What does uterine tone lead to? Uterine tone during pregnancy: what is it and why is a “stony” belly dangerous?

Pregnancy is a time associated not only with the happy anticipation of the baby’s appearance, but also a period of adaptation of the woman’s body to the state of pregnancy 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, and present diagnostics and methods of combating this problem.

What is uterine tone?

Uterine tone is a normal state of the female reproductive organ, which is characterized by short-term contraction of the myometrium (the middle muscular layer of the uterus) in response to various types of influences. For example, the motor activity of the embryo, and after 22 weeks - the fetus, a full 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 be present during pregnancy, since it is a muscular organ and it must contract. Otherwise, if the uterus had not become toned, it would not have been able to complete such a complex task as a rather long period of contractions - the first period of labor, as well as the second period - the period of pushing. During a normal pregnancy, uterine tone should be present, 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 threat of miscarriage before 22 weeks, and after that - threat of premature birth.
How to distinguish uterine tone during pregnancy from hypertonicity? How do you understand that the uterus is toned and this condition is physiological in nature?

The most important differences in tone are:

No pain.
Lack of a long period of the uterus being in good shape (no more than one minute).
Feeling of uterine tone up to 5 times a day.
Lack of productive contractions, which lead to shortening of the cervix, as well as to its wedge-shaped transformation. This point is the most important in diagnosing 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 is progressing physiologically and when it is necessary to seek medical help, you need 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 you find out the answer to the question “how to understand the tone of the uterus.”

Diagnosis of uterine tone during pregnancy

When a doctor examines a pregnant woman, a uterus with increased tone is detected and is characterized by a dense consistency. In this case, the female reproductive organ is well controlled through the anterior abdominal wall and remains in this state for a long time. To diagnose hypertonicity, ultrasound is used, which can reveal hypertonicity of the posterior wall of the uterus, as well as the anterior one. However, this sign may not always indicate a threat of termination of pregnancy. The uterus can become toned in response to the passage of an ultrasound wave through its wall. Also, an ultrasound examination when performing cervicometry (measuring the length of the cervix) diagnoses isthmic-cervical insufficiency (shortening of the cervix, opening of its internal pharynx).

How does uterine tone appear on cardiotocography? (CTG)

Increased uterine tone can be determined by performing 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

Uterine tone in the early stages can be caused by various factors, of which 80% are attributed to congenital developmental anomalies. Women must be made aware of this fact and, while maintaining a pregnancy in a hospital setting, 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 and the impact of stress factors on the female body.

Reasons for the appearance of tone in the second trimester

In the second trimester, a woman may also experience increased uterine tone during pregnancy, the reasons for which lie in the low level of progesterone (the main hormone of pregnancy), which has a relaxing effect, the presence of infections of various etiologies, and disruption of the intestines in the form of increased peristalsis.

Reasons for the appearance of tone in the third trimester

Unfortunately, even in the third trimester, increased uterine tone occurs in pregnant women. Its causes include low levels of progesterone, which can be aggravated by the development of placental dysfunction and its aging, because it is the placenta that produces the main amount of progesterone. When disturbances occur, its hormonal function also suffers. Polyhydramnios, multiple pregnancies, and infectious factors can serve as a trigger for the development of complications such as the threat of premature birth. Also, at any gestational stage, the cause of hypertension can be the presence of pathologies concomitant with pregnancy, such as uterine fibroids, endocrine diseases, hematological pathologies.

Why is uterine tone and hypertonicity dangerous?

Women quite often do not take increased tone seriously and do not take any measures to stop it. This happens due to the ignorance of the fair sex about the dangers of uterine tone. Dangerous complications of myometrial hypertonicity include:

Methods for treating uterine tone and preventing its manifestations

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

How to remove uterine tone using 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 facility!

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 a given pregnancy and can lead to the death of both the fetus at birth with signs of extreme prematurity, and the death of the woman herself, if we are talking about abruption of a normally located placenta or central presentation due to the occurrence of pathological tone of the uterus.

The tone of the uterus during pregnancy can have serious consequences, the symptoms of which every pregnant woman should know in order to protect herself and her unborn child from complications of this condition.

Symptoms of uterine tone during pregnancy frighten women in anticipation of a “miracle”. However, such manifestations are not always a pathological condition that threatens the normal course of pregnancy. After all, the uterus and the fetus developing in it are sensitive not only to physical influences, but also to changes in the psycho-emotional status of the expectant mother. Therefore, temporary tone can occur even normally, reflecting the woman’s well-being. What does uterine tone mean during pregnancy and how to find the line between normal and pathological?

The uterus is a “ball” of smooth muscle fibers within which the fetus develops. The walls of the uterus and the body of the fetus do not directly touch each other; they are separated by a thin membrane - the fetal sac, as well as the placenta. The condition in which most of the muscle fibers of the uterus are in the contraction phase is called tone. It is observed during childbirth, which ensures the “pushing out” of the baby from the mother’s womb and is an absolutely normal phenomenon. But tone during premature pregnancy can lead to disastrous consequences.

How to identify it yourself

Signs of uterine tone during pregnancy are not always noticeable to a woman. It all depends on the duration of pregnancy, as well as on the severity of tone. How can you independently determine whether there is uterine tone during the current pregnancy or not? You can do this by listening to your body and studying your own sensations.

In the first half of the term

Immediately after conception and throughout the entire 1st trimester, the expectant mother can judge that the uterus is in good shape only by subjective sensations. At this time, the body of the uterus is deep in the pelvic cavity, and it is not possible to independently palpate it through the abdomen. Therefore, for diagnosis it is important to know the main signs of hypertension.

Painful sensations. Most often, pain above the womb is similar to menstrual pain. Women describe them as nagging, constant or intermittent. After all, during menstruation, the uterus also contracts to evacuate its contents. Therefore, the symptoms are very similar.
Frequent urge to go to the toilet. The body of the uterus lies in close proximity to the bladder. When its muscle fibers contract, it literally puts pressure on the bladder, causing a false urge to urinate.
Pressure on the rectum. If the body of the uterus is tilted back, the impact is not on the bladder, but on the rectum. In this case, there is a feeling of pressure and a feeling of incomplete emptying of the rectum, pain in the perineum when sitting.
Special sensations. Many women find it easier to describe what they feel during pregnancy in figurative terms. They often note that in the lower abdomen there is “something dense, like a stone” or “the uterus is clenched like a fist,” others describe the tone of the uterus as “coldness in the stomach.”

For the doctor, these complaints become a reason for an extraordinary examination. A two-handed examination (through the vagina and abdomen) allows you to accurately determine whether there is hypertonicity of the uterus, or whether the sensations during pregnancy are caused by something else.

Symptoms of uterine tone may appear for no apparent reason. But more often, hypertonicity occurs after physical fatigue, psycho-emotional experiences, during an exacerbation of chronic diseases, or during a cold.

In the second half of the term

In the 2nd trimester (closer to 18-20 weeks), the enlarged uterus can already be clearly felt above the womb. From this moment on, a woman can not only subjectively, but also objectively judge the tone. An increased need to go to the toilet, a feeling of pressure on the rectum, pain in the lower abdomen - all this is just as disturbing as during a short period of time. In addition to this, you can simply try to feel the uterus through the abdomen. Normally, it should be soft and practically no different from the surrounding tissues. If a woman identifies a “hard ball,” this may indicate hypertonicity.

In the 3rd trimester, especially on the eve of childbirth, women clearly determine when the uterus contracts. At the same time, the stomach becomes more formed, and not “blurry”. When stroking, the uterus is dense, but there should be no pain or discomfort. If they occur, acute conditions (for example, placental abruption) should be excluded.

How can you confirm the tone of the uterus during pregnancy?

Every expectant mother can exaggerate her feelings, worrying about the condition of the child. Therefore, additional diagnostic methods are used to confirm the tone of the uterus and the presence of threatening conditions.

Examination by a specialist. Already at the beginning of pregnancy, a gynecologist can detect the tone of the uterus. Normally, when palpated, the pregnant uterus is soft and pliable. But with increased tone, it thickens, and a woman may feel discomfort and pain during examination.
Ultrasonography. Using ultrasound, local tone can be detected. This definition is especially reliable at the beginning of pregnancy. Local tone can be associated with areas of detachment or be caused simply by the study itself. In the latter case, it goes away after 10-15 minutes of rest.
Cardiotocography (CTG). Using this study, it is possible to determine not only the fetal heartbeat, but also the presence of contractions of the uterine muscles. For this, a separate sensor is used, which is most often installed in the area of the fundus of the uterus on the right or left. Rhythmic muscle contractions will be visible on the graph as waves of different amplitudes, and constant tone will be visible in the form of a horizontal line of a certain height. This method is informative to use only from the third trimester. This way you can confirm the onset of labor in normal and premature births.

Pathological tension

The reasons for uterine tone during pregnancy are varied. Periodic tone, which is clearly associated with stress or overwork, is experienced by many expectant mothers. However, causes that increase uterine contractions until full-term pregnancy should be avoided as much as possible.

Pathological tone is characteristic of the following conditions.

Placental abruption. This is one of the most dangerous complications of pregnancy. Abruption is the pathological separation of the placenta from the uterine wall with the formation of a hematoma and subsequent uterine bleeding. In addition to constant tone, the woman will notice pain throughout the entire surface of the uterus and changes in fetal movements. Later, bloody discharge from the genital tract may occur. The condition requires immediate medical attention.
Abortion. Most often, tone is associated with this condition. In this case, bleeding may occur in the short term. When labor begins ahead of schedule, the tone of the uterus becomes cramp-like.
Anomalies of the structure of the uterus. Periodic tone is observed in women with congenital anomalies of the uterus: bicornuate, septate, saddle-shaped. Such developmental features increase the risk of miscarriage, which is associated with an increase in tone.
Neoplasms and other diseases. Myoma often causes tone due to abnormal tissue extensibility in the area of the nodes. When fibroids are located on the anterior wall of the organ, they are palpated as round, focal, dense formations. Severe uterine endometriosis (adenomyosis) is also the cause of similar changes in the myometrium.
Pathology of pregnancy. If the uterus is overstretched, for example, with polyhydramnios, a large fetus or multiple pregnancy, the feeling that it is constantly in good shape can be artificially created. At the same time, only a doctor can distinguish normality from pathology.
Diseases of nearby organs. With pathology of organs that are located close to the uterus, the latter may become toned. For example, with renal colic, appendicitis. Normal constipation or bloating can also provoke tone.

Standard options

In some situations, normal tone occurs, which goes away on its own without consequences.

Physical labor. Any physical work, even if a woman feels good while doing it, can lead to hypertonicity. This is a kind of evidence of overwork.
Touching. As soon as the uterus is well defined above the womb, a woman may notice that when touched, she quickly comes to tone. This is especially clearly seen when examined by a doctor and is a normal reaction to touch.
Intimate relationships. During sex and for some time after it, the muscles of the uterus continue to contract due to the release of the hormone oxytocin, which causes an increase in tone.
Fetal movements. Starting from 26-28 weeks, the baby reaches a fairly large size. Each time his movements bring the myomeria into a state of some contraction, which is more frequent and intense the closer to childbirth.
Mom is stressed. Psycho-emotional stress leads to the release of hormones into the blood, which leads to contraction of the myometrium and the appearance of tone.
Training contractions. From the 37th week of pregnancy, periodic tone appears, especially often occurring at night. This activity of the myometrium is necessary to prepare the cervix.

Although increased uterine tone during pregnancy is not always accompanied by pathological conditions, you should definitely see a doctor if the hypertonicity lasts for a day or two, is cramping in nature, or in addition to the tone, there are abdominal pains, changes in fetal movements (very violent or absent) or mixed discharge blood from the vagina.

What is the danger

Normal contractions, for example, before childbirth and after stroking the abdomen, do not provoke any pathological changes. But constant uterine tone, especially during late pregnancy, can be dangerous, so if it is present, it is better to consult a specialist rather than waste precious time.

The fact is that when the baby's place is located on the back wall of the uterus, tone is the only symptom of abruption. Other conditions that a specialist should rule out in this case are:

threat of miscarriage;
uterine bleeding.

But only a doctor can distinguish physiological tone from pathological tone after examination and minimal examination (ultrasound, CTG).

How to cope on your own

The gynecologist who is observing her should tell the woman how to relieve uterine tone during pregnancy and prevent its occurrence. Typically, to prevent hypertension, the following is recommended.

Relaxing gymnastics. Special sets of exercises have been developed for pregnant women to relax and strengthen the pelvic floor muscles. There is also a whole branch of yoga that pursues the same goals. But it is better to do such exercises after consultation with a gynecologist.
Swimming in the pool. Swimming is good for muscular and psychological relaxation. But the pool should only be visited with the permission of a doctor.
Calming herbs. Pregnant women are more susceptible to mood swings, they are more sensitive and vulnerable. And psychosomatics can not only provoke the threat of interruption, but also contribute to the development of toxicosis and gestosis. Therefore, with increased anxiety, irritability and emotional stress, it is useful to take valerian or motherwort.
Fight constipation. Coordinated bowel function is important for maintaining normal uterine tone. Constipation and the constant straining that follows can increase tone. It is especially important to avoid constipation if there is a threat of miscarriage. To improve intestinal motility, you should increase the amount of fiber-rich foods (fruits and vegetables) in your diet. If necessary, you can use safe medications for constipation, for example those containing lactulose (Duphalac).
Rest properly. It is important for pregnant women to know how to lie down, especially during longer periods, so as not to provoke hypertension. In a horizontal position, you should spend more time on your left side. This will prevent the inferior vena cava from being compressed.

By following these simple recommendations, you can relieve uterine tone, which is caused by overwork or minor functional disorders. If discomfort persists or if other complaints are added (for example, questionable discharge), it is necessary to obtain specialist advice as soon as possible.

Therapy

Treatment of uterine tone during pregnancy can be done at home as prescribed by a doctor or in the hospital, and therapy in the early and late stages is different. Medicines are prescribed in the form of vaginal and rectal suppositories, tablets, droppers or intramuscular injections - it all depends on the severity of the tone.

Medicines at the beginning of pregnancy

It is important to observe the medical-protective regime and rest. In case of psycho-emotional instability of a pregnant woman, sedative herbs are prescribed in the form of decoctions or tablets. The following groups of drugs are used for basic treatment.

Antispasmodics. Help relieve tension in the smooth muscle fibers of the uterus. Pills or injections of medications also help dilate blood vessels and increase blood flow in the placenta. Examples of products: “No-shpa”, “Papaverine”, “Drotaverine”.
Hormonal drugs. Progesterone-based products are used (Duphaston, Utrozhestan, Susten). Their administration is effective when the level of progesterone in blood tests is really low. With increased tone, natural progesterone is more often used (in Utrozhestan), which can be used up to 32-34 weeks. Doses and dosage regimens are set individually depending on the clinical picture.
Vitamins and microelements. Magne B6 or other magnesium preparations are used (for example, Magvit, Magnefar). This microelement affects muscle contractions, including relaxing the myometrium. It can be prescribed both in prophylactic doses (one tablet once or twice a day) and in therapeutic doses (two tablets two to three times a day).

If during the treatment the cause of hypertonicity is determined (detachment, inflammation in the vagina), additional groups of drugs (hemostatic, anti-inflammatory suppositories, antibiotics) are prescribed.

Drugs after 20-22 weeks

After 20-22 weeks, the range of drugs expands. The following medications are used.

"Ginipral". The drug acts on certain receptors, which are concentrated in large quantities in the muscle fibers of the uterus. Medicine in the form of intravenous infusion is effective for relieving an acute condition (even contractions), and tablets are used as maintenance therapy. But Ginipral has a side effect in the form of increased heart rate of the woman and fetus. Prescribing drugs that slow down the heart rate (for example, this can be either Nifedipine or Verapamil) helps to avoid such undesirable reactions.
Magnesia. This remedy is universal during pregnancy. It has a complex effect and has almost no contraindications. Most often it is administered intravenously, less often intramuscular injections are prescribed (they are very painful, according to reviews, and can also be complicated by the formation of compactions). Typically, infusions of the solution are carried out in the first half of the day - in the morning.
Physiotherapy. Electrophoresis with magnesium, a Shcherbak collar, and therapeutic sleep are prescribed.

If studies reveal changes in the condition of the fetus, for example, blood flow between the child and the woman is disrupted, vasodilators and agents that improve metabolic processes (Pentoxifylline, Actovegin) are added to the treatment.

Regulation of labor

Pathological tone can occur even during childbirth. This leads to disruption of uterine contractions, prolongation of labor, and sometimes it is necessary to resort to a cesarean section. To quickly reduce the local tone of the cervix that occurs during active labor, both antispasmodics and painkillers are used. In order to ensure adequate pain relief:

spinal anesthesia is administered;
narcotic analgesics (Promedol) are administered.

If they are ineffective, in most cases delivery ends with surgery.

It is important for women to understand what uterine tone is during pregnancy, when it can be normal and when it is pathological. Detection of abnormalities in time can save not only the baby, but also the life of the woman herself. Therefore, if you have disturbing symptoms, it is better to consult your doctor again.

Entering such a pleasant and at the same time difficult period of life as pregnancy, many women are not aware of how many complications and diseases these fascinating 9 months are fraught with. Frequent diagnoses include increased uterine tone, which, depending on its complexity, can be either relatively safe or, in the worst case, lead to miscarriage. Therefore, every mother with a baby bump needs to know the main symptoms and basic treatment methods.

Being a muscular organ, a woman's uterus is capable of contracting. This is necessary for the normal process of natural childbirth. The tone of the uterus during pregnancy can be normal, increased or decreased. And if the contractions are noticeable, frequent, prolonged and bring discomfort to the woman, such hypertonicity can be dangerous. In this case, you should not refuse possible hospitalization and drug treatment.

You need to know that increased uterine tone is not a diagnosis, it is one of the symptoms of a threatened miscarriage.

Symptoms of uterine hypertonicity

Pathology can be determined at every stage of pregnancy. Most dangerous hypertonicity in the 1st trimester. But diagnosing it is quite simple:

you feel muscle contraction,
the uterus tenses and becomes hard. This can be determined by lying on your back and feeling your lower abdomen,
may often be accompanied by pain and discharge.

If even one of the symptoms overtakes you, visit a doctor. By the way, abnormal discharge, and any sensations you do not understand at such an early stage, are a good reason to go to the clinic. Hypertonicity can be diagnosed by the doctor himself during a routine examination, but most often it is diagnosed during an ultrasound.

In the 2nd trimester It is somewhat more difficult to feel muscle contraction. A pregnant woman experiences so many new sensations that it may simply be impossible to identify these symptoms. You should be alerted to colored discharge and pain. To better distinguish a possible pathology by changes in the color of the discharge, doctors advise using panty liners. As for pain, it can occur not only in the lower abdomen. Often with hypertension, your back hurts. You can attribute this to spinal fatigue, lower back pain, and even damage to other organs. For example, pain with increased tone can be very similar to renal colic. If their character is very acute, do not hesitate to call an ambulance.

3rd trimester characterized by active preparation of the body for. Periodic contractions of the uterus at this time are quite normal. You can feel them starting from 7-8 months (usually 31 weeks is marked by the beginning of training contractions, accompanied by tone). It becomes more difficult to diagnose hypertension, but it poses a great danger - it can lead to premature birth. You can distinguish uterine tone from false contractions by the following factors:

Preparatory contractions are short-lived and irregular.
You shouldn't feel any pain.
There can be no bleeding.

Often at this stage, a pregnant woman may be bothered by fatigue due to the heavy load on the spine and significant movements of the now large fetus. To eliminate tone, just lie down and relax. And if the discomfort does not go away, consult a doctor.

In the 2nd and 3rd trimesters, with hypertonicity, fetal movements become painful for the pregnant woman and rare. In some cases, on the contrary, the child begins to be too active, which was not previously observed.

Causes

To protect yourself from hospitalization with increased tone, which affects 75-80% of pregnant women, you should know about its possible causes:

Features of the body. This includes anomalies and malformations of the uterus.
Hormonal disorders. Hyperandrogenism or decreased (pregnancy hormone).
Inflammatory processes in the uterus and appendages (endometritis, removal of appendages).
Structural changes in the walls of the uterus (tumors, endometriosis).
. Pregnant women at risk of this pathology are specially registered for all 9 months.
Toxicosis of the 1st trimester, accompanied by constant vomiting. Contractions in the gastrointestinal tract can provoke muscle activity of the uterus.
High physical activity. Sports activities are not always allowed even in the early stages.
Stress and central nervous system disorders.
Genital infantilism (underdevelopment of the female genital organs).
Infectious or viral diseases.
Fatigue at work, disruption of the normal daily routine. Remember: the most important thing now is not fulfilling the plan or increasing your earnings, but your baby. And compliance with the regime depends only on you.
Overdistension of the uterus due to a large fetus or multiple pregnancy.
Woman's age. Under 18 and over 30.
Numerous abortions.
Somatic diseases. These include diseases of the heart, liver, kidneys, and other organs.
Harmful working conditions associated with toxic products (kerosene, gasoline, acetone).
Smoking and alcohol.

Not everyone knows that the causes of hypertension can be hidden in seemingly safe things - the dishes that we eat every day. So, if you are in a position, you should refuse:

Products that increase gas formation.
Specific spices that provoke an increase in tone (garlic, parsley, celery).
Salty dishes. They lead to increased fluid intake, and, as a result, possible tone.
Herbal teas.

Consequences

Due to the increased tone of the uterus, blood flow to the placenta is reduced, and this leads to the fact that the fetus does not receive enough nutrients and oxygen. The result is placental insufficiency, fetal hypoxia, and intrauterine growth retardation. In more severe stages, hypertonicity leads to spontaneous abortion, premature birth or missed abortion in the early stages.

Due to increased tone, early dilatation of the cervix may occur, and this leads to isthmic-cervical insufficiency.

Involuntary contractions of the uterus can lead to and.

Treatment

Medicines prescribed during pregnancy are selected especially carefully. Under no circumstances should you self-medicate - the consequences can be disastrous. You shouldn’t listen to “grandmother’s methods” either. Many of them are not medically justified and can only cause harm.

What to do?

Most often, for tone in the 1st trimester, the usual No-shpa is prescribed, which relieves spasms. In cases of severe hypertonicity, injections are preferable; in other cases, taking tablets is sufficient.
In the 2nd trimester, antispasmodics are also prescribed; in addition to No-shpa, this can be Papaverine or Magnesia. In some cases, for better tolerability, they are administered using a dropper, adding to saline.
Since preparatory activity and uterine contractions are observed in the 3rd trimester, they cannot be completely removed. They regulate the normal level of contractions during hypertonicity, supporting the body with vitamins. Magne B-6 copes best with this.

In addition, treatment of uterine tone involves avoiding heavy physical activity, bed rest and taking sedatives. Depending on the state of the central nervous system, it can be Sedavit, Persen, Novopasit, Valerian.

Simple exercises may help, but check with your doctor before trying them:

Naturally, if specific problems are identified (hormonal imbalance, Rh conflict), hypertonicity can be eliminated only by taking specific medications prescribed by the doctor.

Prevention

If ultrasound and periodic medical examinations indicate that the pregnancy is developing without complications, everything is fine with the child, but there is unexpressed tone with rare and irregular contractions of the uterus, and nothing else bothers the woman, then in this case it is permissible for the pregnant woman to stay at home.

It is important not to be nervous or worry about trifles, because stress causes even healthy women. Whatever happens, remember, at the moment there is nothing more important than the health of the baby, so watch your peace of mind.
Doctors advise pregnant women with uterine hypertonicity to include foods containing magnesium in their diet. This unique element very well relaxes the muscles of the uterus, intestines and other internal organs, and also reduces the excitability of the nervous system. A lot of magnesium is found in beans, bran bread, green vegetables, buckwheat and oatmeal.
Do not forget to drink at least 2 liters of water per day (if you have swelling, consult your doctor about your sufficient fluid level). This is necessary to prevent dehydration and constipation - they are dangerous with hypertension.
Eat foods with enough fiber to avoid intestinal problems.
Follow the correct daily routine, get enough sleep.
Avoid excessive physical activity.
Limit sexual activity.
Breathe fresh air more often, ventilate the room before going to bed.

On time.

This phenomenon occurs especially often in the early stages of pregnancy (usually), which is due to an increased level of risk during this period and the possible occurrence of anomalies or other disorders in the development of the embryo (fetus).

information Hypertonicity can occur locally (or) or involve

Causes

Increased uterine tone in early pregnancy can be caused by the negative effects of the following factors:

Methods for relieving uterine hypertonicity

If signs of hypertonicity appear, you should first try to relieve tension on your own. To this end recommended:

immediately stop performing any physical work and, if possible, take a horizontal position;
try to relax the facial muscles, because tone largely depends on their tension. To do this, you need to lower your head down and breathe through your mouth;
take a position in which the uterus will be in a “suspended” state: for example, stand on all fours, with the body resting on the elbows;
take a sedative if it has previously been approved for use during pregnancy by a doctor;
contact a medical facility if symptoms of hypertonicity do not disappear.

In a hospital setting to reduce excessive tension in the muscles of the uterus use the following methods:

taking hormonal medications if the cause of hypertension is a lack of certain hormones;
prescription of antispasmodics;
taking sedatives to reduce excess nervous tension;
prescription of drugs containing .

Dangers and complications

If you do not seek medical help in a timely manner and the symptoms of uterine hypertonicity increase, the following are possible: Negative consequences:

in early pregnancy it increases, which is associated with disruption of the process in the uterine wall, the occurrence of genetic abnormalities during embryo development and other factors;
the development of fetal hypoxia due to excessive compression of the vessels feeding the body of the unborn baby;

additionally With one-time and short-term manifestations of symptoms of increased hypertonicity, you should not panic, because this is possible, sneezing and strong laughter. Even during an examination by a gynecologist, the tone of the uterus may increase slightly due to nervous overstrain in a medical facility.

If the expectant mother leads a healthy lifestyle, eats right and avoids stress, the likelihood of symptoms of hypertension is minimized.