The tone of the uterus may occur in any pregnancy. In the first trimester it usually occurs due to the abnormal production of hormones, including progesterone, which is responsible for the maintenance of the muscles of the uterus to its normal condition. Its deficiency is often the cause of miscarriage. Lack of progesterone usually occurs in women with myoma (a tumor of the uterus), endometriosis, elevated prolactin, and also in pregnant women suffering from problems of the adrenal glands.
In the second trimester the tone of the uterus usually occurs when the wrong way of life, especially during strong physical and moral overloads. Before birth, the tone may appear because of multiple pregnancy, mnogonogie or development of the fetus is too large.
To determine the tone of the uterus can a physician using palpation (feeling) and the results of the ultrasound. Normally, when the voltage of the walls of the uterus , the woman feels a pulling pain in the abdomen and pain during menstruation. Upon confirmation of the diagnosis by the obstetrician prescribes a treatment aimed at lowering the tone.
No matter what the reason for the tone of the uterus, pregnant women are recommended to stay in bed, take anti-anxiety medications, medicines that reduce the activity of the uterus. Usually in Russian practice to use tools such as Magne-B6, no-Spa, Papaverine (in the form of candles). If the cause of the tone lies in the violation of hormonal background, assign the main or Utrozhestan.
In some cases, doctors refer to the increased tone of the uterus calm, considering that it is a muscular organ, and it needs to be reduced from time to time. If a woman is not troubled by any other symptoms (pain, bleeding), the treatment may be recommendations for the observance of a healthy lifestyle, Smoking cessation, avoidance of stressful situations. In the case when the tone of the uterus is accompanied by other pathological manifestations, treatment performed in a hospital.
Advice 2 : How to avoid uterine tone
The tone of the uterus is one of excessive contractile activity of the muscles that occurs in response to a change in the normal hormonal or external stimuli.
The appearance of pulling or simply discomfort a pregnant woman should immediately seek medical assistance – only medical examination and the appointment of timely drug therapy will help to maintain the pregnancy until the delivery date.
Absolutely contraindicated in pregnancy emotional stress, excessive exercise, lifting more than three pounds at a time.
Pregnant women should not abuse the baths, especially hot – it can cause as increase tone of uterusand penetration of infection in its cavity that threatened termination of pregnancy (spontaneous miscarriage).
The tone of the uterus can trigger hormonal changes that the woman had before pregnancy – in this case the permanent medical supervision and periodic monitoring of the level of "pregnancy hormones" in the blood serum. By reducing their indicators, respectively, expected term of the compulsory hospitalization of pregnant women in a hospital maternity hospitals (departments of pathology of pregnancy or gynecologic Department, depending on the duration of pregnancy).
A predisposing factor for the development of tone of the uterus become common infectious illnesses, especially when a significant increase in body temperature. Pregnant women should remember that self-administration of any medicine during pregnancy is absolutely contraindicated – perhaps the development of toxic effect of any drug on the fetus, especially during the first 12 weeks of pregnancy.
A pregnant woman should stop Smoking is vasoconstrictor effect of nicotine contributes to a drastic reduction in uterine and placental blood flow, which, in the opinion of most obstetricians-gynecologists, can cause an increase in tone of the uterus and threatened premature labor early.
The independent use of any medicines, even those that were recommended by the experts earlier, is not a reliable guarantee of effective treatment, so the best help with hypertonicity of the uterus - a timely doctor's consultation.
Advice 3 : How to reduce the tone of the uterus during pregnancy
Hypertonicity of the uterus is one of the most frequent diagnoses placed during pregnancy. Under the tone of the uterus refers to the excessive tension of her muscles. The woman feels a dragging pain in the lower back and abdomen.
Normal muscle of the uterus during pregnancy needs to be in a relaxed state. If they reduced is the risk of spontaneous abortion, premature birth. Hypertonicity of the uterus may occur at very different time. In the first trimester cause this condition may be a hormonal disturbance, particularly decreased production of progesterone. The tone of the uterus at 16 to 18 weeks of pregnancy is most often caused by growth of the placenta, which begins to push on the cervix, bladder, and other organs. In this case, it is a natural phenomenon, not requiring removal.
To lower the tone of the uterus during pregnancy, use antispasmodics ("no-Spa, candles "Papaverine"), as well as medicine, "Magnesium B6", "Viburkol", "Ginipral". Medicines, their dose and duration of drug administration should be determined by the doctor based on examination and after ascertaining the reasons for such status. "Nospanum" with hypertonicity can be administered in a dose of 40-80 mg 3 times a day. Often this drug is administered intramuscularly or intravenously. Candles "Papaverine" 1 thing 2-3 times a day.
Suppositories Analdim appoint 1 piece 2 times a day - morning and evening. In relieving symptoms you need to put 1 candle in the day or at night. The drug "Ginipral" in a satisfactory condition applied from ¼ to 1 tablet every 4-6 hours. In a strong tone the drug can be assigned to 1 tablet every 3 hours. When lowering the tone of the uterus the dosage reduce, to this end, increase the interval between meals up to 4-6 hours, gradually reaching the number of 1-2 tablets per day. The abolition of the drug are gradually, reducing the dose of each technique, because of its abrupt withdrawal symptoms of hypertonicity appear again.
The preparation "Magnesium B6" with hypertonicity prescribed 2 tablets 3 times a day during meals. When the tone of the uterus, have emerged as a result of progesterone insufficiency, prescribed artificial substitutes of this hormone: "main", "cough medicine". "Vitrum" is usually prescribed 1 tablet 2 times a day. "Progestin" take 200 mg 2 times a day (morning - 1 hour after food in the evening - before sleep). In the first trimester, the drug is administered intravaginally.
Hypertonicity of the uterus, which appeared due to the growth of the placenta, eliminate to wear a special bandage for pregnant women. It helps to distribute the weight and relieves stress on the spine. With the increased tone of the uterus must be reduced physical activity. Will be useful for walks in the fresh air, rest, restful sleep. Should be limited in the diet foods that cause constipation: white bread, fancy bread, rice, sweets. To lower the tone of the uterus help fallopian Royal jelly and wheat germ, vitamin E.