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The uterus grows during ectopic pregnancy

HCG - This is the most important hormone of pregnancy, the abbreviation of which stands for "human chorionic gonadotropin."

The increase in pregnancy is determined by its rapid tests.

The hormone is produced by the embryo from the very beginning of fertilization, gradually increasing the concentration by the end of the first trimester.

But with ectopic pregnancy, hCG level different from “normal position”, and, in fact, according to him, one can judge that pregnancy does not develop in the uterus.

Ectopic pregnancy - not only a great misfortune for a woman who wants to become a mother, but also a great threat to her own health. Therefore, it is important to diagnose this pathological condition in time.

How is it developing?

The reasons why a fertilized egg does not pass through the fallopian tube to the uterusas it should be, and is fixed in another place, it has not been clarified.

In most cases, the embryo settles in the fallopian tube and begins to develop there.

And with its growth, it threatens to rupture of the body and severe bleeding, which really threatens the life of a woman.

Ectopic pregnancy cunningthat it is almost impossible to distinguish it from the normal.

Sometimes a woman can observe a spotting, but otherwise it’s the same - a slight weakness, dizziness, chest engorgement.

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How to accurately determine ectopic pregnancy?

The diagnosis of ectopic pregnancy only a qualified specialist can deliver, but according to some signs, a woman herself can reveal that with her pregnancy something is not in order even before testing for hCG.

Indirect signs of ectopic pregnancy following:

  • bleeding during the proposed menstruation,
  • unclear results of a pregnancy test with a significant delay in menstruation,
  • nagging pains in the lower abdomen.

If in doubt, contact your gynecologist, who will confirm or deny sad and dangerous diagnosis.

This is done with the help of ultrasound and a complex of tests for hCG. The sooner measures are taken in the presence of an embryo outside the uterus, the better it will be.

Analysis of hCG in ectopic pregnancy is the only accurate method

The only exact method of determining Ectopic pregnancy, in addition to ultrasound, is a blood test and urine for hCG.

But it is necessary to take several tests to trace the change in the concentration of the hormone over time. The fact is that during ectopic pregnancy, the level of the hormone also increases, but not so significantly and rapidly.

Thus, a normal pregnancy is characterized by an increase in the level of hCG by 65% ​​every 2 days, and with ectopic, this indicator increases only twice a week.

Increase in hCG too slow among other things, it may indicate a frozen or not developing pregnancy.

For an accurate result, a blood test must be taken on an empty stomach, and only freshly collected morning urine is suitable for urine testing. By the way hCG concentration in blood 1.5-2 times more than in the urine of a pregnant woman.

Level of hCG in ectopic pregnancy - norms of hCG in women

HCG consists of alpha and beta units. The first are exclusively to woman's body, but beta units are an indicator of a developing child.

Human chorionic gonadotropin (its beta part) just changes the color of the strips on the test. Too pale second strip may indicate ectopic pregnancy.

Therefore, going to the antenatal clinic, you should bring a test with you if you have the slightest doubt.

It can be said that determining the concentration of hCG in the body of a pregnant woman is an extremely important procedure and allows to draw conclusions about normal and not normal developing pregnancy.

So, what are the norms of hCG in women in the "interesting position"?

  1. 2-3 weeks - 101-4870 mU / ml
  2. 4-5 weeks - 2560 - 82300 mU / ml
  3. 5-6 weeks - 23100-151000 mU / ml
  4. 7-11 weeks - 20900-291000 IU / ml
  5. 11-16 weeks - 6140-103000 mU / ml

As you can see, hCG should increase, and slightly lower at the beginning of the second trimester. With ectopic pregnancy, it can remain at 25000-70000 mU / l.

Equally dangerous is termination. increase hCG level in the body of a pregnant woman. This most often speaks of the death of the fetus and the fact that a woman needs immediate operational assistance.

Tell you about the use of the drug progesterone during pregnancy, learn about the effect.

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Treatment of ectopic pregnancy

Obviously, it is clear that a child developing outside the uterus has no chance. And the woman herself can not do without surgery. With ectopic pregnancy perform laparoscopy - incision of the fallopian tube and removal of the embryo.

In advanced cases, when the pregnancy outside the uterus was diagnosed too late, it is necessary to remove the tube itself because of its severe deformation and a modified structure.

However, after such an unfortunate phenomenon, the fallopian tube in any case is no longer able to perform its direct function - the delivery of a fertilized egg to the uterus.

It is very difficult to perform the operation if embryo entrenched in the cervix - this procedure must be performed only by a very experienced doctor.

Scraping is performed, after which the woman is unlikely to have children. But cervical attachment of the embryo, fortunately, occurs in isolated cases.

If with ectopic pregnancy fetus attached to the ovary, then this organ is usually removed completely, or part of it.

After surgery for the treatment of ectopic pregnancy, the level of hCG will come to the usual value for non-pregnant women - 0-15 mU / ml not immediately, but after some time.

Forecast about further pregnancies depends on the complexity of the case: the period of ectopic pregnancy, the location of the embryo and other factors.

Ectopic pregnancy

This does not wish any woman. This news certainly plunges into shock. Such diagnoses are always perceived on emotions. But we hurry to console you, as far as it is generally possible: an ectopic pregnancy is not a sentence yet.

In fact, ectopic attachment of the ovum is not such a rarity: it is not enough pleasant, but because of the frequency of occurrence, doctors have already learned how to quickly determine an ectopic pregnancy and take the necessary measures to prevent risks and minimize the consequences. However, future projections for women will depend on a number of factors.

Of great importance at what time the ectopic pregnancy makes itself felt, and how. Unfortunately, in 5-10% of all cases a woman really can no longer have children. But the actions taken on time help to avoid many ills, including maintaining the functionality of the female reproductive system. So, most importantly, do not miss the time.

Why is the egg not in the uterus?

When the sperm cell fertilizes the egg, the latter begins to move through the fallopian tube and at the end of the path is attached to the wall of the uterus for further development and growth - implantation occurs. So begins a normal pregnancy, during which the egg is improved, constantly divided, the fetus is formed, from which by the end of the term a full-fledged child grows, ready for life outside the womb of the mother. For this complicated process to take place, a certain “dwelling” for the egg cell and space for its growth are necessary. The uterus - the perfect option.

However, it happens that the egg does not reach the destination and settles earlier. In 70% of cases it is attached to the fallopian tube, but other options are possible: to the ovaries, to the cervix, to any of the abdominal organs.

Causes of ectopic pregnancy

There are several reasons why an egg can not reach the uterus:

  • Violations in the state of the walls and functioning of the fallopian tubes (when they are badly reduced and are not able to move the egg further). This often happens due to previously transferred diseases of the pelvic organs, as well as chronic inflammatory diseases of the genital organs, in particular STDs.
  • Anatomical features of the fallopian tube (for example, infantilism): too narrow, crimped, scarred or scarred tube complicates and slows the progress of the egg.
  • Previous surgery on the fallopian tubes.
  • Previous abortions, especially if the first woman’s pregnancy was interrupted by artificial means.
  • The sluggishness of the sperm: the egg “awaits” fertilization, which is why it does not have time to get to the right place in time, that is, to the uterus - hunger forces it to settle earlier.
  • Hormonal disorders in the body of a pregnant woman.
  • Tumors on the uterus and appendages.
  • Changing the properties of the ovum.
  • Some technologies of artificial insemination.
  • Constant nervous overexcitement of a woman, in particular, the fear of getting pregnant and unreliable methods of protection do not allow her to relax, which is why the fallopian tubes spasm.

Of course, ideally, it is necessary to try to exclude all possible causes of the development of an ectopic pregnancy at the planning stage.

Symptoms of ectopic pregnancy

How to know that the pregnancy - ectopic? In fact, "see" it is not easy. The symptoms of this pregnancy are exactly the same as normal physiological: regular menstruation does not occur, the chest is poured, the uterus increases and can sip, toxicosis is possible, appetite and taste preferences change, and so on. But something can still cause some suspicion.

In an ectopic pregnancy, from the first days, a bloody dark discharge can be observed. It happens that the next menstruation occurs in due time or with a slight delay, only the discharge is weaker than usual. At the same time, the pulling pain in the abdomen gives to the anus, and if the fallopian tube ruptures, it becomes unbearably strong, acute, up to loss of consciousness, and bleeding begins. With internal bleeding, weakness and pain are accompanied by vomiting and low blood pressure. In such cases, the woman must be urgently taken to the hospital for urgent surgery.

Ectopic pregnancy is most easily confused with the threat of miscarriage. But it is precisely with this that she makes herself felt: she begins to interrupt, which usually happens at 4-6 weeks. To avoid the worst, you must make a diagnosis in time. And therefore, as soon as you know that you are pregnant, immediately go through the examination by a gynecologist and an ultrasound scan. This will allow you to sleep peacefully, because in such cases the location of the ovum will immediately become known (in most cases).

How to determine ectopic pregnancy?

The success of resolving a situation in an ectopic pregnancy will depend on the stage of its development. Pregnant women are registered on the second or third month, and this is already a bit late ... Therefore, as soon as you have the slightest suspicion that something was wrong, you should immediately make sure that the problem exists or eliminate it. This is done by examination.

First you need to make sure that the pregnancy really has come. The easiest and fastest way to do a home pregnancy test. However, it is not necessary to rely only on the test in any case: the gynecologist will be able to confirm the conjectures about the conception that took place during a full-time examination. However, this is not always: if the period is not large enough or the egg is still too small, then the only way to reliably find out whether a pregnancy has occurred or not will be a pelvic ultrasound with the introduction of a transvaginal probe and a blood test for hCG.

If it is too late to guess - there are all signs of a tubular rupture or abdominal bleeding - call an ambulance immediately: this condition is life-threatening! And in no case do not take any action yourself: do not drink painkillers, do not put ice warmers, do not put an enema!

Basal temperature in ectopic pregnancy

Women leading a basal temperature schedule may suspect a pregnancy at the earliest possible time. After conception in the body of the future mother, progesterone begins to be intensively developed, which is necessary to ensure the functioning of the egg and create favorable conditions for its further development. It is an increase in the level of this hormone and is the cause of the growth of basal temperature. Indicators can only be guided when measurements are taken from month to month according to all the rules for at least 4-6 cycles in a row.

With the onset of pregnancy, the basal temperature rises to an average of 37.2-37.3 ° C (for different women, these figures may differ slightly) and is maintained at this level. This happens regardless of whether the pregnancy develops in the uterus or outside the uterus. The basal temperature in ectopic pregnancy is no different, since progesterone is produced in any case.

A decrease in basal temperature (below 37 ° C) occurs only when the fetus freezes, which often happens during ectopic pregnancy. But this is not necessary: ​​often the indicators of BT remain at their previous levels in this case.

Does the test show an ectopic pregnancy?

This question can not be given an accurate answer. Firstly, not any test and not always shows the usual pregnancy. Secondly, in the case of attachment of the ovum outside the uterus, there may indeed be nuances.

So, almost all pregnancy tests show that fertilization took place. It does not matter where the egg cell stopped exactly: the level of the human chorionic gonadotropin hormone (hCG) will necessarily increase (as the developing placenta begins to produce it), to which the test systems actually react.

In principle, there are expensive cassettes, which in most cases are able to determine not only the pregnancy in the earliest terms, but also its ectopic development (read about this in the article Ectopic pregnancy and pregnancy test). But if we talk about the usual home tests, they can only establish the fact of pregnancy, and even then with reservations.

The test for ectopic pregnancy can "work" later than with the physiological one. That is, in the period when a normally developing pregnancy can already be diagnosed with a home test, the pathological pregnancy is sometimes still “hidden”. Ectopic pregnancy can often be determined using a test with a delay, that is, 1-2 weeks later than the usual situation. Or the second test strip appears very weak. What is the reason?

Does the ultrasound shows ectopic pregnancy?

Transvaginal ultrasound allows you to see the location of the ovum already in the second week of pregnancy, although you can probably get reliable data from about the fourth week. If the embryo in the uterine tube or uterus is not detected (when the period is too short and the egg is not visible due to the extremely small size), and there is a suspicion of an ectopic pregnancy, the procedure is repeated some time later or the woman is immediately hospitalized and a medical examination is performed. According to the testimony, laparoscopy is even possible: the pelvic organs are examined under general anesthesia during the operation, which, upon confirmation of an ectopic pregnancy, is immediately transformed into a medical procedure.

Ultrasound with intravaginal insertion of the sensor is considered the most reliable method for the diagnosis of ectopic pregnancy. However, he does not give an absolute guarantee that the diagnosis will be made correctly. In 10% of all cases, when an ectopic pregnancy is performed by an ultrasound, it is not installed due to the fact that the accumulation of a liquid or blood clot in the uterus is considered to be a fertilized egg. Therefore, even such highly accurate diagnostics is recommended to be combined with other methods for greater reliability, in particular with a blood test for hCG.

ECTOPIC PREGNANCY

Ectopic pregnancy is a frequent pathology of the first half of pregnancy. In this case, the fetus can develop in the fallopian tube (tubal pregnancy), the ovary (ovarian pregnancy) and the abdominal cavity (peritoneal pregnancy).

The cause of ectopic pregnancy is usually the deformation of the fallopian tubes and the narrowing of their lumen as a result of the transferred inflammatory processes. Modified fallopian tubes cannot provide a fertilized egg in the uterus, it is retained in the tube and implanted in its wall. Sometimes the fertilized egg falls out of the fallopian tube and is implanted in the ovary, peritoneum or other organs of the abdominal cavity.

Morphology.When tubal pregnancy in the mucous membrane of the fallopian tube develops decidual tissue, villous membrane of the fetus (Fig. 88). The chorionic villi penetrate the wall of the fallopian tube, contributing to its rupture. The uterus during ectopic pregnancy also slightly increases in size, in the endometrium appear mild decidual changes. On the 5-10th week of pregnancy, bleeding usually occurs, the fetus dies and falls into the lumen of the tube. Develops non-

Fig. 88. Tubal pregnancy. In the cavity of the fallopian tube visible light villi of the chorion (VC), areas of decidual tissue (CT).

complete tubal abortion. If the dead fetus, together with the membranes, falls through the fimbrial end of the tube into the abdominal cavity, then a full tube abortion occurs.

Usually, tubal pregnancy develops a rupture of the fallopian tube, accompanied by massive bleeding into the abdominal cavity, which leads to the development of collapse. Occasionally, when the uterine tube ruptures, the dead fetus may fall into the abdominal cavity, where it mummifies — the “paper fetus” —or impregnated with calcium salts — the “stone fetus”.

It may occur from collapse due to acute blood loss.

Spontaneous abortion includes several concepts:

• spontaneous abortion, or miscarriage, - spontaneous abortion in the period up to 14 weeks after conception,

• late abortion - spontaneous abortion in the period from 14 to 28 weeks,

• preterm labor - spontaneous abortion in the period from 28 to 39 weeks.

Causes of spontaneous abortion are usually the death of the fetus in case of pathological changes in the endometrium, which do not allow the full implantation of the ovum, as well as the presence of a uterus tumor, usually fibroids. Sometimes a trauma can cause miscarriage or premature birth.

Morphology. When spontaneous abortion or immediately after it produce curettage of the uterus. Histological examination in brackets determined fragments of the ovum in the form of scraps of the fetal membranes, chorionic villi and decidual tissue.

GESTATIONAL TROPHOBLASTIC DISEASE

Gestational trophoblastic disease is a general term that combines three pathological processes: cystic skid, choriocarcinoma, and trophoblastic tumor of the placental bed.

1. The bubble skid arises in connection with the fertilization of an egg cell with a lost or inactivated nucleus. The product of conception is a complete allograft for mother. The risk of skidding is minimal during pregnancy at the age of 20–35 years. In adolescents younger than 15, this risk is 20 times higher; in women older than 50, the risk of recurrent vesicles is 200 times higher than for 20–35-year-olds. The risk of recurrent vesicle drift is 20-40 times higher than the risk of the first vesicle drift.

Morphology. In the placenta, the chorionic villi turn into small and medium-sized cysts, resembling bunches of grapes, and the bubbles can spontaneously reject. The fruit of the bubble during the death. At the same time, proliferation of the epithelium and syncytium of the chorionic villi occurs. Sometimes this proliferation is expressed extremely intensely and the chorionic villi grow into the wall of the uterus, into its veins, pelvic veins. This is an invasive (malignant) cystic skid. The cysts detach from the villi, turn into bubble-shaped emboli, and with the blood flow into the lungs, causing an embolism of the branches of the pulmonary artery.

2. Choriocarcinoma - a malignant tumor of the trophoblast, occurs infrequently, mainly in young pregnant women. The tumor develops after a blistering, abortion or tubal pregnancy from the trophoblast, lacks chorionic villi.

Morphology. The tumor has the appearance of a soft spongy node located in myomitria, on the incision is variegated due to the alternation of foci of necrosis and hemorrhages in it. Microscopically, the tumor consists of atypical Langhans cells and syncytium, germinating the uterus wall. There is almost no stroma in the tumor. Choriocarcinoma metastasizes hematogenously, primarily in the lungs.

Forecast. Despite the malignant course of the choriocarcinoma, the use of chemotherapy helps to cure more than 80% of patients, including in the presence of metastases.

3. The trophoblastic tumor of the placental bed is manifested by infiltration of the endometrium and myometrium, mainly by trophoblast cells and syncytiotrophoblastic cells. Tumor development is preceded by childbirth or abortion. In most cases, this is a benign tumor, but in 10% of cases it may have a malignant course.

Morphology. A tumor is a node with hemorrhages. There is a tendency to invasive growth of tumor cells. especially to germination in blood vessels. Extensive foci of tumor necrosis and hemorrhage are usually observed, which may be indicative of an unfavorable course of the disease.

GENERIC INFECTION OF UTERUS

Acute endometritis - severe current inflammation of the endometrium caused by microbial infection: streptococci, staphylococci, Escherichia coli. It can develop before birth, in childbirth and in the postpartum period. The cause of endometritis is sometimes an infectious disease that a woman suffered in the second half of pregnancy. Sometimes endometritis occurs as a result of a violation of the rules of asepsis, including in obstetric institutions.

Septic endometritis is the most dangerous. The inflammation is diphtheritic, purulent, or putrid. Endometrium becomes off-gray. The infection spreads through the lymphatic ducts and veins, which contributes to the development of sepsis. Often, the muscular layer of the uterus (metritis) is involved in inflammation, as well as its serous membrane (perimetric) and peritoneum - peritonitis develops.

Death in the case of purulent endometritis and sepsis comes from severe intoxication of the body.

What is the term and how does it feel?

The uterus initially grows by lengthening and thickening of the muscle fibers. Then the walls begin to undergo stretching, while they become thinner. The corresponding hormones are responsible for this, the level of hCG primarily increases. It should be noted that the uterine cervix changes the least, because it must keep the fetus for nine months.

How does the uterus rise during pregnancy weekly?

5-6 week of pregnancy

The body begins to undergo change. It becomes almost doubled 10-20 days after the delay. At this time of pregnancy is already 5-7 weeks. During this period, the body begins to rise, is above the pubic bone. It is palpable.

On the 6th-7th week, the woman already feels some changes. Occur periodically tingling and pulling soreness in the abdomen below. Norm, if there is no bleeding, lumbar pain and feeling sick. At this time, signs of toxicosis appear: vomiting, nausea, and dizziness. If there are any additional abnormalities, you should immediately consult a doctor.

12 week of pregnancy

When the 12th week comes, the top of the uterus is already equated with the pubic joint. In the second trimester, the doctor uses a measuring tape to see if there are any abnormalities in the pregnant woman. On how much the organ has risen, depends on whether there is a reason to worry.

Many already have no toxicosis in this period. A small belly is already visible, the chest is poured. You can feel the fruit moving. If you feel a hard stomach and pulling pains - this is the tone, you need immediate help from a specialist.

38 week of pregnancy

This week of pregnancy, the uterus is very high, squeezing the organs. The upper part of the body is located near the urogenital process of the chest. Immediately before delivery, the uterus descends.

The position of the uterus is very important. According to this criterion, the doctor determines how the baby develops and how long. If the uterus is raised higher than it should be, then this indicates an incorrectly fixed period or the presence of twins. With indicators below the norm, there is a reason to think about the developmental delay or missed abortion.

At the beginning of pregnancy, the organ is located in the pelvis, but with an increase in the period it rises. When this process begins, we have already figured out, but why is all this happening?

This is due to the increase in time. The fruit grows and can no longer fit in the pelvic region. The uterus begins to slowly rise, where it has enough space for further development.

Deviations from the norm on sensations and what to do in this case?

If a woman who is in a position feels constant spasmodic pains, all the time increasing and giving to the lower back, starting from the first trimester, this is not normal. In addition to this, the deviation is:

  • bleeding or spotting in different colors and in large quantities (especially not bloody, cheesy and purulent),
  • foul odor coming from the genitals, from secretions,
  • severe weakness and dizziness,
  • hard belly
  • swelling,
  • rapid weight gain.

If a pregnant woman has the above symptoms, then you should immediately go to a gynecologist. In severe cases, the woman is hospitalized and will be kept at the hospital until a favorable period comes. If everything is not so bad, the doctor will write out the appropriate supportive therapy and vitamin complexes. It is important to eat right, be more on the street, do not lead a sedentary lifestyle.

If a woman has an infection or an inflammatory process, then you need to get rid of this with the most (if possible) gentle means. During pregnancy, it is forbidden to use all sorts of drugs, as there is a risk of pathologies and developmental abnormalities in the fetus. Self-treatment is strictly prohibited, and any medication is used after consulting with your doctor.

If there is a risk of miscarriage or premature birth, the woman is shown rest. It is necessary to abandon sexuality, in any case not to lift heavy things. All things need to shift to loved ones. This is necessary in order to maintain a pregnancy. You can not be nervous, because the slightest stress can provoke a contractile activity of the uterus. Medicines prescribed by a doctor will help you relax and eliminate unpleasant symptoms.

HCG in ectopic pregnancy - how to determine the diagnosis?

HCG is the most important pregnancy hormone, whose abbreviation stands for human chorionic gonadotropin.

The increase in pregnancy is determined by its rapid tests.

The hormone is produced by the embryo from the very beginning of fertilization, gradually increasing the concentration by the end of the first trimester.

But in an ectopic pregnancy, the level of hCG differs from the “normal position”, and, in fact, according to it, one can judge that the pregnancy does not develop in the uterus.

An ectopic pregnancy is not only a great misfortune for a woman who wants to become a mother, but also a great threat to her own health. Therefore, it is important to diagnose this pathological condition in time.

Analysis of hCG in ectopic pregnancy is the only accurate method

The only accurate method for determining ectopic pregnancy, in addition to ultrasound, is a blood and urine test for hCG.

But it is necessary to take several tests to trace the change in the concentration of the hormone over time. The fact is that during ectopic pregnancy, the level of the hormone also increases, but not so significantly and rapidly.

Thus, a normal pregnancy is characterized by an increase in the level of hCG by 65% ​​every 2 days, and with ectopic, this indicator increases only twice a week.

A very slow increase in hCG, among other things, may indicate a frozen or not developing pregnancy.

For an accurate result, a blood test must be taken on an empty stomach, and only freshly collected morning urine is suitable for urine testing. By the way, the concentration of hCG in the blood is 1.5-2 times higher than in the urine of a pregnant woman.

Level of hCG in ectopic pregnancy - norms of hCG in women

HCG consists of alpha and beta units. The first ones relate exclusively to the organisation of a woman, but the beta units are an indicator of a developing child.

Chorionic gonadotropin (its beta part) just changes the color of the stripes on the test. Too pale second strip may indicate ectopic pregnancy.

Therefore, going to the antenatal clinic, you should bring a test with you if you have the slightest doubt.

It can be said that determining the concentration of hCG in the body of a pregnant woman is an extremely important procedure and allows drawing conclusions about a normal and not normally developing pregnancy.

So, what are the norms of hCG in women in the "interesting position"?

  1. 2-3 weeks - 101-4870 mU / ml
  2. 4-5 weeks - 2560 - 82300 mU / ml
  3. 5-6 weeks - 23100-151000 mU / ml
  4. 7-11 weeks - 20900-291000 IU / ml
  5. 11-16 weeks - 6140-103000 mU / ml

As you can see, hCG should increase, and slightly lower at the beginning of the second trimester. With ectopic pregnancy, it can remain at 25000-70000 mU / l.

No less dangerous is the cessation of an increase in the level of hCG in the pregnant woman’s body. This most often speaks of the death of the fetus and the fact that a woman needs immediate operational assistance.

Tell you about the use of the drug progesterone during pregnancy, learn about the effect.

Recommendations for getting rid of heartburn during pregnancy.

We describe the drug otsilokoktsium during pregnancy here, we will discuss the rules of admission.

What happens to the uterus in early pregnancy

  1. The uterus during pregnancy in the early stages not only changes its size, it is transformed by many other indicators. Its size is modified starting from 5-6 weeks of pregnancy. She seems to swell, especially her neck. The mucous surface of the epidermis becomes bluish in color, a system of blood vessels develops, the blood flow increases - hence the cyanotic color.
  2. In addition to increasing size and color, the shape of the uterus begins to change. In the normal state, it has a pear shape, and with pregnancy it gradually takes the form of a ball.
  3. The tissues of the uterus themselves also undergo changes, become friable and more mobile.
  4. Significant changes in the size of the uterus in early pregnancy begin after 4 obstetric weeks of pregnancy. At this time, the size of the reproductive organ of the future mom is comparable to the volume of the chicken egg, a month later it is compared to the goose egg, and by the 16th week the uterus increases to the male fist.
  5. In the first weeks of pregnancy, the uterus practically does not change its position in relation to the rest of the pelvic organs, it is still in place and therefore outwardly the pregnancy is not visible, except for the first-born puppies who notice a slight rounding of the tummy.
  6. In the first weeks, the body of the uterus of the pregnant woman becomes soft, but the cervix remains dense at the same time.
  7. One of the signs by which pregnancy can be determined is the ease of drawing fingers together during a bimanual study. This feature was named Gorvitsa-Gegara.
  8. If the uterus on examination at the gynecologist first reacts with a weak contraction and becomes denser, and then becomes soft again, this is a clear sign that the conception has taken place successfully. This method of identification was first discovered by Dr. Snegiryov, for which he received his name.
  9. If in one of the corners the uterus has a dome-shaped protrusion in early pregnancy, this indicates a rooted egg cell. This fact violates the physiological symmetry of the reproductive organ, which confirms the pregnancy. This symptom was first diagnosed by the gynecologist Piskachek, therefore the method of determining this fact was later named in his honor.
  10. Confirmation that the pregnancy took place, is the presence of a small inclination of the uterus forward, which is caused by the softening of the isthmus. There are cases when the front surface of this organ forms a ridge seal, which is called the sign of Genter pregnancy.
  11. In the early stages of pregnancy, a woman may feel barely noticeable nagging pains in the uterus and discomfort in the pelvic region, lower back or sacrum. These signs of pregnancy are completely normal and are explained by the following physiological changes:
  • attachment to the endometrium of the uterus of a fertilized egg,
  • global hormonal alteration in the future mother’s body,
  • active production of the hormone relaxin, which helps to relax the pelvic ligaments for the normal course of pregnancy,
  • constantly growing body weight of both the woman and the fetus.
  1. Hormone relaxin, which begins to be produced in a pregnant woman at an early period, prepares the body for delivery. Tissues and bones acquire the ability to stretch, become friable, and the pelvic bones become more mobile and elastic.
  2. Body weight increases the pressure on the spine, especially for women with spinal column pathology, that is, when developed in a pregnant woman with scoliosis or osteochondrosis.
  3. If the pregnancy develops normally, the pain is not intense and does not have an increasing character, and there are no secretions or there are very little, with almost no color or smell.
  4. Otherwise, if the pain increases, becomes more intense with bleeding, there is a risk of undesirable complications.In this case, you need to quickly contact the antenatal clinic. Similar symptoms indicate that the uterus is tense, and hypertonus is fraught with spontaneous miscarriage.

Uterus cervix in early pregnancy

  1. The cervix is ​​an active participant in the development of pregnancy, it is also subject to significant modifications in 9 months of gestation. During this period, like the uterus, it undergoes cardinal changes and this is connected with the performance of the following important functions:
  • holding the fruit
  • ensuring protection against infections.
  1. With the beginning of the emergence of new life in the area of ​​the cervix, mucous clots are formed, preventing the penetration of bacteria into the uterus, and, consequently, infection of the fetus.
  2. Only at 3 or 4 obstetric weeks the fertilized egg is finally inserted into the endometrium. All this time, this process may be accompanied by a thin creamy pinkish or yellowish discharge, sometimes even with streaks of blood. If a woman does not experience severe pain, the condition is not considered dangerous.
  3. Sometimes pregnant women have discharge from the blood. Usually such reactions are caused by old foci of erosion, affecting the cervix. Such bleeding is usually insignificant, passes without much pain, is not large and can end on its own.
  4. On examination, the gynecologist will determine what to do about it. You may need to undergo treatment. However, whatever the situation, be sure to let your doctor know about these symptoms.
  5. In obstetric practice, there are also cases of cervical insufficiency in early pregnancy. This indicates a lack of contractility or condition and is completely characterized by its absence. In this case, the neck can not cope with its functions, namely, it does not hold the fetus and the miscarriage becomes inevitable. Often, the causes of cervical cervical insufficiency include:
  • hormonal imbalance
  • previous cervical injuries,
  • abnormal development of the uterus and organs of the genitourinary system.
  1. Early cervical insufficiency is difficult to diagnose, as a rule, it has no symptoms during this period. Only regular visits to the gynecologist will help in time to identify this kind of pathology.
  2. The cervix protects the fetus and provides a favorable environment for the development of pregnancy from its first days.

What is the tone of the uterus

  1. The uterus is the organ of the reproductive system, which consists entirely of muscles. It is hollow inside contains a nutrient layer - the endometrium.
  2. Muscle tissue consists of three layers. The first or outer, which is called perimetry. The middle layer consists of muscles, which, by contracting, cause the organ to become tense. And the last layer is the inner mucous surface.
  3. Normal is considered a relaxed state of the muscles. The state of muscle tension is diagnosed as an increased uterine tone.
  4. Usually the uterus comes in tone, providing a generic activity. If these symptoms appear in early pregnancy and the woman feels tension in the groin, causing her discomfort, this indicates a serious violation of labor.
  5. If the future mommy does not have negative feelings that cause her inconvenience, then doctors recommend not to worry. Oddly enough, but the uterine muscles contract even when sneezing and coughing, while laughing, when getting an orgasm and on gynecological examinations. Also, the state of the uterus is greatly influenced by the mental state of the pregnant woman.
  6. The main difference between the dangerous hypertonus of the uterus from minor temporary reductions lies in the brief manifestation of the tone in the second case, and the complete absence of discomfort from the future mom at this moment. If the uterus does not come out of a state of tone for a long period of time, it threatens with unforeseen complications for both the woman and her unborn child.

What is dangerous uterus tone

  1. Hypertonicity of the uterus is always a danger, which can lead to the fact that a woman can lose a child at the very beginning of pregnancy.
  2. In the early stages, the uterus in hypertonia rejects the fetus without any special complications, which can lead to spontaneous miscarriage. A similar situation that occurred before the 28th week is called preterm labor.
  3. Often the tone of the uterus is usually observed in the first weeks of pregnancy.
  4. Gynecologists sometimes diagnose cases when the uterus muscles tense up before the birth. This condition is usually called training bouts. Such symptoms are not dangerous for a pregnant woman and a child, it is believed that the uterus is training at this moment.
  5. When the uterus tightens, its muscles contract, clamp the umbilical cord and disrupt the nutrition of the fetus. Consequently, the child receives less oxygen and substances necessary for growth, which can cause hypoxia and other disorders in the development of the fetus.

Causes of hypertonicity of the uterus

  1. Not only physiology affects the tone of the uterus. There are cases when the state of tension of this moving organ is caused by various problems of deviations in the process of expecting a child. There are a lot of individual reasons for this phenomenon. According to statistics, more than half of pregnant women face a situation when the muscular body of the uterus experiences this or that tension.
  2. After conception, the uterus may become hypertonic as a result of the lack of the hormone progesterone. This enzyme provides an attachment of the egg to the endometrial body and allows the uterus muscles to relax. The lack of this hormone leads to a tense state of the uterine muscles.
  3. However, this is not the only hormonal abnormality that can affect the condition of the uterus and its tone. Excessive amounts of certain male hormones cause the muscles to strain. Therefore, it is the fragile balance of hormones that ensures the normal development of pregnancy without disturbances.
  4. With a strong early toxicosis, when a pregnant woman is tormented by abundant vomiting and the chest muscles are tense all the time, especially in the abdominal and pelvic zone, they can also touch the muscles of the uterus. Unfortunately, in this case it is completely impossible to get rid of toxicosis, but it is possible to significantly alleviate the condition of the pregnant woman.
  5. The uterus can also be affected by various pathologies of its structure. The most common pathologies are two-horned and saddle-shaped uterine forms. Sometimes there are other anomalies in the development of the hollow system, which also affect the conception and development of pregnancy. Such birth defects often lead to the impossibility of a woman independently carrying out the child.
  6. It is important that the woman knows about her features and warns the gynecologist, who puts her on record. Such a future mom should be under especially close supervision throughout the entire process of carrying a child.
  7. There is also another reason that can most likely lead the uterus to a state of tonus - this is the presence of Rh-conflict between the mother and the unborn child. If a woman is RH negative and the child is positive, the mother’s body will try to reject the fetus, perceiving it as a foreign body. Similar processes in the body cause the uterus of a woman who is expecting a child to become hypertonic.
  8. There are also cases when an infection or inflammation in the urinary organs also contributes to the improvement of uterine tone.
  9. Strong stretching of the muscles can also affect unnatural and frequent contractions. This happens when a woman bears a fairly large fetus or the pregnancy is multiple or full.
  10. There are many more individual causes, such as the development of tumors, abortions or miscarriages, bowel abnormalities, abundant gas formation and other nuances that can lead to hypertonia.
  11. The mental state of the pregnant woman also has a special effect on the condition of the uterus. Strong emotional stress leads to its inevitable reactions, which are manifested by the stressed state of the muscular body.
  12. The tone of the uterus is not a disease, but symptoms of the manifestation of pathologies. Only the correct diagnosis will get rid of the cause. In the absence of obvious sources of a problem, it is required to conduct a comprehensive, comprehensive examination and establish an accurate diagnosis.

Symptoms: how to determine that the uterus is in good shape

  1. Signs of uterine tone in early pregnancy are:
  • lower abdominal pain
  • pains similar to menstrual bleeding
  • pain in the lower back and sacrum.
  1. In later periods, the pregnant woman, besides the symptoms already described, feels hardening and visually noticeable contraction of the abdominal muscles, as well as a feeling of a stone uterus.
  2. The tone of the uterus does not exclude spotting and even sometimes with streaks of blood. The presence of such symptoms require immediate medical attention.
  3. Most women do not feel the tone of the uterus or even suspect it, which can be even more dangerous than its active manifestation.

Diagnosis of uterine tone

Diagnosis of uterine tone can be done in several ways. A gynecologist can determine an increased contraction by performing a routine gynecological examination. More often the tone is diagnosed as a result of ultrasound of the uterus. With the help of ultrasound, one can detect such a serious pathology as uterine hematoma in early pregnancy. This anomaly is a serious threat to the fetus.

Uterine hypertonus: treatment

You can relax the uterus muscles in different ways. With a mild strain, the gynecologist prescribes outpatient treatment. At this time, a woman needs complete rest, she is shown antispasmodic agents, magnesium B6 and motherwort tincture. These measures will help to bring the uterus back to normal, but this is not enough, it is necessary to get rid of the cause that caused a similar reaction. In each case, the gynecologist will prescribe an individual treatment.

Do you agree to hospitalization?

Whether to refuse hospitalization or not is difficult to decide without knowing all the circumstances. After all, the correct decision depends on the degree of risk of preserving pregnancy. Without a doubt, only a woman can make a choice, however, if the doctor strongly recommends and sees a serious threat, you should not hesitate.

How to remove the tone of the uterus at home

  1. You can try to relieve the tension of the uterus on your own at home. Achieve a normal state can be already listed drugs, but you can with the help of special physical gymnastics.
  2. Exercise "cat":
  • get on your knees and raise your head
  • make a maximum backbend and stay in this position for a few minutes,
  • then return to the original state,
  • Repeat this procedure 3 times, and then lie down quietly for about 1 hour.
  1. Having completely relaxed the muscles of the face and neck, you normalize the state of the muscles of the uterus, for this:
  • tilt your head and completely relax the muscles of the face and neck,
  • breathe with your mouth in this position for about 7 - 10 minutes.
  1. It is also quite effective to just stand on all fours.
  2. Gymnastics in combination with therapy will help bring the uterus and its tone back to normal. If the measures taken do not help, immediately consult a doctor.

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What are the signs of ectopic pregnancy

In tubal pregnancy (the most common type of ectopic), the same symptoms are observed as in a normal pregnancy. And it is difficult for women to determine if their pregnancy is normal. Therefore, in order to protect yourself from undesirable consequences, it is better to undergo a study. The physiological signs of pregnancy, including ectopic, are:

  • Delayed menstruation,
  • An increase in the size of the mammary glands,
  • Nausea or vomiting
  • Impairment of well-being,
  • Change in taste preferences.

On external examination by a doctor, he notes cyanosis of the vaginal entrance, mucous membrane and cervix. In normal pregnancy, the uterus increases in size and hypertrophied. An increase in the uterus occurs with the growth of the fetus in its cavity.

Often it is felt not in the uterus itself, but behind it. There is also an accumulation of blood in the zamatochno space. The uterus may be somewhat enlarged, but this is due to the inflammatory processes occurring inside it during ectopic pregnancy, and not the growth of the embryo. Determine this pathology can only be using ultrasound.

The size of the uterus during ectopic pregnancy

If an ectopic pregnancy is diagnosed, the size of the uterus does not correspond to the expected duration of pregnancy. On palpation is determined tumor formation in the area of ​​the ovaries, it is painful when pressed. With the onset of such a pathological pregnancy, after some time, the temperature rises, and there are severe pains in the lower abdomen and in the lower back. Save the fruit is not possible, although there are several cases described, more like a miracle.

If ovarian or abdominal conception occurs, there may be no symptoms for the first month. When you attach the ovum in the cervix, the temperature does not rise, the pain almost does not appear.

Determination of the location of the embryo is possible only by ultrasound, so if there is a delay in menstruation or other suspicious symptoms appear, you should consult a gynecologist for advice. Late treatment may cause the fallopian tube to rupture, as the walls of the tube are not able to withstand the growing fetus.

It is important to remember that if the test is positive and the ultrasound does not determine the embryo in the uterus, the probability of ectopic pregnancy is very high. The next step in determining the pathology is laparoscopy of the pelvic organs.

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