Hematoma of the uterus - usually referred to as pregnant retrochorial hematoma. In fact, the hematoma is present in the uterus and even adjacent to the one of its walls, but in reality it is likely chorionic hematoma than the uterus. Hematoma of the uterus, or retrochorial hematoma is a threat of pregnancy and requires mandatory treatment and hospitalization. In mild cases retrochorial hematoma asymptomatic and self-absorbed. But we should not forget that retrochorial hematoma conceals danger and any delay in treatment can lead to irreversible consequences.

Retrochorial hematoma

Retrochorial hematoma - a clot CROI, located between the chorion (embryonic membranes) and the wall of the uterus, which was formed as a result of violation of the integrity of the vessel walls, and the outpouring of blood. Retrochorial hematoma is caused by the threat of termination of pregnancy and the beginning of the detachment of the ovum from the uterine wall.

Causes

Until now, the exact cause of the hematoma retrochorial not installed. Presumably causes of retrochorial hematoma similar to the reasons. Is the threat of termination of pregnancy:

• stress;
• heavy physical activities;
• drinking, smoking;
• fetal malformations;
• injuries (falls, bruises);
• defects and malformations of the uterus (the scar on the uterus);
• pelvic inflammatory disease;
• endometriosis, uterine fibroids;
• hormonal disorders;
• seasoned professional hazard and so on.

The clinical picture

Often retrochorial hematoma accidentally discovered during a routine ultrasound. Pregnant does not feel its presence, the general condition of the woman does not suffer. It is connected with the delimitation of the hematoma uterus the chorionic villi, which does not allow it to flow out to the outside.

The appearance of bleeding Spotting - it is important to rule out pathology   of the genital tract indicates output retrochorial beyond chorionic hematoma. "Fresh" hematoma, which was formed in the last days, is characterized by bright scarlet spotting. When a long-term allocation of hematoma acquire a dark brown color and become thick and stringy. Thus there is emptying retrochorial hematoma. Often retrochorial hematoma combined with complaints of dragging pain in the abdomen Abdominal pain: when to sound the alarm?   and in the back, suggesting the threat of termination of pregnancy.

Diagnostics

The main and the only method of diagnosis is ultrasound retrochorial hematoma. Ultrasonic signs of hematoma:

• one of the walls of the uterus is thickened (this is due to the local hypertonicity of the uterus, which is evidenced by the threat of interruption);
• reconfiguration of the outer contour of the uterus (the rise of the decreased muscle layer over the rest of the contour of the uterus) and ovum (egg gets scaphoid or teardrop shape);
• the presence of a blood clot between the chorion and the uterine wall (defined prescription retrochorial hematoma, its size and localization of the place, as well as the ability to progression).

Treatment

Based on the symptoms, the treatment of hematoma principles are the same as in the treatment of threats interrupt. The first patient is provided a physical (to bed with a raised foot end) and emotional peace (appointed sedatives: motherwort, valerian, novopassit). The diet should exclude slabyaschie and securing products that activate the intestinal peristalsis, which increases the tone of the uterus. In order to prevent bleeding appointed styptics: Dicynonum Dicynonum - help with bleeding and increased bleeding , Menadione, etamzilat sodium ascorbic acid. To relax the uterine muscles used antispasmodics: Nospanum, papaverine Papaverine - for pain caused by spasms of smooth muscles , Metacin, magnesium sulfate. Also held vitamin tocopherol (vitamin E) and folic acid (vitamin B complex).

After the treatment is performed ultrasound control, during which evaluates the status of the fetus and the presence or absence of hematoma.

Anna Sozinova

Bifiform - it is drugs that are not contraindicated in pregnancy. Moreover, given that it normalizes the intestinal microflora, thus preventing many disorders in the body of a pregnant woman, bifiform Bifiform - Drug Usage   It recommended during pregnancy rates, but only on prescription.

Pregnancy and condition of the gastrointestinal tract

Pregnancy - a special physiological condition in which a woman's body undergoes a series of changes, on the one hand contribute to the preservation and development of the fetus, and on the other - complicating the condition of the mother.

For example, in the gastrointestinal tract of women adversely affected by the female sex hormone progesterone Progesterone - norm and pathology Whose main function - to slow down the motor activity of smooth muscle of the uterus and prevent miscarriage Miscarriage - why you lose the most precious thing? . But together with the suppression of uterine smooth muscle contraction is suppressed and the motor activity of smooth muscles of the gastrointestinal tract. As a result, the entire pregnancy the woman is suffering from heartburn, constipation and flatulence. Since the faeces retained in the intestines, there is a constant re-absorption into the blood and the toxic products that normally must be immediately removed from the body. All this inhibits the normal intestinal flora and contributes to the development of opportunistic and pathogenic microorganisms, that is formed goiter.

Active proliferation of harmful bacteria in the gut may contribute to bowel disease, biliary tract, pancreas Diabetes and pancreas - the things you need to know , Kidney and urinary tract.

In some cases, a woman during pregnancy has to take antibiotics, which further increases the risk of dysbiosis.

Pregnancy and bifiform

Dysbacteriosis and its unpleasant symptoms can be eliminated by using bifiform - probiotic, ie a drug that contains a beneficial micro-organisms - the inhabitants of the intestines. The drug is manufactured pharmaceutical company Ferrosan (Denmark) in special enteric capsules that do not dissolve in the stomach and get it to the right place - in the intestine. Each capsule contains bifiform bifidobacteria and enterococci in sufficient quantities to colonize the intestine. Bifidobacteria produce acetic and lactic acid, thereby inhibiting the growth and proliferation of pathogenic microorganisms that are not "like" acidic conditions.

Bifiform restores and maintains the required level physiological balance of the intestinal microflora - the ratio between beneficial and pathogenic microflora. In addition, bifiform stimulates gastrointestinal tract, prevents formation of lingering forms of intestinal diseases, removes or reduces the symptoms of intestinal disorders, strengthens the immune system (in the gut is a huge number of immune cells) and prevents the development of infections in pregnant women. This is especially important for pregnant women with chronic pyelonephritis.

Bifidobacteria and enterococci are also involved in the formation and absorption of vitamins (eg, folic acid, which is vital for pregnant women, because prevents malformations in the fetus), cleaves proteins, fats and complex carbohydrates. All strains bifiform bacteria are highly resistant to antibiotics.

Indications and contraindications for receiving bifiform during pregnancy

The indication for admission bifiform during pregnancy is a condition of dysbiosis, which can manifest itself in the form of constant bloating, constipation and diarrhea. Admission bifiform also shown after a course of antibiotic therapy for various intestinal disorders like bacterial and stress related.

Showed reception bifiform and pregnant women who have chronic infectious and inflammatory diseases, particularly chronic pyelonephritis.

Apply for bifiform capsule three times a day, regardless of meals, and swallowing them whole with a little water. The course of treatment - 2 - 3 weeks.

Contraindications bifiform during pregnancy is an individual intolerance of components. But bifiform appoint a pregnant woman should obstetrician or prenatal therapist.

Of the side effects of the preparation revealed only allergic reactions, overdoses bifiform not.

Bifiform - quality probiotic that can be assigned during pregnancy, but only a doctor, not as self-medication.

Galina Romanenko