Why pulls in the lower abdomen in pregnant women. Why do you need to know the gestational age? Differences between physiological and pathological pain

During pregnancy, the resulting pain in the abdomen always causes concern in the expectant mother. Even if they are insignificant, a woman perceives them as a threat to the health of her unborn child. Unpleasant sensations of varying strength may be evidence of changes natural to pregnancy, but may also be the first symptom of what is happening. pathological process which cannot be ignored.

Pain happens different nature: acute and sudden, aching, cramping, stabbing or constant, chronic. For diagnosis, it is important to determine the localization of discomfort and pain.

Causes of pain in the first half of pregnancy

In the early stages of pregnancy, pain localized in the lower abdomen can be divided into physiological and pathological. In the first case, unpleasant sensations are caused by natural changes in which the whole organism undergoes restructuring. Such sensations are not dangerous. In addition, they are often minor, do not increase over time and do not cause great physical inconvenience.

Very often in the first weeks of pregnancy, a woman experiences abdominal pain, as during menstruation. Often, the expectant mother does not even pay attention to them, believing that menstruation will begin in a day or two. This is especially true for those who suffer. In fact, this discomfort is caused by the introduction gestational sac into the endometrium.

There are other reasons too:

hormonal changes in the body;
excess of the norm of the amount of progesterone;
stretching of ligaments;
increased sensitivity of the mother's body to nutritional errors;
changes in the center of gravity of the body.

There may be more serious reasons pathologies:

Ectopic pregnancy

Hernia

The umbilical hernia itself does not cause pain. The danger is the risk of being crushed. This pathology can cause stitching and cutting pains in the lower abdomen and in the navel, vomiting, nausea, heartburn. If you have these symptoms, you should consult a doctor.

Symphysite

Pain that occurs in the lower abdomen when walking can be caused by inflammation of the pubic joint (symphysitis). It leads to softening pelvic bones under the influence of hormones. Because of this, discomfort in the perineum and a characteristic duck gait are noted. While walking, pain often occurs due to diseases of the organs of the musculoskeletal system, which are exacerbated due to increased pressure on them.

preterm birth

Drawing pains with localization in the lower abdomen - main feature(28-38 weeks of gestation).

Other signs include:

feeling of heaviness, "stone" stomach;
aching pain in the lower back, sacrum;
brown or watery discharge from the vagina;
feeling of pressure on the perineum;
leakage of amniotic fluid;
indigestion.

Pain may be caused by dangerous pathology- premature. The state belongs to the most severe complications that threaten the life of the fetus and require immediate medical attention.

What are practice bouts?

Slight pulling sensations at the 38th week of pregnancy is an indicator that the body is intensively preparing for childbirth. They are called harbingers of childbirth. They also include:

prolapse of the abdomen;
slow fetal movements;
increased pain in the lower back;
stop weight gain
mucous discharge from the vagina, sometimes with streaks of blood;
separation of the mucous plug;
increased fatigue, unstable emotional state.

Pain may be cramping in nature. Sometimes they are perceived by women, especially primiparas, as the beginning of labor pains. In gynecology, they are commonly called. They are less painful, non-cyclical and do not tend to grow. Training contractions should not be a cause for concern, but they mean that a woman must be mentally prepared for the onset of labor.

38-39 weeks of pregnancy is the period when the child is fully formed and viable. generic activity can start at any moment.

What to do?

With severe cramping attacks in the first trimester, complicated by bleeding and fainting, you should immediately seek help from a doctor, since there is a very high probability of an incipient miscarriage or.

To reduce unpleasant symptoms caused by toxicosis, the following rules must be observed:

stick to fractional nutrition 5-6 times a day;
eat light plant foods, lean meats, fruits, vegetables;
exclude smoked meats, spicy, fried foods from the diet;
provide a pregnant woman with plenty of fluids to protect against dehydration (unsweetened tea, dried fruit compote, chamomile decoction, rosehip infusion);
do not lie down immediately after eating and do not eat at night.

To prevent toxicosis in the morning, before getting out of bed, you need to eat a handful of nuts, crackers or crackers. Ginger, which is used to make teas or add its root to salads or cereals, helps reduce nausea.

Every expectant mother should remember that painkillers can be eliminated for a while painful discomfort, but not to cure the disease that is its cause.

Pain caused by stomach and other internal diseases, will be overcome after the treatment of the disease that caused them. For accurate diagnosis, general tests, ultrasound and computed tomography are prescribed.

For minor abdominal discomfort that is not caused by chronic or acute illnesses, you can improve your condition by following these tips:

Take regularly warm bath or shower. The water should not be very hot.
Periodically lie down to rest, listening to light music, meditating.
Drink plenty of fluids, especially if you are prone to edema.
Take leisurely walks in places where there are no crowds. Stay on fresh air supplies the placenta and other organs with oxygen, accelerates the removal of toxins and toxins.
Perform, do yoga, fitball exercises.
Avoid stressful situations, physical and moral stress, unjustified experiences.
Follow a diet that supports the intestinal microflora, prevents dehydration, relieves swelling.
Regularly visit a gynecologist and follow all his instructions and recommendations.
Fight constipation: drink at least 8 glasses of water a day, eat fiber-rich foods, exercise physical exercise. Taking laxatives, especially without the advice of a doctor, is undesirable.
Keep an eye on blood pressure, with its sharp jumps, consult a doctor.
To alleviate the condition during training bouts, you can lie on your left side, placing a pillow under your stomach, take a knee-elbow position for several minutes, inhale deeply, counting to four and exhale, counting to six. The same exercises in the future will alleviate the condition during childbirth.

The stomach pulls a little during pregnancy in almost all women, and sometimes pregnant women experience this not the most pleasant feeling at a fairly early date. The feeling of pulling the lower abdomen during pregnancy is especially frightening for expectant mothers.

We have all heard that drawing pains, especially in early pregnancy, can mean a threatened miscarriage. But an experienced doctor will never rush to conclusions.

The causes of this vague pain are many and varied, let's see why it happens and when to panic. Where do pulling pains in the lower abdomen come from during pregnancy?

The sources of pain can be divided into those that are associated with the child, and those that do not affect him and the obstetric situation as a whole.

The second group of reasons is not at all dangerous.

Why does the stomach pull during pregnancy obstetric reasons?

This sensation is generated by the contracting muscles of the uterus, and, putting a hand on the stomach in the later stages, you can feel how it turns to stone. Hard belly and uterine tone - this can be dangerous for the baby.

But much more often, the causes are not at all dangerous, and they are different on different terms pregnancy. Many pulling pains in the lower abdomen are even regarded as a sign of pregnancy.

Signs of pregnancy, pulling the stomach?

2 strips on a pregnancy test and a pulling pain in the abdomen are so common that these sensations are regarded as the first signs of pregnancy.

Why does the stomach pull during pregnancy in the first weeks?

Responsibility for the baby that lives in my mother's "belly" makes a pregnant woman listen with special care to own feelings and the slightest manifestation of pain or discomfort causes a real panic - how is my baby? Is everything okay with him? Is there a threat to his comfortable existence?

Early pregnancy, stomach pulling, causes

In the early period, the stomach usually feels like it feels like before menstruation, these vague sensations can cause anxiety regarding the risk of termination of pregnancy. This fear is natural and is justified if, at the same time, pink or brown discharge, it is possible that the baby is really in danger.

Why does the lower abdomen pull normally during early pregnancy?

These pains are associated with a rush of blood to the uterus, an increase in blood circulation here. In most cases, they are physiological and can be regarded as signs of pregnancy, pulling the stomach along dangerous reason, but still a consultation with a gynecologist in the presence of these complaints is necessary.

Despite the fact that the symptom, when the lower abdomen is pulled, is regarded by the majority as a sign of pregnancy, this can speak not only of the norm, but also of the pathology.

Normally, it pulls in the lower abdomen during early pregnancy, not only due to a rush of blood to the uterus, but also due to swelling and stretching of the uterine ligaments. They need to have time to stretch after the rapidly growing uterus, while discomfort may occur. Pulling the stomach at the beginning of pregnancy is not normal all the time, just lie down and relax in order for the discomfort to pass.

When should you be concerned?

If you have early dates pregnancy, pulls the stomach, and at the same time, discomfort does not go away even lying down, they are not removed by a no-shpy pill, this may indicate a threat of miscarriage. In this case, the pulling pain increases rapidly and is also accompanied by spotting. There is only one advice - do not endure a single extra minute, call an ambulance.

In the first weeks of pregnancy, the stomach pulls in some cases due to the fact that the embryo is attached in the wrong place, for example, in fallopian tube. This ectopic pregnancy. Since only one tube, right or left, is affected, it pulls to the left or right of the lower abdomen. It is important that these pains are intense and permanent. That is, if normally in the first trimester of pregnancy the stomach pulls almost imperceptibly, you can continue to go about your business, being distracted from these sensations, with ectopic pain obsessive and interferes with life. A rupture of the fallopian tube during an ectopic pregnancy is dangerous with massive bleeding, and even the death of the mother, therefore, the earlier the diagnosis is made, the better for you. If you're pregnant early and feel like your stomach is twitching, visit your doctor as soon as possible and be 100 percent sure that the diagnosis of a life-threatening ectopic pregnancy is ruled out. Agree, than to guess and suffer - is everything all right with me, is my stomach pulling during pregnancy is normal - it’s easier and safer to go through a simple medical examination, including ultrasound, and dispel our own fears, continuing to calmly enjoy our interesting position, which, unfortunately, does not always indulge us with perfect well-being.

If at the beginning of pregnancy the lower abdomen pulls, and you notice any spotting (pink, brown, pale, it doesn’t matter), you need to see a doctor immediately, this happens with an ectopic, missed pregnancy, and with a threat of miscarriage.

The stomach pulls during pregnancy, not only for obstetric reasons, there may be other problems that are not related to the ongoing pregnancy. Sometimes the pain comes from physiological reasons not associated with the fetus and uterus. The point is that at early toxicosis bowel function is often severely impaired, vomiting and nausea, flatulence are common, and intestinal cramps may well bother you. These causes of pulling pains are not obstetric and are not dangerous for the health of the baby and mother, of course, only if they do not grow and become very pronounced.

Pulling the stomach at the end of pregnancy, the norm or pathology?

Even if you manage to avoid discomfort in the early stages, with the growth of the abdomen, you will inevitably find out if the stomach is pulling during pregnancy and how it happens. All women have to deal with this.

The growth of the uterus and the increase in the weight of the child stretches the muscles of the anterior abdominal wall, if you have a first pregnancy and they are elastic enough, they will cope with maintaining the tummy for a long time, and you will only feel that they are pulling the abdominal muscles. During pregnancy with a second, third child, muscle tone is weakened, and this can cause the tummy to sag, this is especially noticeable if the pregnant woman has a narrow pelvis, and the sagging belly feels like it pulls down.

A little later, when the pregnant uterus increases significantly and acquires an impressive weight, discomfort can be caused by stretching of the ligaments that support the uterus. In this case, the pregnant woman will feel that her abdominal muscles are pulled, as it were, there may be pain on the sides of the uterus, which disappears when changing positions.

Just in case, every expectant mother needs to know the signs of such a formidable condition as premature detachment of the placenta, which can happen at a later date. For premature detachment the placenta is also characterized by a situation where during pregnancy it pulls the lower abdomen. Most often, this may result in spotting- from very scarce to abundant. Take care of yourself - any brown, dark, or scarlet spotting, whether or not the stomach is pulling, requires immediate medical attention.

Sometimes the stomach pulls a little during pregnancy due to a scar on the uterus after a previous caesarean section or an existing other postoperative suture, for example, after a previous appendicitis operation.

The last few weeks have brought discomfort to literally everyone. The baby is already very big, so it is difficult for you to get out of bed, you cannot sit for a long time, the baby rests on the ribs and pulls the top of the abdomen, pulls the stomach even when walking. The pregnancy is coming to an end, and in recent weeks you may encounter such a phenomenon as the harbingers of childbirth. If you are 37-40 weeks old, regularly pulling your stomach, and it looks like contractions - soon to give birth. Good luck to you.

Any expectant mother, even if she is not going to give birth for the first time, is subject to certain fears associated with pregnancy, and even more so if it pulls in the lower abdomen.

As a rule, for most women, the period of an “interesting” situation proceeds calmly, without any complications, without causing unnecessary unrest. And, nevertheless, if a pregnant woman has a pull in the lower abdomen, this may indicate significant problems in the body, the cause of which must be clarified as quickly as possible.

Each trimester of pregnancy may have its own types of pain, and each has its own reason for their occurrence. Conventionally, pain is divided into dangerous and non-dangerous. Non-hazardous include those species that do not pose a threat to the expectant mother and her fetus. It can be that can occur in absolutely any person and have the appearance of short-term spasms. This is usually related to the food that the pregnant woman takes. If the stomach pulls, but the pain is minor, the cause may be an underestimated sensitivity when the baby begins to move in the stomach. In other cases, you need to consult a doctor.

There are a number of diseases during the course of pregnancy, which are accompanied by pain, it is simply necessary to know about them.

If it pulls in the lower abdomen on the right, and, in general, no pathologies have been detected in the body, there is no discharge, this may be APPENDICITIS. In this case, the pregnant woman will need urgent and qualified health care(surgical). This is the most dangerous view pain localized in the lower abdomen. The slightest delay can cost the life of an unborn baby.

If it pulls in the lower abdomen and the pain is accompanied by discharge with blood (vaginal), the cause may be either an abortion (spontaneous). It's extremely dangerous state, which requires urgent help physicians. Otherwise, the pregnancy is unlikely to be saved.

Foci of INFLAMMATION in the reproductive female organs(fallopian tubes, ovaries) are also accompanied by pain, concomitant discharge (purulent) and fever.

If it pulls in the lower abdomen and this sensation is transmitted to the lumbar region of a pregnant woman, bloody discharge appears and the activity of the unborn baby increases, this is an alleged THREAT OF BIRTH before due date(premature). Due to the intensity of the development of this type of disease, it is required and quick help physicians.

Pain in the lower abdomen (drawing, periodic), accompanied by a general weakening of the body, nausea, dizziness and dry mouth can be

Cause of pain in the lower abdomen future mother can become a STRETCH OF THE LINATIONS AND MUSCLES. The fact is that they are stretched due to the enlarging uterus, which the ligaments and muscles support. These pains are temporary, but they can become more significant with physical exertion, overeating and overexertion. They can be caused by excessive abdominal tension, strong cough. For pain of this nature, special treatment is usually not prescribed. It is enough to arrange for yourself periodic rest and lead a calm, peaceful life without worries. active life in this case unacceptable.

No matter what might have caused pain in the lower abdomen of a pregnant woman, it is important to be able to timely and adequately assess her condition and correctly diagnose the disease. And only a good specialist can do this. And if you value your health and the health of your future baby, at the first manifestations of pain, especially in the lower abdomen, immediately consult a doctor. We wish you and your little one good health!

WITH pulling sensations in the lower abdomen during pregnancy, every second woman faces. Often this is a needless concern, but do not forget about the pathological conditions that can cause a similar symptom. To protect your life and the health of the unborn child, you need to clearly know the main pathologies that can cause such pain.

Epidemiology

The epidemiology of this problem according to etiological factors is characterized by the fact that more than 65% of cases of such pain are caused by sprains and muscles, and therefore such pain does not pose a potential threat. But the remaining 35% are very big number complications that may be causing such pain. According to statistics, only 88% of women with similar symptoms get to the hospital on time, which threatens to terminate the pregnancy. In 80% of women, pulling pain caused by serious illness, accompanied by other symptoms, which proves the need for a complete diagnosis and knowledge of these additional clinical manifestations.

Causes of pulling pain in the lower abdomen during pregnancy

There can be many reasons for pulling pains in the abdomen during pregnancy, but it is important not only to know about them all, but also to understand where the line is when it is no longer normal phenomenon and need to seek advice. The duration of pregnancy is also very important, because depending on this, certain violations occur that entail such pain.

Before understanding the causes, you need to talk about the risk factors for this pathology. In women who become mothers for the first time, the risk of developing such symptoms is higher only due to the fact that both the uterus and all the abdominal muscles and pelvic floor not ready for such a load. The uterus stretches with increasing gestational age, and since it is a muscular organ, this is the only thing that can cause such sensations. Together with the uterus, the abdominal muscles are also stretched - this leads to an elongation of the muscle fibers, which can cause pulling pain. These phenomena are normal and can be in every woman, but they do not carry any danger. The only question is to determine pathological condition when to intervene. Among these conditions, it is necessary to highlight inflammatory diseases of the internal genital organs. Women who have had a history of chronic adnexitis or a cyst, or another focus of infection, have very high risk factors for complications during pregnancy, and one of the manifestations of such complications may be just such a feeling in the lower abdomen. In this case, such a symptom can often indicate an exacerbation of the disease. Therefore, one of the reasons that the lower abdomen is pulled during pregnancy may be an infectious inflammation of the tubes or ovaries. The pathogenesis of the clinical picture lies in the fact that the infectious process spreads to neighboring structures - this irritates the pain receptors of the peritoneum covering the uterus or ovaries, which causes pulling pain. But it should be noted that inflammatory process may not always have a strong manifestation, and the symptoms may be sluggish - which, in addition to pulling pain, may not cause other symptoms.

Other etiological factors such pain syndrome- this is a threat of miscarriage or its beginning. Premature termination of pregnancy is now a very common problem due to many reasons. This problem refers to the complications of the first trimester of pregnancy, when the fetus is most vulnerable. For one reason or another, on the part of the fetus or mother, a pulling pain in the lower abdomen begins, which corresponds to the onset of a miscarriage. The pathogenesis of this disease is associated with rhythmic contractions of the uterus of the same nature as during childbirth, which causes a gradual detachment of the fetal egg and its release. This is a dangerous condition for a woman's life and it is very important to diagnose it in time, because you can still save a child.

Very important reason pulling pain in the lower abdomen is an ectopic pregnancy. IN normal conditions on the seventh day after fertilization of the egg, the embryo moves through the fallopian tube and implants into the uterine cavity, where it develops in the future. When, for certain reasons, the embryo cannot reach the uterus, it implants in the tube or leaves it and enters the ovary or into abdominal cavity This is an ectopic pregnancy. Over time, the fetus grows and there is little space, which leads to stretching of the tube and the onset of symptoms. And the first of the symptoms most often is a pulling pain in the abdomen.

The rupture of a cyst, or simply its presence, which was not previously diagnosed or was asymptomatic, can cause a pain syndrome of similar localization. The cyst, located on the ovary, leads to its irritation, stretching and the appearance of symptoms. Further, the cyst can behave calmly throughout the pregnancy, or it can grow and progress.

Late pregnancy can be potential danger in the form of detachment of the placenta, and this condition is often accompanied by pulling pain. But there are other symptoms, so you should not focus only on pain in order to diagnose such a condition in time.

At any stage of pregnancy, a manifestation acute pathology urinary tract it could be such a pain. At the same time, one should think about renal colic or about acute gestational pyelonephritis. Careful differential diagnosis is essential for right tactics treatment.

These reasons are only the most common, and in order to correctly assess the situation, you must first focus on the nature and intensity of pain, which can predict a potential threat to life for both the mother and the child.

Symptoms of pulling pain in the lower abdomen during pregnancy

If the pain is caused only by stretching of the abdominal muscles and uterine fibers, then clinical picture limited only by a periodic feeling of heaviness in the lower abdomen, as with menstruation. As the pregnancy progresses, these sensations may increase. But this is the only symptom in this case, which appears from time to time and is inconsistent. He does not violate general state women and does not entail any problems.

If, in addition to pulling pain in the lower abdomen, there are other signs of the disease, then one should think about organic pathology. For example, inflammatory diseases of the appendages during pregnancy can become more active, then pain appears, as well as fever, which is inherent in any inflammatory process. The very rise in temperature and signs of intoxication may already indicate that this is serious. There may also be a purulent discharge from the vagina, or just an unpleasant discharge or discomfort.

If the lower abdomen is pulled in the first trimester of pregnancy, then this may be a sign of a threatened premature termination. In this case, only spastic pains in the lower abdomen are observed, which are repeated. If this is accompanied by bloody discharge, then we are talking about already about a miscarriage in the course, and then it will not be possible to save the child. That is why, in the event of such intense pain, it is necessary to consult a doctor immediately, and not wait for the symptoms to pass.

If the lower abdomen is pulled in the second and third trimester, then the cause may be both premature birth and placental abruption. Tactics are very different for all these pathologies. The first signs of preterm labor are the same as in normal ones, that is, pain in the lower abdomen. Sometimes on recent weeks before childbirth, a woman may suddenly feel such heaviness that it will not be accompanied by a discharge of water or the onset of childbirth. Then we are talking about a pathological preliminary period, in which false contractions do not lead to normal opening of the cervix.

If the lower abdomen is strongly pulled during pregnancy and this is accompanied by bloody discharge already in the later stages, then placental abruption should be excluded. But there may not be spotting, so you need to focus only on the intensity of the pain.

When walking, pulls the lower abdomen during pregnancy more often due to physical activity, then it is recommended to rest, and the symptoms should pass.

If it pulls the lower abdomen during pregnancy and the lower back, then most likely the woman has pyelonephritis. This is an inflammation of the kidneys, which is also accompanied by a violation of urination. At the same time, it can pull on one side - on the right or on the left. Other symptoms of this disease may include cloudy urine, fever, headache, and muscle pain.

If the lower abdomen pulls during urination, then most likely it is inflammation of the lower urinary tract. Cystitis - frequent illness pregnant women due to compression Bladder. At the same time, there is also pain during urination, burning, frequent urination and frequent urges.

If it pulls the lower abdomen and diarrhea during pregnancy, then you need to exclude food poisoning. This may be accompanied by symptoms of vomiting, nausea, which would suggest poisoning.

Thus, pulling pain in the lower abdomen is only one symptom, and for a complete characterization of the condition, it is necessary to evaluate others in order to provide assistance in time.

Complications and consequences

The consequences of pulling pain depend on the cause and the urgency of the assistance provided. With the threat of a miscarriage, you can save the child, but if the miscarriage has already begun, then unfortunately the treatment will not help. Speaking of inflammatory diseases, untimely treatment of such processes can cause intrauterine infection and lead to further complications - chorionamnionitis, congenital fetal pneumonia, congenital malformations. The consequence of untimely diagnosis of placental abruption may be a large retroplacental hematoma, which will ultimately lead to the need to remove the uterus.

Complications that occur against the background of only one symptom - heaviness in the lower abdomen - can be very serious, what you should know in order to prevent them, rather than treat them.

Diagnosis of pulling pain in the lower abdomen during pregnancy

Diagnosis of pulling pains in the lower abdomen should be timely, then all complications can be prevented. Therefore, it is necessary to exclude all pathological conditions, and only then say that this is a normal phenomenon during pregnancy.

First you need to establish all the data of the anamnesis and clarify the gestational age, the nature of the pain, and how they are related to the load. Sometimes the fact that the pains go away after rest may indicate their physiological nature. It is important to clarify whether the nature of the discharge has changed and whether the body temperature has increased.

Analyzes should exclude a pathological condition, and therefore, general analyzes are sufficient for a general diagnosis. General analysis blood helps to eliminate the inflammatory process, otherwise, there will be leukocytosis and a shift of the formula to the left. A urinalysis helps to determine the function of the kidneys and urinary tract. Any increase in white blood cells or protein may indicate inflammation. Then the diagnosis can be confirmed objectively - a positive symptom of Pasternatsky testifies to the benefit of pyelonephritis.

If placental abruption or a threatened abortion is suspected, a vaginal examination is mandatory, which helps to establish the stage of the process. The degree of opening of the internal uterine os during a miscarriage indicates the stage of abortion and whether it is necessary to maintain the pregnancy or it will not succeed. With detachment of the placenta, there may not be external bleeding, then it is necessary to determine the volume of blood loss using instrumental methods.

Ultrasound examination allows you to accurately determine the condition of the fetus, the localization of the fetal egg, and you can accurately exclude one or another condition. You can also assess the condition of the kidneys and the presence of obstruction, that is, diagnose pyelonephritis and urolithiasis. On late term pregnancy, the main method for diagnosing the condition of the uterus and the child is cardiotocography. This method allows you to establish the tone of the uterus, which plays a major role in the appearance of such pulling pains. And after that, you can judge premature birth or just an increase in the tone of the uterus. It is also possible to determine the fetal heartbeat and assess how such pain affects the fetus.

The main thing in the diagnosis of such a process is the comparison of all symptoms and the exclusion of emergency conditions.

Differential Diagnosis

Differential Diagnosis should be carried out between all pathologies that are accompanied by similar pains.

Treatment of pulling pain in the lower abdomen during pregnancy

Main principle treatment of such a pathology - etiological. Therefore, drugs that are used for such pathologies should be prescribed only when the cause is clarified.

If the cause of the pulling pain is the threat of miscarriage, then they try to save the pregnancy with the help of tocolytic therapy. If a miscarriage is in progress, then it will not be possible to save the pregnancy in the first trimester. As tocolytic therapy, drugs are used that reduce the tone of the uterus.

Hexoprenaline- This is a drug from the group of selective sympathomimetics, which acts by binding to uterine receptors and leads to relaxation of muscle fibers. Therefore, the drug can be used to stop uncomplicated preterm labor, which is accompanied by an increase in uterine tone and rhythmic contractions. The medicine should not be used at a gestational age earlier than 22 weeks. The method of application of the drug is intravenous, which allows you to quickly achieve the effect. Dosage - 10 micrograms of the drug should be administered slowly, and then switched to infusion use. Side effects- this is a heartbeat, heart rhythm disturbances, headache, a feeling of heat, increased pressure, tremor, diarrhea. Precautions - do not use the drug when birth defects mother's heart.

Utrozhestan- This hormonal drug which is used for further treatment miscarriage threats. Often hormonal disorders are the cause of the threat of preterm birth, so progesterone therapy is mandatory after the elimination of symptoms. The composition of Utrozhestan includes progesterone, a natural hormone that stabilizes the activity of the muscle fibers of the uterus and reduces its tone. The drug contributes to the normalization of fetal trophism and improves uteroplacental circulation. It contributes to the prolongation of pregnancy by increasing the level of natural progesterone. The dosage of the drug is determined individually. Method of application - 100 or 200 milligrams per capsule every day or every other day. Side effects - dizziness, drowsiness, pain in the mammary gland, itching of the skin, vomiting, fluid retention with the formation of edema. Precautions - it is important to control the dosage of the drug and the effect of this dose.
If the cause of heaviness in the abdomen according to accurate data ultrasound is pyelonephritis, then you need to use complex treatment, the main element of which is the restoration of urine outflow. In pregnant women, pyelonephritis is secondary due to the fact that the uterus compresses the ureters, therefore obligatory element treatment is stenting with the restoration of the outflow of urine. Then you need to prescribe an antibiotic that can be given to pregnant women. To such permitted antibacterial agents include unprotected aminopenicillins and cephalosporins. If we are talking about exacerbation of chronic adnexitis or oophoritis, then it is necessary to use an antibiotic in the treatment. TO complex treatment you can add antipyretic and antispasmodic drugs.

Cefpodoxime- beta-lactam antibiotic of the 3rd generation, especially effective in the action on gram-positive and gram-negative flora bactericidal. The drug has a bactericidal effect on possible anaerobic pathogens of urinary tract infection, so it can also be used for cystitis. The dosage of the drug is 200 milligrams twice a day, at least ten days. Side effects are possible when affecting the stomach - colitis or dysbacteriosis develops, which is manifested by bloating, impaired stool. Precautions - you can not use the drug for allergies to penicillin antibiotics, as well as for congenital fermentopathy.

Paraverin- This combined remedy, which includes the antipyretic agent paracetamol at a dose of 500 milligrams, as well as the antispasmodic drotaverine at a dose of 40 milligrams. This drug, due to its complex action, is able not only to reduce body temperature during inflammatory reactions, but also relieves headache And increased tone uterus in pregnant women. The dosage of the drug is a tablet of 10 milligrams, which can be taken with an increase in temperature or headache with an interval of at least 40 minutes. It is not recommended to take more than three tablets per day. Side effects occur in the form of stomach pain, dizziness, decreased pressure. Precautions - do not use in combination with other drugs of the same group and take with caution in liver diseases.

Vitamins for a pregnant woman in any case, they will be beneficial, given the increased need for various trace elements. When choosing vitamin remedy you need to give preference to those drugs that have in their composition not only vitamins, but also trace elements.

Physiotherapy treatment pulling pains in the lower abdomen can be widely used, for example, if there is a scar on the uterus, which can cause similar symptoms. To do this, use electrophoresis with papaverine and dimexide, as well as thermal procedures. You need to go through at least ten sessions, if not unwanted effects such treatment.

Alternative treatment of pulling pain during pregnancy

Alternative treatment of this type of pathology during pregnancy can be used with the threat of interruption or with ordinary miscarriages. At the same time, they use different means and herbs that not only reduce the tone of the uterus, but also soothe nervous system women taking pictures stressful condition and improve blood circulation in the mother-fetus system.

Yarrow powder is used to prolong pregnancy. To do this, you need to take the dry leaves of this plant, grind them in a mortar to a powder and take a teaspoon of this powder in a dry form in the morning every day for twenty-two weeks of pregnancy.
Calendula tincture is an excellent tocolytic agent, and besides this, it also has the ability to reduce bleeding activity, therefore, if there is a threat of miscarriage, to further normalize hemostasis, you need to take medicine from this plant. To prepare medicinal tea, you need to take the flowers and fruits of calendula, pour half a liter of water, and then after it has been infused for twenty minutes, strain and drink. Dosage - about a liter of tea should be drunk per day, controlling other fluids in the presence of edema.
Kalina with sugar has a very good effect on the general condition of a woman, improves blood circulation in the placenta and has antioxidant and immunomodulatory properties. To do this, it is enough to take viburnum grated with sugar throughout the entire pregnancy, especially in the first trimester. This is also additional source vitamin C.

The use of herbs and herbal teas also helps to normalize the tone of the uterus and soothe increased nervous excitability.

To prepare medicinal tea, you need to take 50 grams of dioecious nettle and the same amount of erysipelas, it must be boiled over low heat for five to ten minutes and then filtered. You need to drink such tea three times a day for half a cup, after which you need to lie down a bit, as there may be dizziness due to a decrease in pressure. This is not a side effect, but on the contrary, the complex action of two plants helps to increase blood flow in the placenta.
You need to take 100 grams of cinquefoil and marigold grass, make tea from a liter of water and drink in small sips throughout the day. The course of treatment is four weeks after the manifestations of pulling pains, then all processes should return to normal and the symptoms will disappear.
Licorice root, elecampane root and boron uterus leaves should be poured with dill and boiled for fifteen minutes. Then you need to add currant berries and let the infusion cool. After half an hour, this tea can be drunk up to five times a day.

Homeopathy in the treatment of a threatened miscarriage has its advantages, since the remedy is selected individually and the dose is always adjusted. In addition, long-term use of such homeopathic preparations is possible even before pregnancy.

Sabina- This is a homeopathic medicine that is used for pain in the abdomen of a pulling nature, especially when they irradiate to the pubic area and bladder. It is produced in the form of drops and is used in a dosage of eight drops per dose. Method of application - the solution should be dropped into 100 milliliters of boiled water and drunk half an hour before meals. The course of treatment can be started before pregnancy with a dose of three drops, and then during the first trimester, take eight drops. Precautions - It is not recommended to use the drug in obese women With arterial hypertension or gestosis. Side effects are rare, allergic skin reactions are possible.
Actea rakemosa is a homeopathic remedy that consists of herbal preparations, which are more effective in patients with pain that is localized on one side of the abdomen or migrates from one side to the other, which causes weakness and asthenia. Method of application of the drug - three drops three times a day, under the control of the heartbeat - with the appearance of tachycardia, the dose can be reduced. side effects not found. Precautions - do not take if allergic to plant pollen.
Hydrastis is a homeopathic remedy based on the goldenseal plant, which is very effective in maintaining pregnancy due to its action, which is similar to the natural hormone progesterone. The drug reduces the tone of the uterus and normalizes blood circulation, preventing spontaneous contractions. The drug is especially effective in the presence of early gestosis, which is accompanied by nausea and constipation. The drug is available in granules and is dosed in six granules every six hours. Taking the drug before pregnancy is not recommended.
Plumbum is a preparation of homeopathic origin from the group of inorganic preparations. Used to treat miscarriage with severe spasmodic abdominal pain. The method of application of the drug depends on the form. Dosage in case of taking drops - one drop per year of life, and when taking capsules - two capsules three times a day. Side effects are possible in the form of hyperemia of the skin of the hands and feet, as well as a feeling of heat. Precautions - do not use if body temperature rises.

Surgical treatment pathology, which is accompanied by a pulling pain in the abdomen, unfortunately is used for miscarriage in the course, which does not allow saving the life of the child. At the same time, in the case of opening of the uterine os to a significant size, when conservative treatment ineffective, bleeding must be stopped surgical method. Then they resort to the surgical removal of the fetal egg by scraping the uterine cavity. In case when premature birth, which are not amenable to tocolytic therapy or there are indications from the fetus - they are also carried out surgical intervention – C-section. If abdominal pain is caused by placental abruption, then this is an indication for surgical treatment, sometimes you have to remove the uterus if the hematoma is large.

If the lower abdomen is pulled during pregnancy, this may not necessarily be a serious pathology, but this symptom should not be missed, since any changes in the body of a pregnant woman affect the child. Be sure to tell the doctor about such pain, and he is already looking for the cause. In any case, if you are afraid for your health and the health of your baby, then you need to be examined and identify the cause.