Nutrition and diets 

Do during uterine tone. Effective methods to relieve uterine tone during pregnancy. How to determine the increase in tone in the uterus

How to remove the tone of the uterus? Is this condition dangerous? This is quite a common phenomenon for a woman's body, both in ordinary life and during pregnancy. The uterus is a hollow muscular organ, and any muscle has the ability to contract.

This is what should soothe pregnant women. But there are cases when the tone of the uterus is increased. In this case, it is commonly called hypertonicity. It can harm the fetus or even the pregnancy itself, and therefore it is worth knowing how to relieve the tone.

Treatment is most often carried out in a hospital, but if hypertonicity does not threaten pregnancy, you can get rid of it at home.

Many reasons can cause an increase in the tone of the uterus, but it would be simply impossible to list everything briefly.

It is for this reason that only the main ones that are most often encountered in medical practice are listed below:

  1. Rhesus conflict. The tone of the uterus is increased due to differences in the Rh factors of the parents. If one is positive and the other is negative, it can affect the fetus in the womb.
  2. Stretching of the uterus can be one of the reasons for its increased tone. This is due to the fact that when stretched, the structure of the muscle is disturbed, contracting, it tries to restore its former shape. Stretching of this organ may appear during multiple pregnancy, a large baby's weight, or as a result of a large accumulation of fluid in this area.
  3. The saddle-shaped and bicornuate uterus can also be the reason for the development of this pathology. It is these two features that can provoke a multiple pregnancy, and therefore often when two reasons appear at once. In addition to the irregular shape of the organ, stretching of its walls may also occur.
  4. Severe toxicosis can harm the uterus. With a banal sneeze, almost all organs, including the uterus, tense up. The same thing happens with the expulsion of vomit from the body. It is impossible to completely avoid toxicosis, but it can be reduced with the help of medications.
  5. Hormonal imbalance is also involved in this disease. With a lack of progesterone, implantation of the ovum can fail, and an excess amount of male hormones can also provoke a miscarriage.

Treatment is prescribed based on the causes that contribute to the occurrence of uterine hypertonicity.

The diagnosis of "uterine hypertonicity" is made exclusively by a doctor who observes the patient's pregnancy according to the indications of an ultrasound examination.

The uterus itself consists of three layers. Hypertonicity is detected with frequent contractions of the myometrium. You can reduce its contractility at home.

To do this, you just need to perform the following exercises:

  1. It has long been found that if you completely relax your face, then many muscles will begin to calm down. The same should befall the uterus. It is necessary to take a comfortable position for the patient and try to relax the muscles of the face and neck. It is recommended to lie down while doing this exercise. It relaxes the body and all muscles and organs. If you manage to master this exercise, then it can also be useful in generic practice, and not just in preparation for it.
  2. The “Kitty” pose is known to all women, probably from kindergarten. In order to perform this exercise, you need to take a knee-elbow position, but you can also take an emphasis on the palm of your hand. This posture helps the uterus to take a suspended position, which is simply necessary in order to relax the muscles of this organ. In the initial position, the head should be tilted down, but at the moment when a deflection is formed in the back, you need to raise it up. Then, bypassing the starting position, you need to arch your back up, and your eyes should rest on your legs. After several such exercises, you should lie down for a while.
  3. To remove the tone of the uterus during pregnancy, you can simply stand on all fours. As already explained, the uterus is in this case in limbo, which helps it to relax and acquire normal contractile abilities. Just two minutes is enough for this, but then you need to rest for a while, during which you can just lie on the floor or bed, depending on where this exercise was carried out.
  4. Treatment of hypertension at home can be carried out with the help of aromatherapy. It is necessary to choose oils that the patient likes and is able to calm her down. But at the same time, you need to understand that there are such aromas that, on the contrary, tone up this organ, and therefore it is worth consulting a doctor about this. You can also make some kind of medallion or talisman to take with you in your bag.
  5. Teas with the addition of motherwort, mint, lemon balm and valerian will also help to avoid hypertonicity at home. It is advisable to mix them all in proportions 1:2:2:2. It is also not forbidden to take valerian and motherwort tablets during pregnancy.
  6. At home, special yoga for pregnant women, as well as relaxing music, will help remove hypertonicity. It should be understood that a person is needed who will guide the patient and help her in case of emergency, and therefore it is worth approaching this method of treatment with caution.

Any of the treatments proposed above will help bring the tone of the uterus in order, but when using any of them, you should seek the advice of a doctor so as not to harm yourself in case of negligence.

A specialist observing a woman may advise her to take magnesium in combination with vitamins B6. It also helps to monitor the work of the uterus.

It should be understood that treating a consequence is more difficult than preventing its occurrence. It is necessary to carefully study the causes of increased uterine tone and try to eliminate them.

You need to try to avoid stress and overexertion. It's too harmful in pregnancy, everyone knows. An increase in tone can be the result of such unrest. Due to hypertonicity, exfoliation of the placenta often occurs, which leads to spontaneous abortion.

It is best to avoid watching thrillers, horror and other films, series and cartoon masterpieces that make you overreact to what is happening on the screen. For viewing, it is better to choose comedies that will give a lot of positive emotions, which will have a good effect on health.

It is also worth abandoning a large physical activity, giving preference to a long rest, since during pregnancy the load exerted on the woman's body can adversely affect the condition of the fetus.

But you shouldn't lie down all day either. It is recommended to spend a lot of time outdoors. It is desirable that these are hiking in nature, away from exhaust gases and stagnant air. But do not be too zealous in this regard.

A woman expecting a baby can be very frightened when she first feels discomfort. Uterine tone during pregnancy is a symptom that is dangerous throughout all three trimesters, the cause of which must be identified as soon as possible in order to avoid serious complications. Why such a problem arises, what is its danger, what to do to normalize the situation, how to determine the pathology - it is necessary to understand these issues.

What is uterine tone

Nature has prepared a special hollow organ for carrying a baby. The uterus, which consists of several layers, has muscle tissue that protects the growing fetus, is able to contract during childbirth, helping the baby to be born. Normally, she is relaxed. Unfortunately, there are many reasons why a dangerous contraction of muscle fibers occurs.

What is uterine hypertonicity during pregnancy? This is a symptom that requires accurate diagnosis of the causes of the pathology and immediate treatment. The appearance of dangerous signs means:

  • there is a strong compression of the muscle layer;
  • increased pressure in the uterine cavity;
  • there is a threat to bearing a baby;
  • high risk of preterm birth.

What is the danger of uterine tone during pregnancy

Expectant mothers should carefully monitor their condition throughout the pregnancy. It is useful for women to know why the uterus is in good shape, what are the symptoms, so that when they appear, consult a doctor. This will help avoid serious problems. Uterine activity is dangerous in all trimesters of pregnancy. In the early stages, high tone can:

  • cause difficulties in the process of implantation of the fetal egg;
  • lead to placental abruption, disrupting the nutrition of the fetus, causing missed pregnancy;
  • provoke a miscarriage.

No less dangerous is the uterus in good shape during pregnancy in subsequent periods:

  • In the second trimester, contraction of muscle fibers reduces blood flow in the vessels of the placenta, limits the supply of oxygen to the fetus, which leads to delayed development.
  • In the third trimester, abortion is possible - premature birth due to early opening of the cervix. The baby develops hypoxia due to compression of the vessels of the umbilical cord.

Norms of uterine tone by gestational age

For a baby to develop properly in the womb, the uterus must be supple and relaxed. Like any muscular organ, it has physiological contractions. What contractions of the uterine walls are considered normal? Experts highlight the tone that occurs in the early stages of pregnancy and is conditionally safe. In this case, uterine contraction:

  • occurs no more than 6 times a day;
  • contributes to the activation of blood circulation, the normal development of the child;
  • can be caused by minor physical exertion.

The following stages of pregnancy have their own characteristics:

  • In the second trimester, starting from the 20th week, painless contractions are observed, which are considered training, preparation for future childbirth, occur several times a day.
  • With the beginning of the third trimester, the contractions of the uterus are helped by the baby, who begins to actively move. By the end of the term, hypertonicity is difficult to distinguish from the onset of labor.

Signs of tone

Only a gynecologist can accurately determine the tone. When the first symptoms of a threat appear, in order to exclude dangerous consequences, you need to visit a doctor. What are the signs of uterine tone during pregnancy? Pathology is accompanied by:

  • aching, squeezing pains in the lower abdomen;
  • contractions of the muscles of the uterus;
  • feeling of heaviness, discomfort;
  • bloody discharge;
  • tension, petrification of the abdomen;
  • pain in the lumbar region, sacrum;
  • feeling of contractions.

Causes

There are a large number of reasons for the occurrence of tone. They are related to the state of the body and external factors. There are such causes of uterine tone:

  • a reduced amount of the hormone progesterone, which relaxes smooth muscles;
  • severe toxicosis with vomiting, causing muscle contractions;
  • increased levels of prolactin and male sex hormones;
  • thyroid pathology;
  • anomalies in the development of the uterus;
  • Rh-conflict of the blood of parents;
  • infectious diseases;
  • pathology of the placenta;
  • uterine fibroids;
  • inflammatory processes of the reproductive organs.

Hypertonicity of the uterus during pregnancy is provoked by:

  • psychological problems;
  • constant stress;
  • physical exercise;
  • long journeys;
  • sports;
  • air travel;
  • lack of sleep;
  • strong gas formation;
  • malnutrition;
  • obesity;
  • age after 35 years;
  • incorrect position of the fetus;
  • violation of intestinal motility;
  • stretching of the uterus during multiple pregnancy;
  • polyhydramnios or large baby size;
  • sex before 12 weeks of pregnancy;
  • previous miscarriages;
  • tumors;
  • abortions.

Products

Improper nutrition can provoke an increased tone. There are foods that cause this condition. These include:

  • legumes, cabbage, provoking increased gas formation;
  • moldy cheese containing a fungus dangerous for pregnant women;
  • coffee, which quickly removes fluid from the body, increasing blood pressure;
  • raw eggs that can cause the development of salmonellosis - heat treatment is recommended;
  • black tea containing a lot of caffeine.

Spices cause an increase in uterine tone. Doctors recommend limiting the use of basil, bay leaf, fennel, cinnamon, nutmeg, cumin during pregnancy. The danger is represented by dishes that have not undergone long-term heat treatment. They can become a source of infectious diseases. These include:

  • steaks from meat with blood;
  • dried delicacies;
  • pate;
  • quick cooked liver;
  • sushi;
  • salo.

Diagnostics

The first unpleasant symptoms should be determined by the pregnant woman herself and consult a doctor. With great accuracy, increased tone is detected during examination by a gynecologist. Diagnostics includes:

  • external control, fixing complaints;
  • palpation of the abdomen in the supine position;
  • Ultrasound, which reveals a thickening of smooth muscle tissue, the tone of the anterior or posterior wall, depending on the place of attachment of the fetus;
  • tonusometry using special sensors.

How to determine the tone of the uterus during pregnancy yourself

A woman should be able to diagnose uterine tone herself. This will help to timely identify the causes of the pathology and prescribe treatment in order to moderate it. It is important to distinguish between symptoms that signal a problem. You can find out if there is muscle tone at home. To do this, you need to lie on your back, relax, gently feel the stomach, check the condition of the muscles. In this situation:

  • a feeling of softness indicates a lack of tone and reason for concern;
  • a firm, elastic abdomen is characterized by increased muscle contraction, requires the intervention of a doctor.

What to do

How should a woman behave, what to do if there are dangerous symptoms? Gynecologists recommend following the regimen to relax the muscles, taking medications that will reduce tone. To avoid the threat of miscarriage, pregnant women need:

  • stress relief;
  • complete cessation of sexual activity;
  • exclusion of physical activity;
  • providing bed rest;
  • aromatherapy that promotes relaxation;
  • use of warm baths and showers;
  • acupuncture;
  • treatment of Rh-conflict;
  • normalization of nutrition;
  • psychotherapy sessions.

Medical treatment

When uterine tone appears, it is necessary to solve two important tasks - to remove unpleasant symptoms and to influence the causes of their occurrence. Doctors prescribe magnesium preparations with vitamin B6, which relax the uterine walls. It is recommended to take:

  • tincture of motherwort, valerian, soothing, helping to relieve stress;
  • Utrozhestan, Duphaston - progesterone preparations for hormone deficiency in early pregnancy.

To reduce uterine tone, relieve spasms, remove dangerous symptoms, antispasmodics are prescribed - Nosh-pa tablets, as well as drugs:

  • Genipral - relaxes muscles, not recommended in the early stages;
  • Nozepam is a sedative drug that has a sedative effect;
  • Curantil - improves placental circulation;
  • Riboxin - activates metabolic processes;
  • Piracetam - increases the resistance of nerve cells in the fetus to oxygen deficiency;
  • Dicynon - stops spotting.

Candles

Rectal suppositories help to bring the increased uterine tone back to normal very quickly. Candles are injected into the rectum, left until resorption. The active substance enters the blood, reduces the excitation of the walls of the uterus. Doctors prescribe:

  • Viburkol - has an antispasmodic, analgesic effect;
  • Papaverine - relaxes smooth uterine muscles, expands blood flow, reduces tension;
  • Indomethacin - is used for the threat of abortion, but only from 16 to 32 weeks.

Exercises

You can cope with increased uterine tone at home if you perform simple exercises. This will help relax tense muscles. It is recommended to make a complex:

  • Get on all fours, bend your back, raise your head, return to the starting position. Repeat several times, then lie down for at least an hour.
  • Sitting on a chair, lower your head, relax the muscles of your neck and face, breathe through your mouth.
  • Stand on all fours for a few minutes so that the stomach is in a suspended position. Breathe calmly.

How to avoid uterine tone during pregnancy

Prevention of hypertension helps to avoid the appearance of unpleasant symptoms. Simple measures contribute to the normal course of pregnancy without pathologies. A woman needs:

  • avoid stress;
  • start eating right
  • do not drink alcohol;
  • observe the daily routine;
  • ensure proper sleep;
  • avoid physical overload;
  • worry less;
  • no smoking;
  • visit a gynecologist regularly.

Video

WITH uterine hypertonicity almost 60% of pregnant women face, and most often such a diagnosis is made in the first or second trimesters of pregnancy. Such a condition in our medicine is considered uterine hypertonicity, therefore, it is most often treated in a hospital. Actually elevated uterine tone may harm the fetus if continued for a long time. But such a diagnosis carries a real threat only if it is accompanied by severe pulling pains in the lower abdomen, as well as bloody discharge. With such symptoms, the expectant mother should immediately call an ambulance. If there is a feeling of heaviness in the abdomen, and the uterus has become hard, then this condition can be dealt with at home. Western experts believe uterine hypertonicity physiological manifestation of pregnancy. After all, the uterus is a muscle, and muscles tend to tighten and relax. During pregnancy, blood circulation in it increases, so it tends to tone up from time to time. In our medicine, this condition is treated with antispasmodics, such as papaverine or no-shpy. Often, pregnant women with hypertension are prescribed magnesium and vitamin B6 preparations. In European practice, medicines are resorted to only as a last resort. And already on the experience of many women it has been proven that it is possible to cope with hypertonicity without medication with the help of relaxation exercises.1. Scientists have long noticed that if you relax the muscles of the face, the uterus relaxes automatically. Western doctors offer this relationship to be actively used by all expectant mothers. Removal technique uterine tone quite simple: when the first signs of discomfort appear, you need to sit in a comfortable position, lower your head a little, try to relax absolutely all the muscles of the face and neck as much as possible. In this case, you should breathe calmly and evenly through your mouth, trying to release tension with each exhalation. Within a minute, the symptoms will begin to disappear. With the regular performance of such an exercise, a woman begins to learn to control her body, which will come in handy not only during pregnancy, but also at the time of childbirth.2. Not immediately and not all women manage to master the first technique. In order to quickly learn relaxation in a sitting position, it is useful to perform the exercise "Kitty". Get on all fours, lower your head, then slowly raise it and bend your back down, taking a deep, even breath. Try to relax your facial muscles as much as possible. Raising your head up and arching your back, maintain this position for 5-7 seconds, then begin to slowly bend your back up, lowering your head and gradually exhaling. Repeat all of the above movements several times, and then try to lie down for one or two hours. It is useful to perform this exercise several times a day. One favorably affects the general state of health.3. You can relax the uterus by simply assuming a position in which the uterus is in limbo. To do this, you need to kneel, rest your elbows on the floor and stand in this position for a minute. After that, you definitely need to lie down.

The uterus is a muscular organ, which, like all the muscles of our body, is able to contract. But, if in a normal state a woman does not notice these contractions, then in a state of pregnancy, muscle tension becomes noticeable. In some cases, it may be painful. Voltage can be general and local, it is measured in millimeters.

Attention! Increased uterine tone can lead to undesirable consequences, such as fetal hypoxia, placental abruption, and even abortion.

The following factors can provoke such a painful condition:

What activities are prohibited for women in position?

With the appearance of hypertonicity, it is necessary to exclude all physical activity. Any physical exercise should help to relax the uterus and should not cause discomfort or pain.

It is necessary to exclude sports such as:

  • Jumping.
  • Press exercises.
  • Any exercise that causes muscle tension.
  • Weight lifting.

Contraindications

  • The threat of abortion.
  • Gynecological diseases that cause hypertonicity.
  • Increased tone, accompanied by pain or discharge. In this case, hospitalization is necessary.

Before starting any set of exercises, a doctor's consultation is required.. Only he can decide in each specific case whether it is possible to do gymnastics and give recommendations for each specific case. If pain or discomfort occurs during exercise, they should be stopped immediately.

Tension Relief Exercises

In addition to drug treatment, physiotherapy and bed rest, there are special exercises that are recommended for pregnant women to relieve excessive stress on the uterus.

These include:

  • Physical exercise.
  • Breathing exercises.
  • Yoga for pregnant women.

Physical

  1. One of the main exercises is the knee-elbow pose. Fulfillment: get on all fours, lean your elbows on the floor. Stay in this position for 10-15 seconds. Repeat 4 times. In this case, the uterus is, as it were, in a suspended state, nothing presses on it. After the exercise, it is advisable to lie down.
  2. It is known that relaxation of the muscles of the face contributes to the relaxation of the uterus. You need to take a comfortable position and relax the whole body and face as much as possible. You should breathe evenly and calmly, try to feel how the tension gradually disappears. It is advisable to perform the exercise in the morning and in the evening.
  3. Exercise "Cat" with back bend. This is also a knee-elbow position, but at the same time, the pregnant woman makes movements with her back and lower back. The lower back is up on the exhale, the lower back is down on the inhale. Do 4 sets, then rest in the same position on all fours.

Next is a visual video with a set of exercises for tone during pregnancy:

Breathing exercises

During pregnancy, a woman undergoes a number of changes in the respiratory system.:

  • The need for oxygen is increased by 20%.
  • The volume of the chest decreases due to the displacement of the abdominal organs.
  • Airway resistance is reduced by 50%.

Breathing exercises help a pregnant woman to solve these and many other problems. Special exercises:

  • relieve nervous and emotional stress;
  • provide an increased need for oxygen in the body;
  • improve uteroplacental circulation;
  • improve the work of internal organs;
  • facilitate the course of pregnancy for both mother and child.

When performing exercises, you should follow some important recommendations:

  1. Breathe with your belly, not your chest.
  2. Perform gymnastics should be completely relaxed.
  3. Exercise should be done regularly, but without straining.
  4. Increase the load gradually.
  5. You need to start with 2-3 cycles, gradually bringing the time of classes to 10 minutes a day

Gymnastics can be carried out both in combination with physical exercises, relaxation classes, and as independent exercises.

A set of exercises

Yoga

Yoga classes help a woman to strengthen the muscles of her back and spine, learn to relax her body, in particular to remove or prevent the development of uterine tone. Special exercises are aimed at stabilizing the psycho-emotional state. Pranayama is also practiced in yoga classes - relaxing breathing, which helps to relieve fatigue and tension.

When practicing yoga for pregnant women, it is important to observe the following principles:

  • It is desirable to do it in the morning, it is better after emptying the intestines and taking a shower.
  • It is worth doing in a ventilated room and in a calm state.
  • Exercise should not cause pain or tension.
  • Asanas that cause pressure on the abdomen and pelvis, as well as those where you have to bend over or twist, should be avoided. You can not perform jumps and deep lunges.
  • Be sure to watch your face, the muscles should be relaxed. You can do a light head massage and articulation exercises before classes.
  • More attention should be paid to breathing exercises and mantras.
  • Breathing during exercise should be free, breathe better through the nose, do not hold your breath.
  • You should carefully approach the poses where you need to maintain balance. When performing such exercises, be sure to lean on a wall or a chair.
  • It is important to focus on the sensations in the body.

Poses

Thus, you can remove the increased tone of the uterus and improve your well-being by performing certain physical exercises, doing breathing exercises or yoga for pregnant women. In any case, you should definitely consult a doctor and carefully monitor your condition.