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Myometrium Hypertension in Pregnancy: Causes, Treatment, Consequences

Reduction of the uterus is a normal condition, as for any other muscle. When the muscle fibers contract, the uterus is in a tone, that is, in tension, the pressure on its internal cavity increases. In pregnancy, hypertension is observed in most women and does not cause harm to health, but in some cases this condition is dangerous when carrying a child, requires special examination and treatment.

Myometrium hypertension during pregnancy requires increased attention, because it depends on the condition of the uterus that the fetus is dependent on oxygen and nutrients. On the anterior and posterior walls, hypertension of the myometrium is the cause of the transmitted blood vessels, through which oxygen enters the child.


With a routine examination in the office of a gynecologist, such a diagnosis as frequent contraction of the uterus is made very often. The flow of this symptom can be harmless or, conversely, dangerous to the health of the future mother and child. The reasons for the tone can be very different. The female organism during pregnancy is reconstructed and works differently, not as always. The behavior of the uterus is affected by both external and internal factors:

  • Diseases of the uterus;
  • The presence of chronic diseases;
  • Abnormal shape of the uterus;
  • Hormonal insufficiency;
  • Repeated abortions or operations on the uterus;
  • bad habits;
  • Poor sleep, stressful situations;
  • A large fruit ;
  • Multiple ovarian cysts;
  • Polyhydramnios.
  • Infantilism of the uterus (small size, underdevelopment).

A more accurate reason can be determined after an ultrasound examination. The doctor prescribes a referral for blood tests to determine the level of hormones.

Early in pregnancy

Myometrial hypertension at the beginning of pregnancy indicates that the woman's body produces insufficient progesterone or there is an overabundance of male hormones.

The reason for the increased tone of the uterus in the second trimester is:

  • Impaired fat metabolism;
  • Constant stress;
  • Excessive physical activity;
  • Inflammatory diseases of the reproductive system;
  • Magnesium deficiency;
  • Large fetal sizes;
  • Multiple pregnancies.

Severe toxicosis, accompanied by excessive vomiting, leads to frequent contractions of many muscles, including the uterus. The most dangerous phenomenon that can accompany pregnancy is the Rh syndrome, which causes rejection of the fetus, a clear symptom of this is the tone of the uterine myometrium.

There are reasons that cause an increased tone, which are absolutely not dangerous, for example, strong gas formation in the intestine. Painful sensations are associated with gases that press on the walls of the uterus. In this case, you need to exclude from the diet of celery, garlic and salty foods.

Symptoms of increased tone

Any woman will be able to determine the hypertension of the uterus, especially in the early stages of pregnancy. You do not need a paid gynecologist:

  • Stretching pain, similar to those that occur during menstruation;
  • Heaviness at the very bottom of the abdomen;
  • Pain in the lower back, giving in the sacrum;
  • Spotting, but not always.

At later terms, for all these reasons, the firmness of the abdomen is added.

Treatment of myometrium

If during the examination it was found out that the tone of the uterine myometrium does not directly threaten the life and health of the woman and the fetus, the treatment is carried out at home. In critical situations, the future mother is sent for hospitalization. For outpatient treatment, the following are written out:

  • "Papaverine";
  • "No-Shpa";
  • "Magne B 6 ";
  • Sedatives;
  • Products containing magnesium: "Partusisten", "Bricanil" and "Ginipral".

All medicines are prescribed by a doctor, during their use, the condition is monitored, blood pressure, blood sugar and palpitation are checked. All these drugs are used to eliminate pain symptoms and ease the condition of a pregnant woman.

"Magne B 6 " take 1-2 tablets daily, while eating, with plenty of water. Take the drug should be under the supervision of a doctor. The medicine reduces the level of iron in the blood, and this leads to anemia. Side effects are expressed in the form of nausea, constipation, flatulence, vomiting.

With a deficiency of progesterone at the early stages of pregnancy, hormonal preparations are prescribed for its preservation - Dufostan or Utrozhestan. It is important to remember that only a doctor can prescribe and cancel treatment, since you need to stop taking hormonal medications gradually.

Treatment in the second and third semesters

In the second trimester, stronger and more effective drugs are appointed, for example, "Ginipral". If there is a risk of detachment of the placenta, the medicine is not applied. By the third trimester, the fetus is mature enough, but there is such a pregnancy pathology as excessive placental peeling. Here an emergency decision is made to stimulate childbirth or cesarean section so as not to lose the child and save the life of the mother.

You can alleviate the pain by kneeling on a chair and slowly crouching on all fours. The head is raised upwards. Next, you need to gently bend, like a cat, as far as the abdomen allows, the chin stretches to the chest. After this exercise you need to sit down in a comfortable position, stretch your legs and relax.

Treatment in the hospital and diagnosis

Increased tone of the uterus is easily determined by a routine examination with a gynecologist, the doctor feels the fossil of the uterus. The woman lies on her back during palpation (examination), bending her legs in the hips and knees to relieve tension in the abdomen.

But the most accurate and rasporraschenny method - ultrasound examination (ultrasound). Scanning will determine the degree of development of pathology. There are special preparations, myometers or tonusometers. Such equipment is rarely used in more complex cases, because pathology can be easily identified by other methods.

The decision on hospitalization is taken as a last resort, when the pregnancy is initially difficult or all attempts have been made to relax the muscle, but the hypertension does not change myometrium. The woman is provided with absolute rest in the hospital, the doctor supervises the condition of the future mother and child and takes measures in any changes in the behavior of the uterus.

In the hospital, "Magnesia" is prescribed for intramuscular injection. Orally treated:

In case of violations in the work of the kidneys, medicines are not prescribed or used as carefully as possible.

How to help yourself with sudden pain?

Sudden hypertension of myometrium: what to do? First of all you need to take the most comfortable position and relax, breathe evenly and calmly. It is recommended to drink a sedative, for example a motherwort. To take medicines from the increased tone of the uterus, the pain should pass for 15-20 minutes. If this does not happen, you need to call an ambulance.

Consequences of hypertension of the uterus

In some cases, hypertension of the uterus is a true pathology of pregnancy, which can lead to premature birth or miscarriage. Depressed vessels often cause hypoxia (lack of oxygen) or fetal hypotrophy (lag in growth).

Myometrium hypertonia can also lead to the following consequences:

  • Prolonged childbirth;
  • Indication for caesarean section;
  • Postpartum hemorrhages.

The uterus can not shrink on its own, therefore, in the hospital the doctor watches her tone. If a woman is exhausted and can not give birth herself, a decision is made about a cesarean section in order to save the child.

If it turned out that the myometrium is not uniform, it causes a lot of problems, so it is important to monitor your health and stomach behavior. If it often becomes firm and you feel pain, you should definitely seek help from a doctor. This will save you from many troubles and allow you to endure a healthy baby.


  • Pathology can cause a miscarriage;
  • Inhibit the development of the fetus;
  • Premature placental abruption.

Inhomogeneous myometrium

Obvious signs that a woman's myometrium is not uniform - a painful sensation in the lower abdomen, bloody discharge. This state appears due to the influence of the following factors:

  • hormonal disbalance;
  • Abortion and other intrauterine curettage;
  • Presence of several pregnancies;
  • Trauma to the inner shell of the uterus.

Preventive actions

To avoid many problems associated with bearing a child, pregnancy should be planned. It is important to prepare for it in time, to undergo a survey, and to conduct a course of treatment for chronic diseases.

Each woman should register with a women's consultation before the 12th week of pregnancy and regularly visit an obstetrician-gynecologist, it's not out of place to visit a private clinic where a paid gynecologist will perform the examination.

It is important to ensure a proper sleep and quality rest, to switch from hard work to easier work, to exclude emotional overstrain and physical stress.

The main condition for the prevention of the appearance of uterine hypertension is a careful attitude to one's health and a planned examination by a gynecologist. This condition is regarded as a threat of termination of pregnancy, so it is very important to seek medical help in a timely manner.

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