Why is there a weak tone of the uterus. Increased tone of the uterus

The uterus is the organ that undergoes the greatest stress during pregnancy. Each muscle fiber in the process of bearing the fetus thickens and lengthens several times. However, such a process is absolutely natural, regular and painless, and in the normal state of the uterus, it is not accompanied by tension in its muscles. In other words, even stretched and elongated, they are at rest.

However, many women during pregnancy experience such a situation as increased uterine tone. That is, the muscles that were supposed to be in a relaxed state and not cause concern to the expectant mother contract, causing increased pressure in the pelvic area.

In some cases, increased uterine tone is not a pathology: with muscle contraction during laughter, sneezing, or even orgasm. In addition, in the last trimester of pregnancy, the muscle tissue of the uterus can contract as part of the so-called "training" contractions: rather weak and short, representing a kind of rehearsal before the baby is born. As you may have noticed, in all these cases, the increased tone persists for a short period of time, and there is no need to get rid of it. If it does not pass long enough, then there is a threat to the health of the mother and unborn child, as well as the likelihood of premature birth or miscarriage.

How to determine the increase in tone in the uterus?

The main symptoms that indicate that your uterus has been in good shape for too long are as follows:

Drawing, aching pain in the lower abdomen. As you might guess, they can feel very similar to those painful urges that you feel during critical days.
Stomach tension. This symptom is most noticeable already in the second and third trimesters of pregnancy: the stomach literally hardens, shrinks due to excessive tension in the muscles of the uterus.
Pain in the lumbar region and sacrum- parts of the spine closest to the uterus.
Bloody spotting. This is the most alarming symptom, upon detection of which you should never self-medicate at home. Call an ambulance immediately, otherwise you may lose your child.

How to remove the increased tone of the uterus in pregnant women?

If you have been experiencing an increased tone of the uterus for a long time, then we strongly recommend that you consult a doctor. The main techniques with which you can relieve stress from the most important genital organ at home are the following methods:

Bed rest, refusal of physical activity, healthy sleep, frequent exposure to fresh air. If you planned to go to work until the last and faced an increased tone of the uterus, then you should think about whether the salary of the health and well-being of your baby is more important to you.
Antispasmodic drugs. This is a standard treatment aimed at relieving muscle hypertonicity of any organ. Pregnant women are most often prescribed drugs such as Papaverine or No-Shpa.
Sedative medicines. Increased tone is often associated with emotional stress, the stressful state of the expectant mother. Therefore, she may be prescribed a tincture of valerian, motherwort, or other relatively harmless sedative herbs.
Physiotherapy, reflexology, psychological consultations. These are a few more ways, the main purpose of which is to relieve stress in the expectant mother: both physical and psychological.

Hormonal preparations. Sometimes the cause of hypertonicity is a lack or, for example, an excess of progesterone in a woman's body. In this case, she is prescribed hormonal drugs designed to increase or, conversely, reduce their concentration in the patient's blood.
Proper nutrition, drugs to reduce gas formation in the intestines. Problems with the digestive system are a standard companion of pregnancy, and sometimes they cause a prolonged increased tone of the uterus. To get rid of such problems, a fortified diet and special preparations can be prescribed.

Hemostatic drugs. They are prescribed in the presence of bleeding. It can be "Etamsylate sodium", "Dicinon" and other drugs.

These are just a few of the most common answers to the question of what to do with uterine hypertonicity. And even from them it becomes clear how individual the appointment of certain methods of dealing with the problem is, and how much the treatment will differ depending on the causes of the increased tone. Therefore, we advise you to use these data only as general recommendations and be sure to consult a doctor to specify your treatment program.

Why does an increased tone of the uterus occur?

Before prescribing you a treatment designed to reduce uterine hypertonicity, the doctor will conduct an examination to find out its causes. Most often, this situation occurs in one of the following cases:

Anomalies and malformations of the reproductive system, that is, individual (most often congenital) features of the body.
Hormonal problems (lack or excess concentration of progesterone).
Inflammatory processes, tumors and infections in the uterus or its appendages.
Stress, emotional breakdowns, psychological or physical overstrain, violation of the correct daily routine, lack of sleep, etc.

Bad habits (drinking alcohol, drugs, smoking).
Previous abortions, miscarriages or premature births that occurred before the current pregnancy.
Various somatic disorders (ailments of the kidneys, liver, heart and other organs).
Toxicosis, malnutrition, problems with the work of the gastrointestinal tract.
Multiple pregnancies, large fetuses, or excessive amniotic fluid.
Rh-conflict of the mother and the unborn child, in which careful monitoring of the patient must be carried out from the very first days of pregnancy.

Thus, there can be quite a few reasons for uterine hypertonicity, and the correct diagnosis in your particular case is extremely important in order to remove this problem effectively and harmlessly. Take care of your health and the health of your baby - identify symptoms and consult a doctor in a timely manner!

uterine hypertonicity "may occur more often in early pregnancy. The tone of the uterus during pregnancy is the contractions that appear before the expected date of birth. They are felt as pulling, aching pains in the lower abdomen (a similar condition during menstruation), sometimes pain in the lower back. It happens that a woman does not detect any extraneous sensations in her body, but during an ultrasound examination, it shows that she has uterine hypertonicity. The reasons that cause the tone of the uterus can be different, ranging from the underdevelopment of the genital organs and ending with excitement.

The uterus is a female muscular organ that is sensitive not only to physical stretching (it grows with the fetus), but also to nerve impulses: excitement, joy, fear. Any cause can cause pain, but they should not be ignored. As soon as you feel pain in the lower abdomen, you should immediately consult a doctor who, after finding out the cause, will prescribe the appropriate treatment.

The uterus of a woman, like any other muscle, has the ability to contract, and, accordingly, has a tone. The tone can be low, normal and high. If we are talking about the tone of the uterus, then the tension of the muscles of the uterus is implied - an increased tone. An increase in the tone of the uterus during pregnancy signals to a woman that a miscarriage may occur or premature birth may begin. Therefore, this issue should not be taken lightly. The tone of the uterus is one of the main causes of premature birth. But do not be afraid! With a timely visit to the doctor, the implementation of all his recommendations, the probability of reporting your pregnancy without fear is very high.

It is not for nothing that doctors are reinsured, because the tone of the uterus is really a very unpleasant and extremely dangerous thing. Complications of increased uterine tone include termination of pregnancy (possibly at any time), oxygen starvation (hypoxia) of the fetus, placental abruption.

Symptoms of uterine tone during pregnancy

How during pregnancy a woman herself can determine that the uterus is in good shape

Often a pregnant woman can feel it herself. The tone of the uterus during pregnancy has such manifestations as pulling pains in the lower abdomen and lower back, as before menstruation. And sometimes the pain takes on the character of contractions or the uterus feels like a “stone”.

Tactilely determine whether the uterus is in good shape as follows. Lie on your back and relax completely. Gently feel the abdomen, ideally it should be soft. If there is a tone of the uterus during pregnancy, then the abdomen in terms of elasticity will approximately resemble a thigh.

When examining the abdomen and vaginal examination, the tone of the uterus is easily determined, strained muscle fibers are visible on ultrasound. There is also a special apparatus for measuring the force of contraction of the myometrium during pregnancy, although it has not been widely used - the symptoms of the condition are already too noticeable.

Causes of increased uterine tone during pregnancy

Especially dangerous is the tone of the uterus in the first trimester of pregnancy, and very often it is in the early stages of pregnancy that the cause of increased tone can be a hormonal disorder - reduced production of progesterone. In this case, you will be prescribed a course of duphaston or utrozhestan. Also, the cause of tone can be uterine contractions in response to stretching due to fetal growth, toxicosis, premature opening of the cervix, functional disorder of the thyroid gland, Rh-conflict, sexual intercourse. When feeling the abdomen, the tone can also increase, because the uterus is a muscular organ and reacts to physical irritations.

External causes that entail tension in the muscles of the uterus include the inhalation of harmful chemical fumes, the acute course of viral diseases, and severe physical illness.

Stress and nervous tension can provoke an increased tone of the uterus. If pain is rare, with sudden movements or with a change in posture, then we are talking about natural muscle tension and you should not worry. Often the stomach becomes stiff after the ultrasound procedure, and if nothing bothers you before and after the ultrasound, then everything is in order, it's just such a reaction to the procedure. After the ultrasound, I was always told about increased tone, although I always felt good and there were no uncomfortable conditions. Doctors like to play it safe and can refer you to a hospital, do not neglect their advice and better listen.

If you are often accompanied by a state of tension, then this requires constant monitoring, timely examination and treatment.

Uterine tone in the first trimester of pregnancy

Increased uterine tone at the beginning of pregnancy almost always needs to be monitored and treated, since up to 12 weeks the tone is especially dangerous - it can cause an abortion. Ideally, when a pregnant woman does not feel any discomfort at all from 4 to 12 weeks of pregnancy. Any pain, tonus, pulling sensations indicate that it is necessary to discuss them with a doctor.

If the doctor does not see anything serious in your situation, he will prescribe a no-shpy. If there are hormonal problems (low progesterone levels) - a course of duphaston and utrozhestan. In more serious cases, hospitalization will be required.

Uterine tone in the second trimester of pregnancy

The closer to childbirth, the more the body prepares for them: hormonal changes take place, uterine tone becomes a fairly common occurrence. From about 20 weeks, the body begins to train. From this time on, periods of tension and relaxation may be felt, but infrequently and painlessly.

If we are talking about a serious tone of the uterus, which can cause fetal hypoxia, medical supervision is also required. Medication is usually recommended to maintain the normal state of Magne B6

Uterine tone in the third trimester of pregnancy

Starting from the 38th week, muscle tension can be quite long. In addition, the tone of the uterus is provoked by the baby himself, who shoves his mother with his arms and legs in his already cramped stomach.

At the end of pregnancy, it can be difficult to diagnose hypertonicity and distinguish it from normal tone - preparatory contractions. Doctors deliberately reinsure themselves by sending pregnant women to CTG at every opportunity.

In Europe, an increased tone does not cause such a violent reaction from doctors as in Russia. There, in most cases, increased uterine tone is considered a normal physiological state of a pregnant woman. Medical treatment in the hospital begins only when the increased tone causes serious concern to the mother herself or there are symptoms of pregnancy pathology.

What to do if the uterus is in good shape

If the signs appeared for the first time during pregnancy, you can take an antispasmodic yourself, for example, “no-shpu”. And at the scheduled appointment with the doctor, be sure to tell him about your feelings. If, before visiting the doctor, there was a repetition of the tone of the uterus, it is necessary to consult a doctor unscheduled as soon as possible. As a rule, vitamin B-6 preparations are prescribed together with sedatives - Magne-B-6, motherwort, sometimes calcium blockers and anti-inflammatory drugs - in this case, their effect on the release of prostaglandins is important. But due to the large number of side effects in drugs such as indomethacin, only a doctor can prescribe Corinfar. He may also prescribe papaverine candles for you. Self-medication and patience with pain during pregnancy is EXTREMELY undesirable.

If you feel that the uterus is a little tense, then try to relax, close your eyes, take a few deep breaths and exhale. Imagine something that makes you feel good.

With the tone of the uterus during pregnancy, it is very important to establish a normal mode of work and rest, good sleep, sufficient exposure to fresh air, feasible physical activity. If the outpatient treatment of increased uterine tone is ineffective, the woman will be offered hospitalization “for preservation” - there, under the supervision of doctors, it will be possible to study the causes of the tone in more depth and address them. With a low level of progesterone, it is taken in the form of drugs, if the androgen level is high, their antagonists are administered - metipred, dexamethasone. In this case, every additional day of pregnancy is important for a woman.

A fetus is considered a “full-fledged child” from 28 weeks, after this period survival is quite frequent, but it does not mean at all that such a baby is absolutely healthy, after all, it is desirable for him to ripen in the mother’s body, and not in the most “fancy” incubator. From their practice, doctors conclude that babies born at 33 weeks are better, healthier than 35 weeks - nature has its own mysteries, because doctors, with a constant uterine tone, literally fight for every day of pregnancy. If premature labor occurs, they carry out tocolytic, that is, relaxing the uterus therapy - there are such schemes and such drugs. Therefore, when the uterus is in good shape, it is stupid to refuse treatment to preserve pregnancy - at home it is impossible to control the condition of the fetus and the pregnant uterus so tightly and take the necessary measures in a timely manner.

Consequences of uterine tone during pregnancy

The most negative consequence is a spontaneous miscarriage. This will not happen if the woman seeks medical help in time;
Hypertonicity of the uterus can also have negative consequences for the unborn baby. During the disease, the blood supply to the pelvic organs is disrupted, which can lead to oxygen starvation of the fetus and adversely affect its health.

How to prevent uterine tone

Prevention of tone during pregnancy - first of all, ensuring a calm state of the nervous system of the expectant mother, refusing to use cigarettes and alcohol, observing a gentle work schedule, healthy sleep. However, we note that a pregnant woman needs all this, regardless of medical diagnoses.

As for the prevention of uterine tone during pregnancy, this includes all measures to ensure peace, rest and a normal lifestyle for a pregnant woman, timely detection and treatment of hormonal dysfunctions, inflammatory diseases of the female genital area and urogenital infections. In order to prevent uterine tone, it is important to follow all medical recommendations for an existing pregnancy, including medication, diet and regimen. The emotional state of a woman is also very important. A connection has been found that women who are not satisfied with their pregnancy have problems many times more often than absolutely calm and satisfied expectant mothers.

The more the expectant mother experiences, the greater the likelihood of an increase in tone. During pregnancy, try to think only about the beautiful and good, think about that moment of happiness when you meet your baby. Take care of yourself, listen to pleasant relaxing music, tune in to a good mood. All these seemingly “stupid” tips may well help, believe me! Of course, if the problem of a pregnant woman is only in her emotional state. But even in the case of medical or inpatient treatment, adding relaxation and tranquility to your anxious expectation of the future baby, you are taking a big step forward from your illness.

Pregnancy is an almost magical state, well, at least it’s definitely miraculous. Naturally, at this time, a woman simply has to be attentive to herself and very careful. During pregnancy, a woman faces a huge number of dangers and unpleasant diagnoses. One of the most common diagnoses is the so-called uterine tone during pregnancy, or uterine hypertonicity. What does "Mother in tone" mean?

What is uterine tone?

The uterus is a hollow muscular organ consisting of three layers: the outer mucosa is the perimetrium, the middle muscular layer is the myometrium and the inner mucosa is the endometrium. Myometrium is a smooth muscle tissue capable of contraction, for example, it contracts during childbirth. However, in its natural state, this muscle should be relaxed, and this state is usually called the normal tone of the uterus.

If during pregnancy, but before the onset of labor, the uterus begins to contract, they say that the tone of the uterus during pregnancy is increased. It is worth mentioning here: since the process of muscle contraction is natural, it is not always that the uterus in good shape is a problem.

In Western medicine, this condition is considered a normal physiological process. Of course, in the event that this diagnosis is not associated with other symptoms that cause discomfort, as well as indicative of serious violations. There is some common sense in this reasoning, because even in the process of sneezing or laughing, almost all muscles contract, including the uterus. The same applies to the ordinary orgasm. Affects the state of the uterus and the psychological state of the pregnant woman. Very often, tension in the muscles of the uterus is observed during a gynecological examination.

However, the peculiarity of the tone of the uterus in all these cases lies in its brevity. Yes, and usually this condition does not cause discomfort. Another thing is if the uterus is in good shape for a long time. The constant tone of the uterus during pregnancy is fraught with the most unpleasant consequences for the fetus, and for maintaining pregnancy too.

What is the danger of uterine tone?

The consequences of uterine hypertonicity can be very deplorable, up to spontaneous miscarriage, if we are talking about uterine tone on early pregnancy, before premature birth, if they talk about the tone of the uterus in the second or third trimester pregnancy.

Most often, uterine tone is observed precisely in the early stages, when uterine tension can impede the process of implantation of the fetal egg, and can also cause its rejection or death. In this case, they talk about spontaneous miscarriage.

Sometimes there is uterine tone before childbirth, in that case it is customary to talk about training bouts. They are usually not dangerous. Thus, the uterus prepares for the birth process, roughly speaking, it trains.

May threaten the tone of the uterus and the condition of the baby. So, due to the fact that tense muscles of the uterus compress the vessels of the umbilical cord, the fetus may receive less oxygen, which leads to the development of hypoxia. If, for the same reason, the baby does not receive additional nutrients, then malnutrition, growth arrest is possible.

Causes of uterine hypertonicity

The causes of uterine tone during pregnancy can be very diverse. So, we have already described above why the uterus can tone for natural reasons. Unfortunately, in many cases, the causes of hypertension lie in a variety of problems associated with the course of pregnancy.

It is almost impossible to list and describe all the causes of hypertension in one article, but we will try to give readers as much information as possible about such a common diagnosis. After all, more than 60% of a woman is diagnosed at least once during her entire pregnancy: increased uterine tone.

In the early stages, the cause of the uterus in good shape is most often lack of the hormone progesterone. This hormone during pregnancy up to 4 months is produced by the so-called corpus luteum, formed in place, bursting during the exit, the mature egg of the follicle. The main function of progesterone is to prepare the endometrium for implantation of the fetal egg, as well as to relax smooth muscles in order to prevent the development of uterine tone. A lack of progesterone, therefore, can cause hypertonicity.

There are other hormonal disorders, the consequence of which may be the same diagnosis. In particular, an excess of certain male hormones. That is why it is very important during pregnancy to carefully monitor the hormonal background of a woman.

Severe toxicosis also affects the condition of the uterus. Especially if accompanied by profuse and frequent vomiting. During vomiting, many muscles of the body contract, in particular, the abdominal cavity. This process also affects the uterus. Unfortunately, toxicosis in the early stages cannot be completely removed, you can only slightly alleviate the condition of the woman, but it also makes sense to do so.

Hypertonicity, as well as in general miscarriage of the fetus, may be associated with the presence of anomalies in the development of the uterus: the uterus can be bicornuate or saddle-shaped, and also have other disorders. Any anomaly in the development of the uterus creates difficulties for bearing a child, and sometimes makes it impossible.

It is very important that by the time of conception a woman is aware of all her problems, and throughout the pregnancy a woman should be under the constant supervision of a doctor. All anomalies in the development of the uterus will make themselves felt in the very early stages of pregnancy.

In some cases, the cause of uterine tone can be the so-called Rhesus conflict. In the event that the mother's blood Rh factor is negative, and the father of the child is positive, the woman's body can reject the fetus as a foreign body. The process of rejection will be expressed in an increase in tone.

Some infectious diseases and inflammatory processes genital organs or in the uterine cavity also cause an increase in the tone of the uterus. Usually, infections are accompanied by other symptoms, such as: a change in the nature of the discharge, pain, itching, and so on.

The cause of tone can be excessive distension of the uterus. This condition occurs if the fetus is too large or the pregnancy is multiple. Also, uterine distension occurs with polyhydramnios.

The list is almost endless: tumors, abortions / miscarriages before a real pregnancy, and so on - all this can also cause uterine tone and other painful conditions. We have not yet touched on psychological problems, tension and stress, which also affect the state of smooth muscles.

There are also prosaic reasons. So, uterine tone often develops due to intestines, more precisely, due to strong gas formation and altered intestinal perelstatics.

The main thing to understand and remember from this section is that uterine tone is a symptom, so it would be fundamentally wrong to treat it as an independent disease. It is always necessary to conduct additional studies and establish an accurate diagnosis, and only then prescribe treatment.

Symptoms: how to determine that the uterus is in good shape?

How determine the tone of the uterus yourself? In most cases, this will not be difficult to do. Symptoms of uterine tone during pregnancy are simple and understandable, although they differ at different times.

Symptoms of increased uterine tone on early pregnancy- this is heaviness in the lower abdomen, pulling pains, as during menstruation, sometimes these pains radiate to the lower back or to the sacrum. Symptoms of uterine tone in the second and third trimester almost the same, in addition, at such times, hypertonicity can be seen even visually: the stomach shrinks, becomes hard, the uterus “hardens”. In general, every woman will easily understand how the tone of the uterus feels during pregnancy.

In some cases, the tone of the uterus is manifested spotting bloody discharge. These are very alarming symptoms, you must immediately call an ambulance, try to calm down. In most cases, with timely treatment, the pregnancy can be saved. It remains to be added that in some cases the tone of the uterus is asymptomatic, more precisely, a woman may not feel them.

Diagnosis of uterine tone

There are several ways to medically diagnose uterine hypertonicity. Often it is noticeable even with a simple gynecological examination. However, the most common diagnostic method is ultrasound. Ultrasound shows the state of the muscles of the uterus. In particular, it is ultrasound that shows such pathologies as uterine tone along the posterior or anterior wall of the 1st or 2nd degree. The fact is that the tone along one of the walls of the uterus is expressed by a change in its shape, and the degree directly depends on which wall the fetus is attached to.

There are also special devices that measure exactly the tone of the uterus. However, they are not widely used due to the fact that the diagnosis of this problem leaves no difficulty. It is much more difficult to determine the cause of the tone.

Uterine hypertonicity: treatment

But now, the diagnosis is known, the uterus is in good shape. What to do? First of all, listen to your doctor's advice. The choice of treatment largely depends on how strong the tone of the uterus during pregnancy takes place, as well as on what caused it. If the situation is not associated with a serious risk, the treatment of uterine tone during pregnancy is carried out on an outpatient basis.

A woman is recommended to observe bed rest, antispasmodics are prescribed, usually no-shpu or papaverine. Often prescribed for uterine tone is magnesium B6 and sodalite remedies, for example, motherwort. Please note that all these remedies should only relieve the tone of the uterus during pregnancy, in addition, you will probably be prescribed other medications that should cure the cause of the tone.

So, if we are talking about a lack of progesterone, then a woman is prescribed a drug with its content. If the cause of uterine tone is an excess of male hormones, then their antipodes are prescribed. With toxicosis, they do everything necessary to alleviate this condition, and if the cause is problems with the intestines, it is necessary to reduce gas formation. Its treatment is available in the case of a Rh conflict, and for any other diagnosis.

If the tone of the uterus cannot be removed for a long time, or if the situation is very serious initially, the doctors will insist on hospitalization and further treatment in the hospital. In the hospital, the patient will not be able to systematically violate bed rest, as women usually do while at home: cleaning, cooking and other household chores haunt the housewives. In addition, only in the hospital, doctors will be able to more closely monitor the condition of the mother and child, as well as bring down the increased tone in a timely manner in order to prevent premature birth from starting.

Here it is worth making a small digression, in which we will talk about why, starting from 28 weeks speak precisely about preterm labor although the baby is clearly not full term yet. The fact is that with the current state of medicine, it is from the 28th week that you can try to save the life of a newborn. Of course, this is far from the best outcome, it is always desirable to extend the pregnancy for at least one more day.

So, if the tone of the uterus at the 26th week of pregnancy provokes the onset of labor, then doctors will stop it with all their might. For this, tocolytic therapy is carried out, that is, the uterus is relaxed in every possible way with the help of appropriate schemes and preparations. And it is very important to start on time, because at this time the child most likely will not survive. That is why doctors in hospitals are fighting for every day of maintaining pregnancy. Still, the tone of the uterus at 36-38 weeks of gestation is not so risky, although it threatens the condition of the fetus. Therefore, after 28 weeks, first of all, they try to keep the pregnancy.

Do you agree to hospitalization?

Very often, women have a question: how much hospitalization is necessary? Usually this question is asked by those who have older children or those who are afraid of losing their jobs due to a long absence, they say, the child needs to be fed, money needs to be earned, but no-shpu and papaverine can be taken at home.

Unfortunately, there is no single right answer here. It all depends on the specific situation: how high is the risk of miscarriage or premature birth, how strong is the tone, and so on. A woman must understand that she refuses hospitalization at her own peril and risk, and she risks, first of all, her unborn child. Is the job worth the risk, for example? And for the older child, you can ask to look after your husband, relatives or close friend. There is almost always a solution.

How to remove the tone of the uterus at home?

In some cases, the tone can really be removed at home, and not only with medications, although you should not refuse them too hastily. How to remove the tone of the uterus at home?

The best way to do this is exercises to relieve the tone of the uterus. For example, "Cat". You need to get on all fours, raise your head and bend your back, stand in this position for a few seconds, and then slowly return to the starting position. This exercise must be repeated several times, and then lie down for an hour.

It has long been observed that the relaxation of the muscles of the uterus contributes to relaxation of facial muscles. That is why the second exercise recommended for uterine tone is associated specifically with the face. You need to lower your head and relax all the muscles of the face and neck as much as possible. In this case, you need to breathe only through your mouth.

Sometimes, in order to get rid of the unpleasant sensations and symptoms of hypertonicity that have appeared, it is enough just to stand in such a position that uterus turned out in suspended position: that is, again, on all fours, with an emphasis on the elbows.

Combining this simple set of exercises with sedatives and antispasmodics, the tone of the uterus can be removed quite quickly. However, do not forget that it is important not only to remove the tone of the uterus, but also to eliminate the cause, and for this it is important to strictly follow all the instructions of the attending physician. In addition, we consider it our duty to remind you that if this condition is full to be removed, or the discomfort intensifies, you still have to agree to hospitalization.

Prevention

Prevention of hypertension is a very simple matter. The main thing is to avoid unnecessary physical exertion and stress. It is also useful to eat right and observe the daily routine: go to bed and get up at about the same time. At this time, proper rest and healthy sleep are very important.

Separately, it is worth mentioning a variety of bad habits, such as drinking alcohol and smoking. Both are known to increase, among other things, the risk of uterine tone, and other, even more unpleasant pathologies. Therefore, it is better to give up tobacco and alcohol at the stage of pregnancy planning.

Of great importance for prevention and timely detection is constant monitoring by a gynecologist, as well as the timely passage of milestones of related studies: tests, ultrasound, examinations of narrow specialists, and so on. This is especially true if the woman belongs to one of the risk groups.

Well, and most importantly, worry less. Especially if you still haven't saved yourself. The tone of the uterus, of course, is not a sentence. In the vast majority of cases, pregnancy can be saved, the consequences for the child are minimized. But excitement will in no way help to improve the condition of a pregnant woman with uterine tone.

Answers

Collapse

The tone of the uterus is the tension of this organ during pregnancy, which is very important for carrying a baby. The uterus is a muscle that contracts and tightens. However, tone can also be dangerous. For example, hypertonicity is a phenomenon in which the uterus is overly tense, which is dangerous for the bearing of the fetus. With this phenomenon, a woman lowers the tone of the myometrium with the help of exercises and special preparations. However, there are cases in which the tone of the uterus needs to be increased. For example, after an abortion, childbirth, if it is impossible to get pregnant. How to increase the tone of the uterus? This will be discussed in this article.

Drugs to increase tone

In obstetrics, drugs that affect the contractile activity of the uterus are often used. In what cases are medications prescribed to increase tone?

with weakness of labor activity;
with reduced tone after childbirth;
post-abortion early period;
when terminating a pregnancy at a later stage for medical reasons.

Consider some groups of drugs.

Oxytocin. A drug that causes contraction of the myometrium, characteristic of labor. Especially if it was administered in large doses. A pregnant uterus is much more sensitive to oxytocin than a non-pregnant uterus. As the gestational age increases, so does the susceptibility to oxytocin. How to use? A woman is given intravenously. The effect of the drug is about 3 minutes. In what cases will the patient be injected with oxytocin:

to stimulate childbirth;
to stop bleeding after childbirth.

Contraindications:

discrepancy between the size of the baby and the uterus;
incorrect position of the child;
the presence of scars on the organ;
risk of rupture.

Deaminooxytocin. The action of the drug is similar to oxytocin, but its effect lasts longer. This drug is prescribed

to enhance the existing labor activity;
for contraction of the uterus after childbirth;
to increase lactation.

It is used as a lozenge for resorption under the tongue or cheek. Contraindicated in any incorrect positions of the fetus.

Pituitrin and Hyfototsin. These two similar preparations are obtained from the pituitary gland of cattle. In addition to oxytocin, the drugs contain a small amount of vasopressin. Used to increase tone intravenously under the supervision of a doctor. To the contraindications are added:

sepsis;
nephropathy;
hypertension;
thrombophlebitis.

Products that increase the tone of the uterus

If the situation is not critical, then you can increase the tone of the uterus at home with the help of the necessary food. Below is a list of foods that you need to eat with hypotension. If a woman suffers from hypertension, then the following products are contraindications for her.

Bread. There is an opinion that bakery products can increase the tone of the uterus. Especially if they are made from white flour. Therefore, if you have a weak uterine muscle, allow yourself to eat a fragrant bun or a slice of white crispy bread. But, in everything, the norm is important. Do not overdo it, otherwise problems with the figure and health of the gastrointestinal tract cannot be avoided.
Legumes. This type of product causes increased gas formation. There is an opinion that any gas formation in the abdomen can increase the tone of the muscles of the uterus. Eat beans, peas, asparagus as a separate dish, or as an addition to soups and cereals.
Fresh fruits. If you did not eat any fruits before pregnancy, you should not start doing this during pregnancy, in order to avoid allergic reactions. What fruits will help increase the tone of the myometrium? Pineapple, which contains organic acids. Papaya, which increases the contractile function of the uterus. Eat all fruits that contain sugar.
Vegetables. All green fresh vegetables in any quantity will do. For example, cucumber, cabbage, broccoli, lettuce, greens.
Dairy products. First of all, it is a source of calcium, which is so necessary for a pregnant body. With a reduced tone, "milk" will help strengthen the muscles of the uterus and avoid miscarriage. But don't eat moldy cheese, as it can cause a fungal infection.

Spices

It would seem, just a spice, flavoring. However, even such minor seasonings for dishes can become both enemies and friends for pregnant women. What spices should be taken with muscle hypotension?

Parsley. This green fragrant addition to dishes has the ability to increase the tone of the uterus during pregnancy. Of course, a small amount in a soup or salad will not help you. However, if you want, then eat up to 100 g per day. Among other things, it contains a huge amount of vitamin C.
Bay leaves and cumin increase the contractile function of the organ.
Dill. Its infusion increases lactation in pregnant women, and increases uterine contractions.
Fennel in large quantities also causes uterine tone.
Black pepper is a great tonic. Among other things, it aids in digestion. Naturally, in moderation.
Cinnamon, namely in the amount of a teaspoon per day, increases tone, increases appetite and improves mood, which is very important for pregnant women.
Thyme. This spice, although slightly, but still increases uterine contraction.

medicinal plants

You should be careful with herbs, because unknowingly you can cause an abortion. If only the doctor has diagnosed you with a reduced tone, and not you yourself, then you can take plant extracts. To increase the tension in the female organ, pay attention to the following herbs.

Calamus marsh is a herb that has a hemostatic effect. It increases peristalsis of the intestines and uterus. High content of female hormones.
Aloe is known for causing a rush of blood to the female organs, improving their functioning.
Arnica - quite a lot increases the tone in the uterus.
Black elderberry, in addition to its main function, has a laxative effect.
Water pepper is perfect for strengthening the uterine muscles.
Oregano ordinary. With its use, you should be careful, because with the wrong dosage, you can cause an abortion.
Hyssop, in addition to the function we need, improves bowel function.
Calendula - leads to uterine contractions.
Nettle - is, in addition to the main function, a hemostatic agent.
Lavender perfectly tones the myometrium.
Madder dye causes hypertonicity and is a fairly strong laxative.
Tansy leads to uterine contractions.
Mistletoe is poisonous. But knowing the correct dosage can successfully solve the problem discussed in this article.
Senna is an excellent laxative that strengthens the muscles of the female organ.
Knotweed will perfectly cope with weak uterine muscles.

Beverages

What to drink, except for the infusions of medicinal herbs described above, to increase the contractility of the female organ?

Alcohol can cause hypertension. Of course, it is harmful to the fetus. However, if the pregnancy is proceeding normally, a woman can afford a glass of red wine for hematopoiesis.
Do not drink black tea bags. However, leaf, which is brewed correctly and in small quantities, can help strengthen the muscles of the myometrium.
Carbonated drinks. All drinks that increase gas formation in the intestines create pressure on the uterus, thereby increasing its contractions.
Coffee causes muscle tone. Pregnant women with caffeine should be careful not to harm.

Product combination

Not only individual foods can strengthen the muscles of the myometrium, but also whole meals. For example, fish dishes.

Tuna with spices undergoes a small heat treatment. In addition, it is combined with precisely those spices that tone up. Using this combination of products will help solve your problem.

Sushi. This dish combines fish, rice, nori seaweed, and all sorts of "hot spices". It can strengthen the muscles and increase blood circulation in the pelvic organs. Of course, they should not be abused. It is very important to find out if the fish in them is raw? It is better to eat sushi, the fish in which has been temperature-treated.

Pregnancy is a time associated not only with the happy expectation of the appearance of crumbs, but the period of adaptation of the woman's body to the state of gestation and the fight against gestational complications. One of these pathological conditions, which seems to be the most common during pregnancy, is increased uterine tone. In this article, we will consider the problem of uterine hypertonicity during pregnancy, highlight the pathogenesis, clinical picture, present the diagnosis and methods of dealing with this problem.

What is uterine tone?

The tone of the uterus is a normal state of the female reproductive organ, which is characterized by a short-term contraction of the myometrium (middle muscle layer of the uterus) in response to various kinds of influences. For example, the motor activity of the embryo, and after 22 weeks - the fetus, a filled bladder, increased intestinal motility. The tone of the uterus without pregnancy may increase before and during menstruation.

How to determine the tone of the uterus?

The tone of the uterus must necessarily be present during pregnancy, since this is a muscular organ and it must contract. Otherwise, if the uterus did not come into tone, then it would not be able to complete such a difficult task as a rather long period of contractions - the first period of childbirth, as well as the second period - the period of attempts. During a normal pregnancy, there should be a tone of the uterus, the symptoms of which should not cause any discomfort to the woman.

What is uterine hypertonus?

Hypertonicity is a pathological condition that characterizes the presence of a diagnosis of threatened abortion before 22 weeks, and after - the threat of premature birth.
How to distinguish uterine tone during pregnancy from hypertonicity? How to understand that the uterus is in good shape and this condition is physiological in nature?

The most important differences in tone are:

Absence of pain.
The absence of a long period of the uterus being in good shape (no more than one minute).
Feeling the tone of the uterus up to 5 times a day.
The absence of productive contractions, which lead to a shortening of the cervix, as well as to its wedge-shaped transformation. This item is the most important in the diagnosis of increased uterine tone.

Symptoms of uterine tone

An important point is the question "how to determine the tone of the uterus during pregnancy?". In order to understand when pregnancy proceeds physiologically, and when it is necessary to seek medical help, it is necessary to understand how to independently determine the tone of the uterus. Quite often, primigravid women cannot understand what this condition includes. Below we present the main symptoms that help to find out the answer to the question "how to understand the tone of the uterus."

Diagnosis of uterine tone during pregnancy

When examined by a doctor of a pregnant woman, the uterus is determined with an increased tone, characterized by a dense consistency. At the same time, the female reproductive organ is well controlled through the anterior abdominal wall and is in this state for a long time. For the diagnosis of hypertonicity, ultrasound is used, during which hypertonicity of the posterior wall of the uterus, as well as the anterior one, can be detected. However, this symptom may not always indicate the threat of termination of pregnancy. The uterus can come into tone in response to the passage of an ultrasonic wave through its wall. Also on ultrasound when performing cervicometry (measuring the length of the cervix), isthmic-cervical insufficiency is diagnosed (shortening of the cervix, opening of its internal pharynx).

How does uterine tone appear on cardiotocography? (KTG)

Increased uterine tone can be determined by cardiotocography. The resulting film will graphically depict a curve parallel to the fetal heart rate curve, indicating hypertonicity.

Reasons for the appearance of tone in the first trimester

The tone of the uterus in the early stages can be caused by various factors, among which 80% is assigned to congenital malformations. Women must be compulsorily aware of this fact and, while maintaining a pregnancy in a hospital, must give written consent to continue the pregnancy. Also, the tone of the uterus in early pregnancy can be caused by hormonal dysfunction in the form of progesterone deficiency, the impact of stress factors on the female body.

Reasons for the appearance of tone in the II trimester

In the second trimester, a woman can also be diagnosed with increased uterine tone during pregnancy, the causes of which lie in the low level of progesterone (the main hormone of pregnancy), which has a relaxing effect, the presence of an infection of various etiologies, and disruption of the intestines in the form of its increased peristalsis.

Reasons for the appearance of tone in the III trimester

Unfortunately, in the third trimester there is an increased tone of the uterus in pregnant women. Its causes include a low level of progesterone, which can be aggravated by the development of placental dysfunction, its aging, because it is the placenta that produces the main amount of progesterone. With the appearance of violations, its hormonal function also suffers. Polyhydramnios, multiple pregnancy, infectious factors can serve as a trigger in the development of such complications as the threat of premature birth. Also, at any gestational age, the cause of hypertonicity may be the presence of concomitant pregnancy pathologies, such as uterine fibroids, endocrine diseases, and hematological pathologies.

What is the danger of uterine tone and hypertonicity?

Women quite often do not take the increased tone seriously and do not take any measures to stop it. This is due to the ignorance of the fair sex, which is dangerous for the tone of the uterus. Serious complications of myometrial hypertonicity include:

Methods of treatment of uterine tone and prevention of its manifestation

Due to the development of information technology and the Internet, many pregnant women begin to look for answers to the question "how to remove the tone of the uterus" in the open spaces of the forums. The most frequently discussed topic on such pages is the tone of the uterus, how to remove such a condition at home. This is the most basic mistake that can be fatal. How to remove the tone of the uterus during pregnancy, depending on the etiology, only obstetrician-gynecologists know and only in a hospital setting.

How to remove the tone of the uterus with the help of drug therapy?

Preventive measures in the development of uterine hypertonicity are:

If any symptom of a pathological course of pregnancy occurs, you should immediately seek help from a medical institution!

Consequences and complications of pregnancy with uterine hypertonicity

As can be seen from the above, the main consequences of increased uterine tone are conditions that aggravate the course of this pregnancy and can lead to the death of both the fetus at birth with signs of deep prematurity, and the death of the woman herself, if we are talking about detachment of a normally located placenta or central presentation due to the occurrence of pathological uterine tone.

Serious consequences can result in uterine tone during pregnancy, the symptoms of which every pregnant woman should know in order to protect herself and her unborn child from the complications of this condition