Hypertension of the uterus is, in fact, contractions of the uterus, which appear before the expected date of onset of labor. On the one hand, such cuts are quite natural, because the uterus is a muscle in its structure, and the main property of any muscle is a contraction. But, on the other hand, hypertension of the uterus can not be completely ignored, as it can indicate a threat of termination of pregnancy.
Causes of hypertension
Causes of hypertension of the uterus can be very different. This and a number of hormonal disorders, and dysfunction of the ovaries, and impaired function of the adrenal glands. It can also cause problems when a woman has underdeveloped genitals or there are a number of malformations of the uterus. Promotes the development of hypertension, the presence of tumor formations in the uterus, infections and inflammation in the pelvic organs and in the body of the fetal egg. Hypertension of the uterus can be caused by ischemic-cervical insufficiency, when the cervix can not withstand the increasing load and it begins to unfold before the onset of labor. There are also dangerous malfunctions in the immune system during pregnancy and the presence of somatic diseases in a woman. Among the causes of hypertension is psychological: anxiety, depression, a sense of inner tension, insecurity.
What is dangerous hypertonia?
With an increase in the tone of the uterus, a woman feels the heaviness and tension in the lower abdomen. There may be pain near the pubis, in the lower back, a series of unpleasant sensations in the lower abdomen, similar to the bursting, as well as pain resembling menstrual. Hypertension of the uterus during the first trimester of pregnancy can lead to the death of the fetus and miscarriage. During the second and third trimester, hypertension of the uterus often causes premature birth. For a fetus that develops in the uterus, hypertonicity can disrupt the blood flow of the placenta. This can lead to an intrauterine shortage of oxygen and fetal developmental delays. This is because the placenta does not contract with uterine contractions. The result can be her detachment and spontaneous termination of pregnancy, or the birth of a child before the term.
Hypertension of the uterus is usually detected during a routine examination. Treatment of hypertension begins on a standard basis. The doctor appoints a set of antispasmodics and sedatives, as well as vitamin B6 and magnesium preparations. Usually this is enough to make the tone of the uterus come back to normal. And, of course, with hypertension, physical activities are contraindicated, it is recommended to lie more. Sex work is contraindicated, because contractions of the uterus can provoke miscarriage.
To "preserve"
If the appointment of sedatives and vitamin therapy does not help to get rid of hypertonia, regular cramping pains occur accompanied by spotting, then the woman is hospitalized or "put on hold," since there is a real threat that the pregnancy will be interrupted.
In the hospital, a woman undergoes vaginal examinations and ultrasound, which helps confirm the presence of increased uterine tone, and also monitor the condition of the fetus and fetus. If necessary, a test will be conducted for the level of sex hormones in daily urine and blood, a test for genital infections.
The future mother should be provided with complete rest, prescribed soothing and antispasmodics, multivitamins and other drugs. If the hypertension of the uterus caused the onset of labor until 34 weeks, the birth canal is suppressed with the help of the musculature relaxing the uterus. The most critical for a premature baby is a period of 25-28 weeks. If there is a threat of the onset of labor before the term, the main task is to accelerate the maturation of the fetal lungs. Extension of pregnancy even for two days can provide such an opportunity.