Threat of abortion - a nightmare of the future mother
threat of interruption is considered one of the most frequent pathologies of pregnancy.Almost half of expectant mothers went through this state.To understand the fear and excitement of women with threatened abortion can only the woman who she is, or is preparing to become a mother.Diagnosis threat unpleasant interruption, not only for pregnant women, but also for the doctor.But, more importantly, it does not delay the process and promptly seek medical attention, but in this case it is possible to continue the pregnancy and forget about the threat of an interruption as a nightmare.
threatened abortion are divided into two groups.If growing threat of termination before the deadline of 28 weeks - is the threat of miscarriage or spontaneous abortion.The gestation of 28 weeks to 37 talk about the threat of premature birth (in these terms premature baby can survive).
reasons for threatened abortion
often leads to the threat of interruption is not one reason, but several.To determine what was the starting point sometimes is difficult, but very important for the further tactics of the doctor.The causes of the threat of interruption varied:
- Hormonal disorders
most often - a lack of progesterone, which is up to 16 weeks produced by the corpus luteum, and after - the placenta.Quite often it sochetannyj progesterone deficiency (pregnancy hormone) and estrogen.As a result, the endometrium does not develop completely, and the fertilized egg can not reliably be implanted in the uterus.Excess androgens (male sex hormones) reduce the amount of estrogen, which also leads to the threat of interruption.As violations of the functions of other hormonal (thyroid, pituitary, adrenal glands), which indirectly affect the ovaries may cause a threat to interrupt.
- infectious and viral diseases
primarily to blame for the threat of interruption of infectious and inflammatory diseases of the female reproductive organs (chlamydia, ureaplasmosis Ureaplasmosis - inflammation of the urogenital system , cytomegalovirus, trichomoniasis, and others).The causative agents of these infections cause inflammation in the genitals, rise up and infect the membranes, damaging them and causing a threat of termination.In addition, hitting the placenta, thereby violate the power of the fetus and cause birth defects, which exacerbates the threat of interruption.No less important are the common infectious diseases (measles, influenza, pneumonia).In this case, the cause of miscarriage is fever, intoxication, fetal hypoxia fetal hypoxia - the consequences of lack of oxygen in the body , lack of vitamins.
- uterine pathology
Congenital or acquired diseases of the uterus (fibroids, etc.) are also a cause of threat of termination, due to the deficiency of the structure of the uterus, hormonal deficiencies, endometrial pathology.
- cervical incompetence
Or, simply put, is defective, gaping cervix.It can develop as a result of hormone deficiency, and as a result of mechanical injury (abortion, cervical tears during childbirth).
- genetic abnormalities
Up to 70% of early miscarriages occur as a result of genetic abnormalities of the fetus.Such disorders can be associated with occupational exposures adverse environmental conditions, heredity.
- pathological condition developing in pregnancy
It preeclampsia, polyhydramnios, placenta previa, resulting in impaired blood supply to the placenta, the fetus begins to suffer, leading to the threat of interruption.
- Somatic chronic diseases women
heart disease, hypertension, diabetes mellitus - threatening and incurable disease , pyelonephritis also lead to disruption of utero-placental blood flow and the threat.
Symptoms of threatened abortion
main sign of threatened abortion is a pain.The pain can be of a different nature from aching to intense and cramping.Localization of pain is different: in the lower abdomen, the sacrum or lower back.At a later date a woman feels "fossilization" of the uterus - hypertonicity.Sometimes, no complaints of pain, increased uterine tone set on the ultrasound.It can be local (in the specific area) or common.Less common and more dangerous sign - is bleeding from the genital tract.The nature of bleeding is different from smearing to moderate.Brown spotting evidence of the old detachment of the ovum, which was formed after the hematoma and she began to be emptied.Bright, red highlight - a sign of immediate, currently ongoing detachment.
mainstay of treatment of threatened abortion is the emotional and physical rest.To this end, a woman prescribed bed rest and sedatives (motherwort, valerian).Remove the hypertonicity of the uterus help antispasmodics: no-spa, papaverine, spazgan.At a later date, after 16 weeks, used tocolytics such as: partusisten, ginipral, solution of alcohol.To stop the bleeding using gemostatiki (Dicynonum, etamzilat sodium).In the case of hormonal deficiency prescribe drugs that replace progesterone Progesterone - norm and pathology (Utrozhestan, Duphaston).