors prefer to keep silent about what it is.

Their only explanation is that the uterus is tense at the moment, and this, in their opinion, should not be the case at all, since such a condition can provoke a miscarriage.

Of course, we are used to trusting doctors and following all their recommendations. And then your friends and acquaintances can tell you their “horror stories,” so it’s not surprising that you immediately begin to listen to your body.

And there really is something tugging, you can feel the tension.

That's all. In such a frightened state, all reason disappears somewhere, you pack your bag and go to the hospital.

What happens to the uterus during pregnancy?

In fact, the uterus is nothing more than a hollow organ consisting of muscle tissue. And any muscle in our body tends to contract. And this is normal, especially if there are extraneous factors that affect it! Therefore, you should calm down and figure everything out in order.

Know! The doctor may mistake minor inflammation of the organ wall for the tone of the uterus in the first week of pregnancy.

But it turns out that this is the body’s physiological reaction to the implantation of the fertilized egg. Moreover, if there is local inflammation at the site of its attachment, then this is a good sign that the placenta is beginning to form.

The tone of the uterus in the 1st trimester of pregnancy can also be a consequence of increased anxiety of the mother (read about this period and changes in the body of the mother and baby in the article 1st trimester of pregnancy >>>). After all, it’s not every day that you learn about such a condition.

Therefore, naturally, you worry and listen to yourself more. In response to such attention, the uterus can actually become tense.

Important! The uterus can respond with muscle contractions to the ultrasound procedure itself, in particular the pressure of the sensor on the abdominal wall. However, doctors prefer to make a “terrible” diagnosis and prescribe therapy to the woman.

How can you feel the tension of maca?

Often, women whose doctor has detected increased uterine tone are at a loss. After all, they don’t experience much pain. So how does uterine tone manifest during pregnancy?

A symptom of uterine tone during pregnancy in the 1st trimester is a pulling sensation in the lower abdomen. Women often compare these sensations to those they experienced during their periods;

In the last trimester, this can even be determined visually - the stomach becomes hard and may change its shape somewhat. In this case, you may not feel anything.

• To determine if your uterus is tense, lie on your back with your knees bent;
• In this position, the anterior abdominal wall relaxes as much as possible and you can feel the location of the uterus above the pelvis;
• If the abdomen is “stone-like” in this place, then the walls of the organ are probably tense at the moment;
• It is worth noting that during the second pregnancy, the tone of the uterus is felt less frequently.

Separately, only the posterior or, conversely, only the anterior wall of the uterus can be tensed. This is due to the fact that discomfort often occurs only in a specific place in the abdomen. And on an ultrasound, the doctor will detect a deflection of one of the walls of the organ.

Why do you feel the uterus?

If you notice any unusual sensations in the uterine area, this does not mean that it is in good shape. There can be many reasons for this condition. Among them it is worth highlighting:

1. Growth of the uterus. Starting from week 5, it begins to grow rapidly. As a result, the ligaments that support the organ are stretched, which leads to tingling sensations. They may get worse when you sneeze, move quickly, or turn your body sharply;
2. Abdominal muscle adaptation. Gradually, the abs lose their shape, and the abdominal muscles stretch, adapting to the growing uterus. As a result, discomfort may occur at the moment of sudden movement, but it quickly passes;
3. In the second trimester, the uterus already reaches a certain size and can put pressure on neighboring organs. The gastrointestinal tract is especially affected. In this case, the unpleasant sensations are physiological and this condition does not require treatment;
4. After 35 weeks, the uterus begins to gradually prepare for the upcoming birth. Therefore, now it can periodically tense, and the cervix smoothes and softens. This results in a tingling sensation in the lower abdomen.

After the 30th week of pregnancy, it is worth starting preparations for childbirth, which will include both working through fears and preparing the body for the upcoming birth.

For a detailed plan for preparing for natural childbirth, you will receive the Five Steps to a Successful Childbirth course >>>

Most often, such sensations are short-lived and quickly pass if you rest and lie down for a while. However, when the pain continues for more than 1 hour, it is better to consult a doctor.

You should also visit your gynecologist if the pain is accompanied by:

• bloody discharge;
• disturbance of general well-being;
• increased body temperature;
• vomiting or upset stool.

What increases the tone of the uterus during pregnancy? Her condition can be affected by:

1. psychological problems and stress;
2. physical activity and sports;
3. long trips;
4. lack of sleep;
5. poor nutrition (read the current article: Nutrition in early pregnancy >>>);
6. fetal position;
7. multiple pregnancy;
8. large fruit size.

What to do at home?

Every woman expecting a baby can experience unpleasant sensations. At the same time, it is important to know how to relieve uterine tone during pregnancy at home?

Having studied the reasons for this condition, it becomes clear that, first of all, you should calm down and relax:

• To do this, you need to lie down and close your eyes;
• You can turn on calm music or use aromatherapy (articles

From the very beginning of expecting a child, the expectant mother is worried about all sorts of changes occurring in her body. Uterine tone during pregnancy (1st trimester), symptoms of its occurrence sometimes manifest in the form of pain in the lower back, a fairly common pathology of fruiting. Its timely treatment helps prevent negative developments in the future. Allows you to maintain pregnancy and give birth to a smart, healthy baby.

Increased uterine tone during pregnancy in the first trimester: what is it?

The uterus is an organ that consists of muscles. Its outer serous layer is called the perimeter, the middle layer is the myometrium, and the inner layer is the endometrium. Throughout pregnancy, the uterus experiences enormous stress. It increases and stretches several times, as it has the ability to contract. And in the natural state of the expectant mother, the muscle tone of the uterus is relaxed. If the organ contracts during pregnancy, the tone of the uterus increases. This condition can be short-term or long-term. The first option does not cause much discomfort and goes away quickly. It is enough for a woman to rest and relax. May appear during a gynecological examination. The second one is longer. Accompanied by unpleasant sensations. In this case, you need to urgently consult a doctor and start treating the disease, otherwise the consequences can be very sad.

If the muscles of the uterus are tense for a certain time, then the intrauterine pressure increases and there is a threat of miscarriage in the first trimester and the danger of termination of pregnancy in the remaining stages. This is why uterine tone is dangerous during pregnancy. The 1st trimester (the symptoms of the disease need to be known and cannot be ignored) is considered the most vulnerable. During this period, the fetus has not yet developed properly and there is a high probability of miscarriage. Sometimes a woman does not immediately detect pregnancy and, accordingly, does not take care of herself. Continues to work and lead an active lifestyle. May drink alcohol or smoke. A long working day does not improve health and often provokes uterine tone.

Symptoms of uterine tone in the first trimester

For many women, the tone of the uterus during pregnancy (1st trimester) is of great concern. Symptoms during this period of the expectant mother’s life are as follows:

• Severe or mild pain in the lower abdomen. They can be either aching or pulling. Reminds me of menstrual discomfort.
• The stomach becomes stone and elastic.
• Unpleasant discomfort appears in the lumbar region.
• Bloody spotting occurs.
• There are cramping urges that occur after a certain period.

If any of the above symptoms occur, you should urgently call an ambulance. Any delay during pregnancy, regardless of the term, can cause miscarriage or premature birth. A toned uterus in some cases causes a frozen pregnancy, oxygen starvation. This leads to retardation and defective development of the embryo.

Pain or heaviness in the lower abdomen in the early stages of fruiting may not indicate the tone of the uterus, but a global restructuring of the body, because inside the body there is an embryo that grows and develops every day. The female body tries to accept it and adapts to the parameters of the unborn child. Trying to coexist comfortably with him.

Even if symptoms of hypertonicity do not appear, a pregnant woman should not miss scheduled consultations with a gynecologist. After all, the uterine tone is often determined by the doctor during a routine examination of the patient. Therefore, feeling well is not a reason to refuse a visit to the doctor.

Causes of the disease

Uterine tone during pregnancy (1st trimester), the symptoms of this disease were described above, can be caused by the following factors:

• negative neuropsychological state of the patient caused by stress and problems of various types;
• excessive physical activity: heavy lifting, long walking or, conversely, staying in one position for a long time;
• constipation, gas formation and other disorders of the gastrointestinal tract. Here the intestines or other organ puts pressure on the uterus;
• active sexual intercourse;
• hormonal imbalance in the body associated with an excess of male hormones or a lack of progesterone, which reduces smooth muscle tension;
• severe toxicosis;
• various uterine anomalies that complicate the course of pregnancy;
• Rhesus conflict;
• infectious and inflammatory diseases of the female genitalia, accompanied by itching, discharge, pain;

In addition to the listed reasons, uterine hypertonicity occurs: from severe stretching, when the fetus is large or the woman is expecting more than one child; from various tumors and neoplasms; from early abortions and miscarriages; injuries of various types.

If desired, the tone of the uterus can be determined at home. To do this, the woman should lie on her back and relax. Carefully and gently feel the entire abdomen. If his condition is mild, then there is no reason for alarm, and the uterus has normal tone. A hard or overly elastic abdomen indicates increased tone. In this condition, you need to see a doctor as soon as possible.

How is tone treated?

It is imperative to follow all the instructions of the attending physician if uterine tone occurs during pregnancy in the first trimester. Treatment largely depends on the danger of the current situation. If there is no serious threat to pregnancy, the gynecologist can conduct outpatient treatment.

In this case, the woman is advised to worry less and sleep more. Antispasmodics are prescribed, the most popular of which are “No-shpa” and “Papaverine”. A course of magnesium B6 is prescribed. Sedatives are recommended: motherwort, valerian. All these remedies are designed not only to eliminate the diagnosis, but also to remove the root cause of this disease.

If a pregnant woman lacks the hormone progesterone, the patient is prescribed drugs that eliminate its deficiency. Most often it is Duphaston. The cause of tone may be hyperandrogenism or excess levels of male hormones in the body. In this case, medications are prescribed that normalize the levels of hormones in the body. With severe toxicosis, doctors try to alleviate the patient’s condition. If the tone is caused by a malfunction of the gastrointestinal tract, then it is necessary to get rid of gas formation, constipation, flatulence and other intestinal disorders. Certain therapy is also prescribed for Rhesus conflict.

If the tone of the uterus cannot be brought back to normal through outpatient therapy and the situation is critical, doctors hospitalize the patient. A pregnant woman is admitted to the hospital. Here the expectant mother will be in a calm state, will not be able to break bed rest or do household chores. All negative emotions are minimized. In addition, doctors can examine the patient more thoroughly and monitor her condition. They will be able to stop the increase in tone in time. Will prevent miscarriage and premature birth.

By refusing hospitalization, a woman takes a certain risk, which is not always justified.

Preventive measures

Increased uterine tone during pregnancy in the first trimester can be prevented if you remember about prevention in time. First of all, it is necessary to ensure the coordinated functioning of the entire body, including the gastrointestinal tract. Remove, if any, constipation, bloating and flatulence. Physical exercises for pregnant women will strengthen the body. Daily long walks in the fresh air will saturate the body with oxygen. The absence of negative emotions, a positive attitude and humor will help you cope with any everyday situation.

Also, a pregnant woman should get enough sleep. Sleep should last at least eight hours. Eat properly and balanced. Enrich your diet with fruits and vegetables with the maximum content of nutrients. Take a vitamin-mineral complex for pregnant women. This is the period where there is no place for bad habits; if they are present, then you urgently need to part with them. Although they should be abandoned even before the moment of conception.

You should visit your doctor regularly. Take tests and undergo ultrasound examinations on time. Do not lift heavy objects under any circumstances. Transfer some of your responsibilities to your household. Rest more and just enjoy life.

If symptoms indicate uterine tone during pregnancy (the 1st trimester is especially vulnerable to external factors), then you should abstain from sexual intercourse for a while. Pregnant women need to be able to relax. It is also necessary to charge yourself with positive emotions throughout the entire period of pregnancy.

About the appointment of a gynecologist

A competent doctor, when diagnosing increased uterine tone during pregnancy in the first trimester, should study the symptoms thoroughly. Conduct an examination and prescribe an ultrasound. Such a diagnosis will not only help prescribe precise treatment for the patient, but will also provide a complete picture of the disease. As a rule, women in the first trimester, at the first suspicion of hypertonicity, are advised to lie down to ensure maximum rest. There will be no need to regularly visit the clinic to examine the body, because in the hospital all the necessary manipulations will be carried out on the spot.

The gynecologist treating the woman must be aware of all the problems troubling the patient and take into account all pathologies of the uterus at the beginning of pregnancy. Prescribe the necessary medications, ultrasound examinations and tests in a timely manner. Assess the situation from all points of view.

Uterine tone during pregnancy, 1st trimester: what to do first?

When detecting uterine tone, a woman should not panic. She needs to pull herself together and fully assess the situation. You can take “Papaverine” or “No-shpu” yourself. If there are obvious signs of anxiety or agitation, you can drink sedatives such as motherwort or valerian. In this case, you need to visit a doctor immediately, without waiting for a scheduled examination. Self-medication is extremely undesirable here.

At the first signs of uterine tension, you should close your eyes and take several deep breaths. Remember something pleasant. Turn on the beautiful Relax. In this case, the tone of the uterus during pregnancy in the first trimester (the symptoms of which may seem scary at first) will decrease or return to normal, but this is provided that the pathology has not become serious. That is, there is no bleeding and strong cramping calls. In the latter case, you should immediately call an ambulance. If the tone is associated with severe toxicosis, then you should reconsider your diet. You need to eat as many fruits and vegetables as possible. You can consult your doctor about nutrition.

Diagnosis of the disease

The tone of the uterus during pregnancy in the first trimester is determined through a diagnostic examination, which is carried out only by the treating gynecologist. He does palpation. Checks the belly of a pregnant woman by touch; if the uterus is in good shape, then it will be hard. At this time, the pregnant woman lies on her back. After these manipulations, the doctor, if necessary, prescribes an ultrasound, which determines the size of the local or total muscular layer of the uterus. In some cases, tone is determined with a special device - a tonometer, which has a special sensor and accurately determines the diagnosis. Only after a thorough examination does the doctor prescribe full therapeutic treatment to the patient.

How dangerous is uterine tone?

Throughout pregnancy, short-term and long-term tension in the uterine muscles may occur. The first is considered the norm. This uterine tone can be removed without leaving home. It does not pose a serious danger to the life of mother and child.

Prolonged uterine tone during pregnancy (1st trimester) can have the most tragic consequences and end in spontaneous miscarriage. Particularly dangerous are nagging pains in the lower abdomen and spotting. This health indicator also affects the child, since adequate blood supply to the pelvic organs is disrupted, which leads to fetal hypoxia and affects its physical and mental development. A frozen pregnancy may occur. Only timely qualified assistance can help avoid all this.

Timely help without drugs

Uterine tone during pregnancy (first trimester) can be removed without resorting to medicine. For example, a yoga exercise called “Cat”. Standing on all fours, you need to raise your head up and arch your back. You should remain in this position for at least five seconds. Then smoothly return to your previous position. It must be done at least three times. Next you should lie down for about an hour. After the body has rested and recovered, you should leave the bed smoothly, without making sudden movements.

Muscle relaxation of the face and neck, even and calm breathing will help remove or weaken the tone of the uterus during pregnancy (1st trimester). Treatment is continued with soothing herbal tea, which may include plants such as lemon balm, mint, valerian and motherwort.

A pose in which the pregnant woman kneels and rests her elbows on the floor will relax the uterus. In this case, the uterus is in a suspended position. You should stand like this for 10-15 minutes. After this you need to lie down for a while.

A pregnant woman should not only refrain from carrying heavy objects, but also adhere to a certain daily routine, follow a diet and get enough sleep. Carrying a baby is a serious matter and must be approached with all responsibility. Complete all assignments on time. Take care of yourself and your unborn baby. Have only positive emotions.

Maria Sokolova

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Many expectant mothers face such a problem as uterine tone. Its cause can be a nervous breakdown, overwork, a lifestyle that does not correspond to the correct one, and much more. It is worth noting that tone is not necessarily a risk of miscarriage, but for the sake of the health of the future baby and mother, it is better to play it safe and consult a doctor at the first symptoms of tone.

What are the signs of uterine tone?

How does uterine tone manifest during pregnancy?

First of all, tone during pregnancy is spontaneous contractions of the uterus , the consequence of which may be (but does not mean that there will be) a miscarriage. Although the consequences may be different. How and by what means is tone created?

• During the natural course of pregnancy (without deviations), the muscles of the uterus are relaxed and calm. This is normal tone.
• If there is stress or physical strain, then these muscle fibers tend to contract, due to which the pressure in the uterus increases and, accordingly, the tone increases. This phenomenon is This is increased tone, or hypertonicity.

Uterine tone - features

Causes of uterine tone

According to statistics, every second woman faces this problem. For some expectant mothers, this phenomenon even goes unnoticed, without the intervention of a doctor. Others have to rely on conservation. There can be a lot of reasons, and, for the most part, they relate to health, nutrition and emotional state:

• Fear and nervous shock.
• Stress, fatigue, excess emotions.
• Overstrain at work.
• Disturbances in the production of progesterone (hormone deficiency).
• Excess of male hormones.
• Endometriosis.
• Inflammatory processes suffered before pregnancy.
• Heavy weight of the child.
• Polyhydramnios.
• Disturbances in the functioning of the central nervous system.
• Colds.
• Pyelonephritis, etc.

Signs of uterine tone in a pregnant woman

Only a specialist can accurately determine the presence of uterine tone. That's why at the slightest suspicion of “something is wrong...” and heaviness in the very bottom of the abdomen, you should go to the doctor . The main symptoms and sensations for which you need to check with a doctor:

• Unpleasant pain, discomfort in the lower abdomen.
• Feelings of contraction, contractions, squeezing, heaviness in the lower abdomen.
• Bloody discharge.
• Lower back pain.
• Hardness (petrification) of the abdomen when palpated.

Diagnosis of uterine tone during pregnancy

• Hard abdomen (as well as the uterus) upon palpation.
• Thickening of the muscular layer of the uterus (ultrasound).
• Confirmation of diagnosis using a special device.

If bloody discharge is detected and other symptoms are present, going to the doctor on your own is strictly prohibited. In this situation, the surest way out is call an ambulance and go to the hospital . There, under the supervision of specialists and with the help of appropriate therapy, there will be more chances for a favorable pregnancy outcome and timely birth .

The site warns: self-medication can harm your health and threaten the life of your unborn baby! If alarming symptoms appear, consult a doctor immediately!