Second-trimester tone of the uterus

The second trimester of pregnancy is the most favorable time for a future mother, when toxicosis ends and a woman feels well. The only unpleasant moment in this period may be an increased tone of the uterus in the second trimester.

Why there is a tone of the uterus?

The tone of the uterus during pregnancy can be increased for several reasons:

• as a response to external stimuli (physical activity, weight lifting, stress, ultrasound examination);
• may be a threat of termination of pregnancy;
• may be due to the presence of uterine fibroids;
• change in the hormonal background (insufficient level of progesterone);
• the increase in the tone of the uterus can depend on the lifestyle of the future mother;
• The rapid growth of the fetus and the increase in the volume of the uterus can lead to an increase in its tone.

What does the uterus in tone mean?

Since the uterus is a muscular organ, it is capable of contraction. Normally, it is in a relaxed state called normotonus. Under the influence of stress or physical stress, the muscle fibers of the uterus contract. Clinically, hypertension is manifested by contraction of the uterus and tightening of the abdomen.

Hypertension of the uterus in the second trimester - symptoms

Increased tone in the second trimester a woman can feel as a light contraction of the uterus. The tone of the uterus at week 20 may appear for the first time, when there is increased fetal growth and an increase in the size of the uterus. In most cases, they do not bring much discomfort and are eliminated when the physical exertion is over or the woman assumes a horizontal position. Painful pulling sensations in the lower back can be a symptom of hypertension of the posterior wall of the uterus. Sometimes the contractions of the uterus are so pronounced that a woman can feel the pain of a compressive nature, which gives her considerable discomfort and is not removed by usual methods. In such cases, a woman needs to see a doctor as soon as possible, otherwise it can lead to involuntary miscarriage or placental abruption.

What is dangerous for the tone of the uterus?

Hypertension of the uterus, which delivers a painful sensation to a future mother, can be dangerous and lead to such complications:

• premature termination of pregnancy at earlier periods (up to 27 weeks);
• premature labor (from 28 to 36 weeks);
• increased uterus tone in the second trimester may lead to impaired blood flow in the placenta and oxygen starvation of the fetus, which in turn leads to a delay in intrauterine development;
• A dangerous complication of the uterine hypertension is placental abruption, as the placenta does not contract during uterine contractions.

Treatment - what is prescribed for the tone of the uterus?

If an increase in the tone of the uterus leads to painful sensations and apparent discomfort, you should immediately consult a doctor. In such cases, the justification of the appointment of sedatives (motherwort, valerian), spasmolytic (no-spa, suppositories with papaverine, riabal) and vitamins A and E. Usually, such therapy gives a positive effect and does not require inpatient treatment. Sex with an increased tone of the uterus is contraindicated, since at the time of orgasm there can be a strong contraction of the uterus, which will cause an involuntary interruption of pregnancy. Respiratory exercises for the removal of the tone of the uterus are effective in combination with the use of the aforementioned medicines.

In order not to struggle with complications of the increased tone of the uterus, it is better to carry out its prevention. A pregnant woman should have a positive attitude, limiting heavy physical exertion, regular visits to her doctor and compliance with his recommendations are mandatory.