In the practice of an obstetrician-gynecologist, there are various cases that require an immediate solution. Some medications for pregnant women have a certain list of side effects, but they can be indispensable in treatment. The drug, which will be discussed, scored quite conflicting reviews. "Ginipral" during pregnancy is prescribed by a doctor to prevent excessive activity of the uterus and treat hypertonicity. Repeatedly it can be prescribed to eliminate the threat of premature birth. Important! The drug is not prophylactic, and tablets should be taken strictly in the prescribed dosage. This remedy has a number of contraindications, so self-medication can promise a pregnant woman a lot of problems, up to premature birth or miscarriage.
The course of pregnancy: uterine tone
No one can foresee the course of a woman's interesting position, even if in advanceplanned pregnancy, the occurrence of complications is not excluded. Given the frantic pace of life, the quality of nutrition and the environmental factor, expectant mothers now and then face such a common condition as uterine tone. It can manifest itself to a greater or lesser extent, but requires urgent action, otherwise it may threaten a miscarriage. Among other things, the systematic tension of the uterus can slow down the development of the fetus, since the blood with nutrients is supplied to it in smaller quantities.
The concept of increased uterine tone implies a constant or periodic contraction of the muscles of the said organ. At the same time, doctors consider the use of Ginipral justified - during pregnancy, it acts almost instantly, relaxing the muscles of the uterus. He can be appointed both for a short period, and for the entire second half of the term, up to childbirth.
The reasons for the development of uterine tone may be:
-
Ginipral during pregnancy - why is it prescribed Somatic diseases.
- Isthmic-cervical insufficiency.
- Uterine fibroids.
- Endometriosis.
- Uterine malformations.
- Immunological, endocrine and genetic diseases.
Other factors affecting the development of hypertonicity:
- Bad habits - alcohol, smoking.
- Short pregnant sleep.
- Bad family relationships.
- Work involving certain risks.
- Age period up to 18 years and after 35 years.
- Inflammatoryhistory of illness, abortion.
- SARS and influenza during pregnancy.
Uterine tone: how to determine?
When the tummy has already appeared, the woman herself can determine the moments when the uterus is in tension.
When tonus, the following symptoms are observed:
- drawing pains in the lower abdomen and in the lumbar region;
- cramping pains;
- the stomach becomes hard, there is an unpleasant feeling of tension.
If all these manifestations are accompanied by bloody or brown discharge, this is a serious reason to call an ambulance. In the hospital, the gynecologist will conduct the necessary examination and prescribe treatment. He will also explain how to take Ginipral during pregnancy.
Examination methods for hypertension
With a vaginal examination, a gynecologist can easily determine the tone of the uterus. In addition, a specialist who conducts an ultrasound can ascertain the contraction of muscle fibers. Another diagnostic method is a special device for measuring contractions of the myometrium, but it has not received wide distribution, since there are faster methods for determining the stress state of the uterus.
Drawing pains in the lower abdomen are not always a sign of any complication: in the first half of pregnancy, this may be due to the natural growth of the uterus and stretching of muscle fibers. From there and pain.
What not to do with hypertonicity
Having detected uterine tension, the doctor is likely towill prescribe tablets "Ginipral". In a pregnancy characterized by a problematic course, bed rest and a complete state of rest are recommended. You can not engage in any activity, no matter what it costs. Strictly prohibited:
- do physical activity or exercise (also forget about laundry, cleaning, ironing and other housework);
- lifting weights (trust this to your husband and loved ones);
- staying in too crowded places and overcrowded transport, long walks (take a rest more often);
- going to the bathhouse (also avoid hot baths or showers);
- intimate relationships (at least deep penetrations);
- long-term trips, and even more so flights.
Calm, only calm
The reason for the increased tone of the uterus can often be emotions. Pregnancy itself causes a lot of worries in a woman, moreover, this condition is aggravated by significant changes in the hormonal background of the expectant mother. An excessive release of adrenaline into the blood can provoke tension in the muscles of the uterus, in some cases, talking with a psychotherapist and taking sedatives can help to correct the situation.
"Ginipral" during pregnancy: why is it prescribed?
Regardless of whether the state of tone appeared for the first time or repeatedly, a doctor's examination is necessary. With a low degree of contractions, the doctor may advise taking the No-shpa antispasmodic. More serious violations are eliminated with the help of a number ofdrugs - "Magne B6", "Motherwort", anti-inflammatory drugs, calcium blockers or "Ginipral" (reviews of pregnant women about it are numerous, and mostly positive). If sedatives (motherwort or valerian) are ineffective, the doctor may prescribe medications Trioxazin, Nozepam, Sibazol.
When diagnosing uterine hypertonicity in early pregnancy, experts prescribe hormonal drugs, since during this period tissue tension is associated with a violation of the hormonal background of the expectant mother. In the second half of the term, or even a little earlier, from 16-17 weeks, doctors resort to more serious drugs, for example, such as Ginipral. Reviews of doctors about him are positive. Experts note that this remedy reduces the tone, directly affecting the vessels of the uterus and placenta.
Reception features
The drug is used strictly according to the doctor's instructions. Pharmacies sell tablets and Ginipral injection solution. The reviews of many patients contain information that the medicine is quite effective, it has helped many mothers to endure he althy babies. With the threat of miscarriage, this remedy is taken from the second trimester of pregnancy. The decision on the appropriateness of the appointment, the duration of the course and the dosage is made by the doctor - everything is purely individual, since it depends on the condition of the expectant mother.
Disadvantages of the drug
Before taking this or that remedy, you must carefully study the instructions. Do not lose sight of the recommendations of doctors and theirreviews. "Ginipral" during pregnancy is contraindicated in the following cases:
- Individual intolerance to individual components.
- Glaucoma.
- Diseases of the cardiovascular system.
- Liver and kidney disease.
- Asthma.
- Hyperthyroidism.
- Premature separation of the placenta.
- Uterine infection or heavy bleeding.
In fact, the drug "Ginipral" causes side effects during pregnancy not so often, however, patients still note some negative reactions of the body, such as:
- excitement;
- dizziness;
- trembling limbs;
- rapid heart rate.
To prevent or eliminate these unpleasant phenomena, medications are prescribed along the way that normalize the work of the heart, including potassium preparations. Since the agent in question can provoke sharp jumps in pressure, an increase in blood sugar levels (as some reviews say), Ginipral is prescribed very carefully during pregnancy, while constantly monitoring the level of blood pressure and glucose in the body.
Duration of administration and drug withdrawal
The course of medication can last for a long time, up to several months. This information is confirmed by numerous reviews. "Ginipral" during pregnancy, as a rule, is canceled at 37-38 weeks, that is, when the child is ready to be born.
To avoid suchcomplications, doctors advise limiting the amount of s alt in food and the amount of fluid consumed (in order to prevent swelling) if possible.
An undesirable effect of the drug may be exacerbated by drinking coffee or tea, so drink them with caution.
Remember! It is impossible to arbitrarily prescribe, let alone cancel the drug "Ginipral", this is fraught with irreversible consequences. With the abrupt withdrawal of the drug, especially if it was used in high doses, the threat of termination of pregnancy may resume.
Medication "Ginipral": dropper during pregnancy
In emergency cases, they resort to complex therapy - first, the drug is prescribed intravenously (drip), then in tablets.
For intravenous administration, the solution is prepared in the following proportions: 50 μg of the composition is added to a 5% glucose solution (500 ml). Before the completion of the procedure, 2-3 hours before, start taking the tablets, first 1 pc. every 3 hours, then reducing the number of doses to 1 tablet every 4-6 hours.
There is an opinion that after taking this drug, the risk of complications during childbirth increases, but, fortunately, this is just a myth, as numerous reviews repeat. "Ginipral" during pregnancy simply helps to reduce the risk of premature birth, and when it is canceled, the possibility of natural delivery returns.
