It is so arranged by nature that in normal conditionsthe muscles of the uterus of a pregnant woman are in a relaxed state, and their active contraction begins only at the time of delivery. In this way, it prepares to push out the fetus. But if the uterus becomes active during pregnancy, and long before its completion, then this is a pathology that can threaten a miscarriage, premature birth or frozen pregnancy. Uterine tone during pregnancy can occur due to several reasons.
Causes of tonus
Uterine tone can occur at different stagespregnancy. This can happen at the very beginning of pregnancy, in the middle, and at the end. The tone of the uterus that appears during pregnancy has many causes, both functional and hormonal. The reason for its appearance in the early stages of pregnancy is, most often, a hormonal imbalance in the expectant mother. As a result, the body reduces the production of progesterone, which is the main hormone of pregnancy and is responsible for its successful course. When determining the normal development of the embryo using ultrasound, doctors prescribe antispasmodics, progesterone drugs and reduced physical activity to maintain pregnancy. Progesterone helps reduce uterine excitability, protects the fetus from infection and helps the placenta develop correctly, and also has a calming effect on the nervous system so that the pregnant woman is relaxed and calm. It is usually taken until 16-18 weeks and is stopped when the placenta is finally formed. Uterine tone during pregnancy at 16-17 weeks occurs due to the fact that the uterus greatly increases in size and presses on the bladder, cervix, and other organs. There are also pains in the lower back and back. In this case, it is necessary to wear a prenatal bandage, which helps relieve the load from the spine and evenly distribute it throughout the abdomen. If the tone of the uterus during pregnancy, starting from 34-35 weeks, appears episodically, then these may be harbingers of labor. This is a kind of training of the body before the upcoming birth.
Diagnosis and prevention
There are several diagnostic methods.hypertonicity of the uterus. It can often be noticed even during a simple gynecological examination. But the most common diagnostic method is ultrasound. It shows the condition of the uterine muscles. It is ultrasound that can show such pathologies as uterine tone along the anterior or posterior wall of 1 or 2 degrees. Increased uterine tone can also be measured with special devices, but they are not very common, since diagnosing this problem is not difficult. Determining the cause of tone can be much more difficult. Prevention of hypertonicity is a very simple matter. The most important thing is to avoid unnecessary stress and physical activity. It is also necessary to eat right and follow a daily routine: go to bed and get up at about the same time. At this time, healthy sleep and good rest are very important. Separately, it is necessary to mention various bad habits, such as smoking and drinking alcohol, which can also cause tone. As is known, both of these things cause increased tone of the uterus, and other pathologies that are even more unpleasant. Therefore, it is better to give up tobacco and alcohol even before you become pregnant. For prevention and timely detection, constant observation by a doctor and passing all related examinations are of great importance: ultrasound, tests, examinations by specialists, etc. If you still have increased tone, then the most important thing is to worry less. Uterine tone during pregnancy is not a death sentence, because in most cases the pregnancy can be maintained and the consequences for the child can be minimized. And worrying will only worsen the condition of the pregnant woman.
Symptoms and Treatment
During pregnancy, any symptoms of uterine toneshould be under the supervision of a doctor, despite the fact that in most cases the tone of the uterus does not pose a serious threat to the mother and the child and does not require treatment. Therefore, it is necessary to tell him about any unusual changes in your health. Not a single detail should be left without medical attention, since it is often difficult for a woman to correctly assess her condition on her own. If the signs of uterine tone do not go away at rest, unusual discharge and pain in the lower abdomen appear, the lower back is pulled, then you must definitely see a doctor. It is always necessary to pay attention to the unusual behavior of the child, if he is unusually quiet or, conversely, too restless. If irregular cramping pains appear with the tone, you need to see a doctor so that the threat of termination of pregnancy is excluded. The doctor will examine you, do an ultrasound if necessary, listen to the fetal heartbeat and prescribe treatment with drugs that will relax the muscles of the uterus. If this examination shows a threat of miscarriage, and you are offered to go to the hospital, do not refuse, because the health and life of the future child depend on it, since with hypertonicity of the uterus, the blood vessels of the placenta are compressed and make the baby suffer from a lack of oxygen and nutrients in utero. Along with painful and prolonged contractions of the uterus in the second trimester, ultrasound can show a tendency to open the cervix and its shortening. To relieve the tone and maintain the pregnancy in this case, strict bed rest and hospital treatment are necessary. With the development of tone in the 3rd trimester due to the preparation of the cervix for labor and changes in hormonal levels, contractions can become labor contractions. In this case, urgent medical care is needed in a hospital setting. Timely treatment of uterine tone almost always allows you to prolong it as long as possible so that the baby's lungs are finally formed, at least until 34-35 weeks.
Removing the tone at home
The best way is to do exercises to relieveuterine tone. For example, the "Cat" exercise: get on all fours, raise your head and arch your back, stand in this position for a few seconds, and then slowly return to the starting position. You need to repeat this exercise several times, and then lie down for an hour. It has long been noted that relaxing the facial muscles helps to relax the uterine muscles. Therefore, the second exercise that is recommended for uterine tone is associated with the face. Lower your head and relax all the muscles of the face and neck as much as possible. When doing it, you need to breathe only through your mouth. To get rid of the symptoms of hypertonicity and the unpleasant sensations that have appeared, sometimes it is enough to just get on all fours, resting on your elbows, in the so-called "knee-elbow" pose. Combining this simple set of exercises with antispasmodics and sedatives, you can quickly relieve uterine tone. However, do not forget that it is important not only to relieve uterine tone, but also to eliminate the cause. It is very important to strictly follow all the instructions of the attending physician. If this condition cannot be relieved, or the discomfort increases, you will still have to agree to hospitalization.