home Endocrinology Myometrial tone along the anterior wall. Increased uterine tone during pregnancy. How does pathology develop?

Myometrial tone along the anterior wall. Increased uterine tone during pregnancy. How does pathology develop?

Hypertonicity of the uterus is a common phenomenon during pregnancy, and many mothers, having heard from the doctor about the presence of tone, begin to worry. But is the devil as terrible as he is painted? Let’s take a closer look at why tone is dangerous, how to recognize it, and how to reduce its manifestations during pregnancy.

What is uterine hypertonicity and who is susceptible to it?

Uterine hypertonicity is a phenomenon that is normally absent during pregnancy

The female uterus is a hollow organ consisting of muscle tissue. It contracts during menstruation, at the time of orgasm. Thus, for non-pregnant woman Uterine tone is a physiological norm.

But as soon as pregnancy occurs, the situation changes radically. A woman’s body begins to produce progesterone, a hormone “responsible” for the continuation of pregnancy. It prepares the body for bearing a fetus - it reduces immune reaction maternal body to “foreign” cells, changes the structure of the uterine epithelium and, among other things, reduces its tone. Reducing the activity of the uterus is necessary so that the embryo does not detach from the wall of the hollow organ, because in this case a miscarriage will occur.

And yet, sometimes it happens that, despite pregnancy, the uterus continues to contract. This condition is a pathology and is defined as uterine hypertonicity.

Being pregnant, and pregnant with hypertonicity for all 9 months, I often came across messages on forums from expectant mothers who, trying to understand the doctor’s conclusion, were worried that they had not just tone, but hypertonicity (!!!) of the uterus. And, judging by the panicked notes in the recordings, these women perceived this concept as “worse than others.” Therefore, I would like to note right away: doctors, in order to shorten the term, often refer to hypertonicity as simply tone. In fact, the tone and hypertonicity of the uterus are absolutely the same thing.

Hypertonicity is a phenomenon that can be either repeat pregnancy, and in primiparous women, both in thin and plump women. It may be episodic in nature, or may accompany the entire pregnancy. And yet, there are certain risk groups where uterine tone is most likely to occur:

Women with hormonal imbalance: lack of progesterone, high level prolactin, polycystic ovary syndrome and so on.
Women with diabetes or diagnosed pre-diabetes.
Future mothers who have had surgical interventions on the pelvic organs, especially a previously performed abortion: the uterus with injuries and scars comes to tone faster and more strongly.
Women with congenital and acquired anomalies reproductive system: pathologies of the structure of the uterus (bicornuate, saddle-shaped, etc.), as well as adhesions as a result various diseases, including sexually transmitted infections (STDs).
Very young and old expectant mothers: pregnant women under 20 and over 40 years old.

Reasons for the development of hypertension

Based on the above, we can identify the main reasons for the development of uterine hypertonicity during pregnancy:

insufficiency of hormones, mainly progesterone, in the body of a pregnant woman;
changes in uterine tissue due to surgical manipulations - fibroids, endometriosis and others;
inflammation in the uterus and appendages.

Endometriosis as a result surgical operations can cause hypertension during pregnancy

In addition, factors influencing the tone of the uterus are the following conditions:

multiple pregnancy;
one, but large baby in the uterus;
polyhydramnios;
heavy physical labor or work that requires standing for a long time;
prolonged stress (family problems primarily);
spicy infectious diseases, especially accompanied by high (38–39°C) temperature;
Availability bad habits(smoking, alcohol, etc.).

Symptoms of uterine hypertonicity

You can suspect the presence of hypertension not only during a medical examination or diagnosis. With a high degree of probability, the expectant mother herself can determine the presence of this pathology based on certain symptoms. These signs are different for each trimester.

In the first trimester, hypertonicity is defined as nagging pain in the lower abdomen, sometimes extending to the lower back. It is necessary to urgently consult a doctor if the pain becomes cutting in nature or is accompanied by bleeding: this may indicate an incipient miscarriage.
In the second trimester, the uterus has grown enough for a woman to detect hypertonicity by palpation: when palpating the abdomen in the area of the uterus, it feels “stony.”
In the third trimester, hypertonicity clearly feels like a “stony uterus.” At the same time, it is important to distinguish it from the training contractions that have begun: when the body position changes, the training contractions subside within a few minutes, but hypertonicity does not.

Diagnosis of uterine hypertonicity

There are several ways to determine uterine hypertonicity.

Palpation. The gynecologist leading the pregnancy carries it out during a routine medical examination. This is why it is so important to attend all consultations prescribed by the doctor - if the tone is detected in time, it can save the pregnancy.
Ultrasound. Ultrasound diagnostics is the most informative method of determining uterine tone. Its advantage is also that it allows you to evaluate general state fetus in conditions of hypertonicity.
Tonuometry. A method in which, using special sensors, the fact of hypertonicity is established and its degree is examined: mild, moderate or significant increase in tone.

Photo gallery: methods for diagnosing uterine hypertonicity

Hypertonicity is detected by palpation during a medical examination. Ultrasound is the most informative method for diagnosing hypertonicity.
Tonuometry is a diagnostic method that allows you to assess the severity of uterine hypertonicity

Treatment of uterine hypertonicity

Treatment of increased uterine tone has two key directions: relieving symptoms and eliminating the cause.

To relieve tone symptoms, drugs that block muscle spasm. The approved and most frequently prescribed drugs during pregnancy include No-shpa and Papaverine. The first is taken in tablets, the second - in rectal suppositories. Both drugs are often prescribed in combination, especially in cases of persistent hypertension.

Most this method treatment is effective for short-term increases in tone caused by episodic reasons. Eg, future mom I stayed late at work and was more tired than usual, or was a little nervous, or maybe I tried to catch up with a leaving bus - any reasons that are short-term in nature.

In the presence of constant tone symptomatic treatment not enough. To find out the reason, the doctor will interview the pregnant woman and prescribe additional examinations. Be prepared to answer fairly sensitive questions honestly. There are objective reasons for this.

First of all, among the causes of this pathology, the doctor will suspect insufficient bowel movement. This is due to the action of the same progesterone, which reduces the tone of the uterus and simultaneously reduces intestinal motility. Therefore, the doctor will probably ask you how often you go to the toilet “in a big way.”
The doctor may also ask questions regarding sex life. Indeed, often at the beginning of pregnancy, expectant mothers continue to be active sex life. At the same time, aggressive sex, as well as frequent orgasms, affect the appearance of uterine hypertonicity. In this case, the doctor may recommend limiting or temporarily stopping (depending on the strength of the tone and the degree of risk to the fetus) the intimate relationship of the spouses.

Having ruled out mechanical factors for the appearance of tone, the doctor will prescribe a hormone test. The reason for this is the most common lack of progesterone in the body of a pregnant woman. This factor poses a great danger to the fetus, so do not be surprised if progesterone drugs are prescribed even before the test results are received.

Such a phenomenon as uterine hypertonicity occurs very often during pregnancy and, as a rule, does not lead to termination of pregnancy, provided that medical recommendations are followed. In this case, the pregnant woman needs to undergo the prescribed treatment and maintain a measured and healthy image life. It is not advisable to be sexually active during this period.

Martirosova Irina Valentinovna, gynecologist

https://health.mail.ru/consultation/643643/

Having a history of infertility against the background of general low level hormones, having become pregnant, I received a prescription for the use of progesterone-containing drugs until the end of the third trimester. It was these medications that throughout my pregnancy maintained the conditions for the life and development of my baby. Utrozhestan was appointed. According to my gynecologist, this is an analogue of Duphaston, only plant origin. And although Duphaston is like synthetic drug more effective and devoid of the disadvantages of “natural” Utrozhestan, the latter is considered safer, so during pregnancy I was prescribed it.

As a rule, the treatment regimen for hypertension includes the use of Utrozhestan + Papaverine + No-spa. In some consultations, Papaverine is replaced with magnesium preparations (Magnesium B6 and Magnelis B6) - this depends on the current and “pre-pregnant” condition of the woman and is decided by the attending physician.

Treatment in a hospital is a measure that can save a baby’s life

Hypertonicity can be successfully treated at home. But if the doctor determines that there is a risk to the life of the fetus, he can refer the pregnant woman to the hospital for preservation. Hospitalization can be indicated at any stage, however, most often a pregnant woman is admitted to the hospital in the following periods:

in the first trimester, since the mother’s body has not yet completed adaptation to the new position and hypertonicity can lead to rejection of the growing embryo;
in the third trimester, because hypertonicity during this period is fraught with premature birth.

The inpatient treatment regimen includes, in addition to progesterone-containing drugs, medications that relax the smooth muscles of the uterus. One of the most common regimens is Utrozhestan + Ginipral. The latter should not be prescribed before 16–20 weeks.

Ginipral - effective remedy, although I note from my own experience that taking an IV with this drug is not easy. When I was admitted to the hospital with hypertonicity that did not go away for three days, on the very first day I felt all the delights of administering this medicine: I had to lie under a drip without the ability to change position for three hours. And considering that I was already in the third trimester, the forced position caused severe discomfort. Later, talking with other pregnant women, I learned that Ginipral can be infused in one dropper for up to six hours. The fact is that the drug affects heartbeat, causing severe tachycardia. Therefore, they drip it very slowly. In the following days, I was already guided by my well-being: when the tachycardia was felt weakly or not felt at all, I asked the nurse to increase the speed of the drip. With the doctor's permission, I received Ginipral drops two hours before.

Traditional methods of combating hypertension

Let us note right away: it is strictly not recommended to use any “herbs” without a doctor’s recommendation to relieve tone. This ban is due to the possible negative impact for the fruit. For example, oregano, familiar to us all, with which it is so pleasant to drink tea, has abortifacient due to its peculiarity, it enhances uterine contractions.

But non-medicinal methods still exist: these are physical exercise, as a rule, static, capable of significantly relaxing the muscles of the uterus and relieving hypertonicity.

The knee-elbow pose is an exercise that can effectively relieve uterine hypertonicity during pregnancy

Exercise "Inhale-exhale." Breathe calmly, imagining that with each exhalation the pain goes away, the body is freed from tension, it becomes light and pleasant. The exercise takes an average of 10–15 minutes.
Exercise “Happy face”. Scientists have proven that the facial muscles are connected to the muscles of the uterus. Thus, in order to relieve tone, it is necessary to relax the facial muscles as much as possible. To do this, you need to lie down in a comfortable position and with each exhalation relieve tension alternately with different groups facial muscles: mouth area, jaw, nose, relax knitted eyebrows and frowning forehead. You will be surprised how many muscles on our face turn out to be in constant tension.
Exercise “Knee-elbow pose”. A universal and safe exercise that effectively relieves tone. You need to get on all fours, then lower yourself onto your elbows. Stay in this position for 15 minutes. Then, without getting up, lie on your side and remain calm for at least 40 minutes.

Prognosis and possible complications of hypertension

Increased tone uterus is observed in 60% of pregnant women, but only in 5% this phenomenon requires special treatment. In other cases, uterine hypertonicity is not considered dangerous condition during pregnancy. The only thing that is required of the expectant mother is to observe bed rest, sexual rest and adhere to the daily routine.

Nagging pain in the lower abdomen with hypertonicity of the uterus

What is uterine hypertonicity during pregnancy?

The female uterus is a muscular, hollow organ that can contract like any other muscle in the human body. Reduction muscle fibers The uterus brings it into the so-called tone. This means that the uterus seemed to “strain” and remained in that state.

Normally, during pregnancy, the uterus is completely relaxed, but sometimes increased tone is observed when the muscular layer of the uterus contracts, thereby increasing the pressure in the uterine cavity. This condition of the uterus has a bad effect on the course of pregnancy and fetal development, called this state hypertonicity of the uterus.

Symptoms and consequences of increased uterine tone

The main symptom of uterine hypertonicity in the early stages is nagging pain in the lower abdomen (as during menstruation), pain in the lower back and in the sacral area. In the second trimester and beyond later- This cramping pain and hardening of the abdomen, which is clearly felt when palpating (feeling) it.

The increased tone of the uterus in the early stages is aggravated by spotting blood from the genital tract. Then there's risk spontaneous miscarriage, since it is difficult for a fertilized egg to attach to the wall of the uterus due to the increased tone of the muscular layer of the uterus.

In the second trimester of pregnancy, when the placenta has already fully formed, there is a risk of its detachment due to increased uterine tone.

In late pregnancy, uterine hypertonicity can lead to premature birth, because such contraction of the uterus occurs in the process labor activity to help the baby be born.

Also negative consequence with hypertonicity of the uterus, fetal hypoxia occurs, when the uteroplacental blood flow is disrupted due to the tone of the muscular layer of the uterus. Thus, the fetus receives insufficient amounts of oxygen and nutrients necessary for its normal development. Typically, such a fetus lags behind in weight and size, its development is also slowed down, and when untimely treatment the development of fetal organ defects may be observed, or even this may lead to a missed abortion, i.e. to the death of the fetus.

Causes and methods of diagnosing uterine hypertonicity

There are many reasons for the appearance of increased uterine tone during pregnancy:

hormonal deficiency;
diseases of the uterus (inflammatory processes of the appendages and the uterus itself, endometriosis, uterine fibroids, etc.) and disruption of the central nervous system;
exacerbation chronic diseases and the occurrence of colds (acute respiratory infections, acute respiratory viral infections and other ailments characterized by an increase in body temperature);
constant stress and increased physical activity, insufficient sleep and/or rest, as well as the presence of bad habits in the pregnant woman;
polyhydramnios, multiple births or large fetus.

Local hypertonicity of the uterus can be determined by the posterior or anterior wall using ultrasound examination. At the same time, an ultrasound shows a change in the wall of the uterus at the site of its tone; it bends inward.

There is also a special sensor for determining the tone of the uterus. But, unfortunately, tonuometry is not carried out in all antenatal clinics.

Treatment of uterine hypertonicity

At any stage of pregnancy, No-shpa or Papaverine suppositories will help relieve pain due to uterine tone. These drugs can be taken at home at the first symptoms of tone.

In the first trimester of pregnancy, when the tone of the uterus is caused by a deficiency of the hormone progesterone, Utrozhestan or Duphaston are prescribed to maintain the pregnancy. The main rule of taking hormonal drugs is that they cannot be abruptly stopped. If the tone no longer bothers the pregnant woman, then hormonal drugs We reduce the dosage and only then stop drinking them altogether.

With placental abruption, uterine tone and aching are observed. Blunt pain, radiating to the thigh or perineum. Then the pregnant woman is hospitalized and prescribed inpatient treatment. Typically, such treatment includes an antispasmodic “plus” a drug containing magnesium (for example, Magne-B6 or magnesium sulfate), which can reduce the activity of the uterus “plus” vitamins and sedatives plant composition(for example, valerian or motherwort).

From the second trimester you can use more effective drug for the treatment of uterine hypertonicity - Ginipral, but in the presence of placental abruption it cannot be used.

In the third trimester, if the baby is mature enough and there is a risk of losing the baby due to excessive placental abruption or dilatation of the cervix, doctors may decide to induce labor or perform a cesarean section in order to save the life of both the baby and the expectant mother.

But usually modern pregnant women suffer from hypertension due to psycho-emotional stress: pressure at work, the need to manage household, active pastime with children, etc. All this causes stress and increased fatigue, to which the central nervous system of a pregnant woman reacts with the manifestation of uterine hypertonicity.

Myometrial hypertonicity caused in an active way Doctors usually do not treat life as such, but simply prescribe vitamins and recommend avoiding stressful situations, maintain rest (including sexual rest) and daily routine (sleep at least 8 hours). During an exacerbation, take at least a couple of days off and try not to get out of bed for a day (you should lie on your left side).

If it is not possible to take a day off, then you can do relaxing gymnastics directly at your workplace (if you have your own office or you are surrounded by good female employees).

Kneel down on a chair in a “all fours” position and slowly arch your back while raising your head up. Stay in this position for a few seconds. So the tummy will be in a “suspended” comfortable state. Then slowly arch your back (like a cat), tucking your chin toward your chest, and hold again. Do this exercise several times and try next hour sit quietly, leaning on the back of a chair and stretching your legs slightly forward.

Contraction of the uterus is normal condition, just like for any other muscle. When muscle fibers contract, the uterus is in good shape, that is, in tension, and the pressure on its internal cavity increases. observed in most women and does not cause harm to health, but in some cases this condition is dangerous when carrying a child, requiring special examination and treatment.

Myometrial hypertonicity during pregnancy requires increased attention, because the supply of oxygen and beneficial nutrients to the fetus depends on the condition of the uterus. Along the anterior and posterior walls, hypertonicity of the myometrium causes compressed vessels through which oxygen flows to the child.

Causes

At scheduled inspection In the gynecologist's office, such a diagnosis as frequent uterine contractions is made very often. The course of this symptom can be harmless or, conversely, dangerous for the health of the expectant mother and child. The reasons for tone can be very different. Female body During pregnancy, it is rebuilt and works differently, not as always. The behavior of the uterus is influenced by both external and internal factors:

diseases of the uterus;
presence of chronic diseases;
abnormal shape of the uterus;
hormonal deficiency;
repeated abortions or uterine surgeries;
bad habits;
poor sleep, stressful situations;
multiple ovarian cysts;
polyhydramnios.
infantilism, 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.

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;
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 strong gas formation in the intestines. Painful sensations are associated with gases that press on the walls of the uterus. In this case, you need to exclude celery, garlic and salty foods from your diet.

Symptoms of increased tone

Any woman can detect uterine hypertonicity, especially in the early stages of pregnancy. You don’t need a paid gynecologist for this:

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

At later stages, in addition to all the listed reasons, abdominal hardness is added.

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 are written out:

"Papaverine";
"No-Shpa";
"Magne B 6";
sedatives;
products containing magnesium: “Partusisten”, “Bricanil” and “Ginipral”.

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

"Magne B 6" 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.

If there is a deficiency of progesterone in the initial stages of pregnancy, hormonal drugs - "Dufostan" or "Utrozhestan" - are prescribed to preserve it. It is important to remember that only a doctor can prescribe and cancel treatment, since stopping treatment hormonal drugs it needs to be done gradually.

Treatment in the second and third semesters

In the second trimester, stronger and effective means, 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 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 when the doctor usually 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 way is ultrasound examination(ultrasound). The scan will determine the degree of development of the pathology. Eat special drugs, myometers or tonometers. Such equipment is rarely used for more than difficult cases, because pathology is easy to identify by other methods.

The decision to hospitalize is made in as a last resort when 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 injection. Treat orally:

magnesium gluconate;
magnesium lactate;

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

How to help yourself with sudden pain?

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

Consequences of uterine hypertonicity

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.

Complications:

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

Heterogeneous myometrium

Clear signs that a woman has heterogeneous myometrium - painful sensation lower abdomen, bleeding. This condition appears due to the influence of the following factors:

hormonal disbalance;
abortions and other intrauterine curettages;
having multiple pregnancies;
injuries inner shell uterus.

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

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

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 therefore it is very important to seek medical help promptly.

Uterine hypertonicity is a strong contraction of muscle tissue. This pathology occurs very often and is considered a deviation from the norm; it does not always pose a danger to the fetus, but can lead to unimaginable consequences.

To avoid any problems with tone back wall uterus, you should very carefully study the reasons for its development, types diagnostic examination, as well as treatment methods.

Increased tone uterine organ may affect the entire organ or be localized in individual areas. With local development of pathology, they are distinguished:

hypertonicity of the anterior wall of the uterus during pregnancy;
back wall.

Often, increased tone of the uterine organ does not bring a woman severe discomfort. Of course, there may be unpleasant nagging pain in the abdomen and lower back, but acute pain there shouldn't be.

Appearance acute pain is considered the beginning of the development of complications, and if measures are not taken to eliminate this pathology, best case scenario it can lead to structural change cervix and uterine walls, and in the worst case, cause miscarriage or premature birth.

Increased tone of the uterus of the posterior and anterior wall during pregnancy can occur for the following reasons:

Insufficient production of the hormone progesterone. This phenomenon may occur due to excessive production of androgenic hormones or prolactin.
The appearance of pathological processes such as fibroids or endometriosis.
Age of the pregnant woman. Local hypertonicity of the uterine wall during pregnancy can develop if the age of the expectant mother exceeds 30 years or is less than 18.
Development inflammatory processes in the ovaries or uterus,
Psychological discomfort, which is the cause of stress, depression and constant breakdowns.
Infection with a viral infection.
Excessive stretching of the uterine organ. This can be observed when multiple pregnancy or high fetal weight.
Lifting weights.
Drinking alcoholic beverages, smoking.

Symptoms

The development of this pathology can be suspected based on the following signs:

the appearance of discomfort in the area of the uterine organ;
slight nagging pain in the lower back;
increased pain with excessive anxiety or in a stressful situation;
in the last months of pregnancy, heaviness in the uterus may appear;
exit bloody discharge from the genital tract, this phenomenon observed if the pathology is in an excessively advanced state.

Usually, this pathology does not always have clearly expressed signs. In most cases, its development can be determined through ultrasound diagnostics, which a woman undergoes while carrying a baby.

Diagnostics

As mentioned above, an increase in the tone of the posterior wall of the uterine organ can be determined using ultrasound. During the diagnosis, the specialist assesses the condition and thickness of the walls of the uterus, and also identifies the degree of tension in the muscle tissue.

If on ultrasound diagnostics the doctor puts primary diagnosis hypertonicity of the uterus along the anterior or posterior wall during pregnancy, a woman is recommended to donate blood for progesterone or other hormones that cause the development of this pathology.

There is another method of determination - palpation. When palpating, the doctor presses his fingers on the pregnant woman’s abdomen and determines the level of muscle tissue tension. As a rule, only an experienced and competent doctor can make a diagnosis using his fingers.

Treatment

Depending on the reason that caused the development of this pathological process, the doctor prescribes a number of therapeutic measures:

If the development of pathology is completely interconnected with insufficient production of hormones, it is advisable to prescribe hormonal drugs.
If psychological discomfort is detected, apply sedatives. They have a calming effect on nervous system future mother.
Considering that hypertonicity along the posterior wall of the uterus during pregnancy can provoke pain, antispasmodic drugs are prescribed.
The combination of magnesium and vitamin B6 will fully normalize metabolism and reduce muscle tension.

Regardless of what reason caused the tension in the muscular layers of the uterus, bed rest is prescribed. In addition, it is recommended to completely abandon mental and physical activity. In cases where a woman herself feels tension in the uterine organ, it is very effective to perform the following gymnastic exercise:

get on all fours, so the uterus will be in a free position;
then, without making sudden movements, you need to bend your back and, at the same time, raise your head up;
after a few seconds you can return to the original state.

If necessary, this exercise can be repeated several times.

Complications

If, when symptoms of this pathology develop, a woman does not consult a specialist and, of course, is not treated, complications of the following nature may develop:

fetal hypoxia, since tension in the muscle layers can significantly reduce blood flow;
uterine tone in the first trimester of pregnancy can cause miscarriage;
on last weeks carrying a baby there is a risk of premature birth;
partial detachment of the placenta.

Hypertonicity of the uterus is a rather serious pathology that can cause various complications. However, if the expectant mother eats well, follows a daily routine, and avoids physical activity and stress, and also gets enough sleep at night, then the risk of their occurrence is significantly reduced.

In addition, if you experience any discomfort, you should immediately contact a specialist who will refer you for an examination and then prescribe competent treatment. Only if all these nuances are observed can a pregnant woman count on an easy delivery.

Very often this phenomenon appears in the very early pregnancy, so maybe.

Uterine hypertonicity can be local (limited) in nature and occur in the anterior or. Localization of muscle tension has great importance, but it is also necessary to take into account, since other negative consequences largely depend on this factor.

Causes

Symptoms of hypertonicity of the anterior wall of the uterus

important The doctor pays special attention to, since either the opening of the throat may be a symptom of approaching or.

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;
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: excessive tension of the uterine muscles;

– possible in the second half;

the occurrence of disturbances in fetal development, which is associated with possible hormonal imbalance and other violations;

partial ;

disruption of fetal nutrition due to compression blood vessels, according to which nutrients enter the baby's body.

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

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