How sad it is not aware of, but in recent time, uterine fibroids are increasingly diagnosed in pregnant women. This is primarily due to the increasing age of nulliparous women, fibroids, usually observed after 30 years. And secondly it should be noted that this pathology is uterine fibroids younger, and it is diagnosed more often in women 25 years or even 20. Certainly, uterine fibroids and pregnancy - a rather unpleasant and, moreover, difficult combination. How to behave uterine fibroids during pregnancy is difficult to predict. But pregnancy is, in turn, has an impact on fibroids.

What are uterine fibroids and its species

Uterine myoma is a benign tumor formation, which grows out of the muscle and / or connective tissue. There are subserous myoma (fibroids grow into the abdominal cavity), interstitial fibroid (node ​​and nodes grow in the thickness of the uterus), and submucosal fibroids, which is the most unfavorable one for pregnancy (myoma node grows into the uterine cavity, deforming it).

Causes

The reasons that lead to the formation of fibroids are numerous. First of all it should be noted that the fibroids appear more often in women who have a long time delay childbearing, while using hormonal contraceptives. Also, intrauterine fibroids provoke different interventions (abortion, diagnostic curettage Scraping - heavy and unsafe procedure   uterus). In addition, uterine fibroids occur in the background of hormonal imbalance (menstrual disorders, obesity, etc.). Another cause of uterine fibroids is heredity.

Effect of uterine fibroids on pregnancy and childbirth

• Uterine fibroids and conception

One factor infertility with uterine cancer is compression of the nodes of the fallopian tubes Fallopian tubes: an important part of the reproductive system That makes it difficult or virtually impossible the penetration of sperm in their lumen. Furthermore, uterine cancer are often associated with endometrial hyperplasia, which leads to impossibility of implantation of the fertilized ovum. Also hinder the implementation of the egg into the interior of the mucosa and do fibroids (especially submucosal), which causes deformation of the uterus. In the case of cervical fibroids occur compression of the cervical canal Cervical canal - the path traversed by every person That also prevents sperm from entering the uterus. And if there is born, but not diagnosed myoma node (when the unit is in the lumen of the cervix or vagina), the latter playing the role of "IUD".

• Uterine fibroids and first trimester of pregnancy

Often in the first trimester of pregnancy ends in miscarriage. This occurs when the fertilized egg, or try to attach already implanted in the host. The reasons that lead to spontaneous abortion, are different. Firstly, placentation in node latter often causes destruction (necrosis myoma node), which is accompanied by release of prostaglandins and leads to increased uterine activity. Secondly, the presence in the uterus nodes initially broken blood supply. Thirdly, hysteromyoma accompanied by various hormonal disturbances Hormonal disorders - oversupply and a lack of equally dangerous That provoke a miscarriage. Well, recently, hyperplastic processes associated myoma, also play a role in the expulsion of the ovum.

• Uterine fibroids, and the second and third trimesters of pregnancy

Second and third trimester of pregnancy with uterine fibroids often end in miscarriage in late term or premature birth. This is again due to increased uterine activity. A child on the background of suffering from uterine fibroids in utero (hypoxia due to poor blood supply to the node), often there is a delay of development, children are born LBW. It is noted that the uterine fibroids cause various deformities in the fetus (compression of the skull, torticollis).

• Uterine fibroids and childbirth

Deliveries on the background of uterine fibroids often protracted, complicated or childbirth postpartum hemorrhage. Often uterine fibroids during pregnancy is the reason for cesarean section due to incorrect position of the fetus (pelvic, leg or cross).

Anna Sozinova

Inhabits the mucous membranes of the urinary organs mycoplasma woman who does not manifest itself before pregnancy, during pregnancy can cause infectious-inflammatory processes. Such processes can pose a threat to the mother and child at any stage of pregnancy.

Features state of pregnancy

A feature of pregnancy is that in this condition can be significantly reduced immunity. This occurs under the influence of hormones and is a physiological response - the body reduces the protection of the immune system that is always trying to get rid of foreign cells.

In connection with the reduction of immunity in pregnant women from the beginning of pregnancy begin to "come out" various chronic infections, which previously did not manifest itself. These include infections and mycoplasmosis - a disease caused by mycoplasma.

In order to avoid such "surprises", obstetricians recommend to plan pregnancy with preliminary full examination and, if necessary prolechivaniya future parents.

Pathogens and mycoplasma detection

Pathogens mycoplasma urinary organs in a pregnant woman can be three types of mycoplasma: Mycoplasma genitalium (the pathogens), Mycoplasma hominis and Ureaplasma This insidious ureaplasma - often too late   urealitikum. Of these the last two are considered as opportunistic and if they are found in small amounts (less than 10,000 cfu - colony forming units per 1 ml) in the absence of symptoms, the woman did not cure, but only observed. Material for the study taken from the urethra, the vaginal mucosa and the cervical canal. If you find a pregnant woman Mycoplasma genitalium it necessarily being treated.

Of great importance is the form found in a pregnant woman mycoplasma. Since mycoplasmas are difficult to see under a microscope, they are usually detected by genome by polymerase chain reaction - PCR. To detect Mycoplasma hominis and Mycoplasma urealitikum crops are also used in the culture media.

During pregnancy it is important, when a woman contracted the disease. To do this, use the method of enzyme immunoassay (EIA), which allows you to identify antibodies to mycoplasmas, which helps set the duration of the disease.

How is mycoplasmosis during pregnancy

Any marked symptoms of the disease usually does not happen. There are transient itching in the genital area, a slight burning sensation while urinating and minor mucus Mucus - what is the norm for a healthy woman   from the vagina.

All this woman can simply not pay attention. That's why pregnant women in certain periods taken tests not identified in time the infection can produce complications such as maternal and fetal side.

Complications can be interrupted early pregnancy: miscarriage, missed abortion Missed abortion - do not lose faith in yourself . In the later stages of mycoplasmosis can lead to premature birth.

In addition, infection can cross the placenta and fetal membranes to the fetus and cause a uterine infection with severe internal organs, especially the brain. It was established that mycoplasmosis can cause intrauterine fetal infection in about one in five women suffer from this disease.

The infection can get to the tissue of the fetus or during birth, during the passage of the fetus through the birth canal. This is especially dangerous for premature and weakened children - the infection can also affect internal organs and be severe.

After birth, severe inflammation can start in women, such as Mycoplasma genitalium Mycoplasma genitalium - most of the pathogenic mycoplasmas   It can cause endometritis.

How to cure a mycoplasmosis in pregnant women

Detection of Mycoplasma in a pregnant woman is not always the reason for the treatment. If found opportunistic species of mycoplasmas, and the woman has no signs of infectious and inflammatory process, it is not treated, but only watched.

The indications for treatment are:

• Detection of Mycoplasma genitalium;
• Detection of mycoplasma except any kind yet other pathogens (e.g., Chlamydia);
• detection opportunistic species of mycoplasmas in large amounts in combination with evidence of infectious-inflammatory processes.

In such cases, in the second trimester (after the 12th week of pregnancy) woman appointed as a treatment of antibiotics, which are sensitive mycoplasma. Treatment must be conducted under laboratory control.

Mycoplasmosis - a dangerous disease during pregnancy, so it is necessary to promptly identify and, if necessary being treated.

Galina Romanenko