Abdomen in Pregnancy - Causes, Symptoms and Treatment .MF .
So, you're pregnant!Now, your life will change dramatically.And we'll tell you how it will grow and change your tummy looks and what happens inside, how to react to certain sensations and how to approach the moment of birth prepared and happy.
Rates size and shape of the abdomen during pregnancy
As a rule, after learning about a wanted pregnancy, young girls are beginning to wait for the same will be visible tummy and often needlessly worried.Tummy becomes noticeable to others around the period of 13-15 weeks.When twin pregnancy tummy is noticeable already from 11 weeks and subsequently growing faster.
Dynamics abdomen growth by calendar month.
size and shape of the abdomen are very individual and depend on:
- initial weight and height
mother - the total weight gain
- sports training, the development of the abdominal muscles, posture
- there are one or two fetuses in the cavity
uterus - weightfruit
- fetal position (longitudinal, transverse, oblique)
- presentation of the fetus (head or
placenta - the amount of amniotic fluid, which is growing unevenly during pregnancy (biologically active fluid, which is inside the membranes duringpregnancy, and it surrounds the fetus is its natural environment)
- first pregnancy or re
Despite the multitude of beliefs and will not stomach shape depends on the sex of the child.In the case of placenta previa and breech fetal abdomen is more rounded, the presenting part is high (ie the distance between the symphysis pubis and the lower part of the abdomen).
The first image shows the abdomen nulliparous, it will be more "sharp", and the second multiparous, due to a weakened ligament apparatus, it looks somewhat pendulous.
On account of an obstetrician-gynecologist antenatal clinic need to get up to 12 weeks.Every appearance to the doctor you will measure the circumference of the abdomen, the height of standing uterus, and body weight.
height of standing uterus (GMR) - is the distance in centimeters between the upper edge of the pubic articulation and bottom of the uterus.
abdominal circumference (OJ) - measured in inches at the navel.
From these data we can conclude about the pace of development of your baby.Below is a table from which you will learn how much should weigh a child at each stage of development, and what it should be "growth".
weight and fetal growth by month
|Gestational age (in the lunar months)||fetal length in cm||Weight fetus kg|
|end of the first month||0.8||-|
you should know what WYD is normal to be on your period.SFH in centimeters roughly corresponds to the period in weeks (32 weeks in the 32 cm, etc.).The gap between the normal range may be indicative of fetal growth retardation due to various reasons.However, not always the small size of the fetus - is cause for alarm, it may happen that you and your spouse a small growth and a fragile constitution, and then your situation will be called "constitutionally small fruit."All conclusions should make your doctor, a leading pregnancy.
GMR measurement results entered in the schedule.Your results will normally fall within the specified interval.
Dependence of height of uterine fundus term pregnancy
total weight gain (OPV) during pregnancy is normal should be about 7-16 kg.OPV depends on the initial weight, the future mothers of underweight will gain more than women with the original normal weight or obese.
first stir in
stomach With the growth of the tummy, you begin to experience new sensations.The most exciting of them - this is the first stirring of a child.Stirs - this is one of the indicators of child well-being, too violent, painful or against the rare and weak perturbations should alert.In nulliparous first stirring observed in the period of about 20 weeks, at 16 weeks in multiparous.If mom skinny without extra weight, you may start to feel a little earlier perturbation.Baby move the woman felt first as "bubbling" or "stroking" from the inside, and with 24 weeks a painless bumps on the inside, sometimes accompanied by short-term increase uterine tone.
child is in constant motion, sleeping periods excluded.At 20 weeks, he makes about 200 movements per day, the amount of 26-32 weeks perturbations increases to 600, and then gradually decreased physical activity, is associated with fetal growth.Most of the movements of a pregnant mother does not feel.
Motor activity depends on the following factors:
- emotional state of women (stress condition can cause unusually turbulent perturbations, this is due to an increase in blood glucose levels, and epinephrine)
- exercise (perturbations are felt stronger and more frequent in the states of matter rest)
- time of the day (more often the child will be more active in the evening and at night)
- the power of mother (in a state of starvation, and after sweet food consumption wiggling more active and distinct)
- ambient sounds (a baby can react to loud sounds,especially with the vibration, increasing movement or vice versa calm down)
- tactile effects (when stroking the abdomen, the doctor's examination, the child can begin to move more actively)
- mother uncomfortable posture for a long time (perturbations are not only active, but also painful).
You must own the simple technique of counting fetal movements and know what is the norm, and that should cause alarm.
Cardiff method is based on calculating the perturbations within 12 hours, the start time of the study determines the mother herself.It marked the start of counting and time, when there was a tenth stirring.If the tenth fetal movement occurred earlier than 12 hours, you can stop counting.If within 12 hours of the child does not make ten perturbations, it is imperative to consult a doctor.
Sadowsky method is based on counting fetal movements after dinner in the period from 19.00 to 23.00 hours (in the evening and after receiving wiggling baby food should be strengthened).Mom writes the start of calculation and lays down on the left side (this reinforces the position of the motor activity of the child).If the baby in the first hour will make ten or more perturbations, it is possible to stop the count.If the perturbations were less, then the woman should continue to count fetal movement further.Alarming prognostic indicator considered slowing fetal movement less than ten for two hours, then one should immediately consult a doctor.
WARNING!Terrible feature is the sharp decline in motor activity or complete absence of perturbations of the child.If you do not feel the perturbations more than 6 hours, you should immediately consult a gynecologist-obstetrician.You can contact your divisional obstetrician-gynecologist or call "ambulance."
To clarify the situation, the doctor will conduct the following studies:
- auscultation (listening) heart sounds of the child with the help of obstetric stethoscope.
Normally, the baby's heartbeat is 120-160 beats per minute should be clear and rhythmical.
- CTG (Cardiotocographic research) - a method of research, which reflects the baby's heartbeat, the number of its perturbations and uterine activity.During the study, the abdomen with special straps attached two sensors, one in the heart of the child of the projection, the second on the right corner of the uterus.A study conducted 15-40 minutes (min informative time).HIC can be performed with 30-32 weeks.If heartbeat monotonous, without palpitations (aktseleratsy) is pregnant may be asked to turn to the other side or the like, and then repeating the recording.
- Doppler ultrasound (recording of blood flow in the uterine vessels and umbilical cord) is carried out in case of doubt.
Based on the survey, inspection and data doctor research to draw conclusions about the state of your child and make recommendations.
Abdominal pain during pregnancy
addition to perturbations of the child, you can feel the pain of different nature.In the early stages (before 22 weeks), pulling and stinging pains in the lower abdomen may indicate:
- threatened abortion (miscarriage)
- acute gynecological pathology (ectopic pregnancy, torsion of ovarian cyst)
- stretching ligaments, restructuring agencies locationsdue to the growing uterus (more common in women with painful and / or irregular menstruation before pregnancy)
- malfunction of the bowel spasms
- renal colic
At later stages (22 weeks or more), we can think of:
- the threat of premature birth
- the threat of divergence of the scar (if previously had caesarean section)
- premature detachment of normally situated placenta
- acute gynecological pathology (impaired uterine node power, torsion of ovarian cyst)
- intestinal colic
- renal colic
-acute surgical pathology (acute appendicitis)
The implantation period (in the first weeks of pregnancy) can be short-sipping pain in the lower abdomen (pulling the stomach), localized above the vagina, which cropped alone, do not grow and are not accompanied by other complaints (severe weakness,nausea, discharge from the genital tract, do not give the right or left).Normally a little "pull the stomach" can only be in the early stages when implantation occurs.And then pulling sensations should not be.The tremors, perturbations, intermittent tone after inspection on the chair - is the norm, but not pain.
Pain in the right or the left iliac region, growing and causing tension anterior abdominal wall, which eventually leads to a sharp, shooting pain and accompanied by dizziness, up to loss of consciousness, nausea, sometimes bloody discharge from the genital tract, may indicate an ectopic (tubal) pregnancy with the formation of a pipe break or other acute gynecological pathology (ovarian cyst torsion, hemorrhage into a cyst).
Drawing pain above the vagina, accompanied by increased tone of the uterus and, in some cases, bloody, spotting is an urgent condition, and point to a possible threat of miscarriage.
If pains are intermittent, spasmodic character, extend to the whole abdomen and accompanied by abdominal distention, constipation, you hear "rumblings" in the stomach, then most likely it is a violation of bowel function, and it is worth reviewing the diet, adding more fresh vegetables, oatmealporridge, prunes, dried apricots and the need (for constipation for more than three days) to use glycerin suppositories 1 time a day rectally.
If abdominal colitis, pain are raking in nature and are located on the right or the left, is given in the back and are accompanied by a violation of urination (difficulty to urinate, pain, cramps, changes in urine color to dark brown, muddy), then you may have renal colic.
In term of more than 22 weeks of periodic dragging pain above the vagina, accompanied by increased uterine tone may indicate the threat of premature birth.
If you had a caesarean section and in time more than 22 weeks, there are sharp pains above the vagina, with no periodicity, perhaps rising and accompanied by general symptoms (weakness, dizziness, nausea) and slowing or absence of fetal movements, it is necessary to eliminate the terrible state- the gap postoperative scar on the uterus.
Acute surgical pathology during pregnancy can be with unusual symptoms and atypical location of pain.You should alert the pain that began in the epigastric (area "in the stomach"), right upper quadrant, and then went down to the right side, the suprapubic area.
WARNING!Independently abdominal pain does not cure the bottom in any case.If you have a complaint you should consult your obstetrician-gynecologist.In case of difficulty in making a diagnosis you examine other narrow specialists (surgeon, urologist) and appoint additional studies (ultrasound of internal organs and kidney, common blood and urine tests, and others).
If treatment is indicated, you may be advised to take drugs (tablets, suppositories) home to send a daily or hospitals.
skin on the abdomen during pregnancy
pregnancy progresses you notice even such peculiar changes in the skin as stretch marks and pigmentation.
Stretching - are internal skin scars, they arise from the stretching of the skin, elastin fibers are torn and are replaced by scar tissue.Obey in this rapidly changing hormone balance and rapid growth of the abdomen.Predicting the appearance of stretch marks is difficult.
prevention is regular walks on foot, wearing special clothes and anatomical daily gentle massage in a circular motion using special creams permitted pregnant. Massage is contraindicated in women, pregnancy which takes place against the background of the threat of interruption, as an additional stimulation of the muscles. can use creams for stretch marks MamaKomfort brands, Vichy, Avent, Sanosan, Chicco Mamma Donna, Clarins, Bioterm.Creams and gels must be purchased at the pharmacy and have a health certificate and marked "hypoallergenic" or "tested for allergens" and be approved for use in pregnant and lactating.If you do not want to use cosmetics, can do massage with warm olive oil, almond oil or jojoba oil, cocoa, grape seed.
during pregnancy beneficial foods rich in potassium (raisins, dried apricots, banana, pear) and the optimum drinking regime (non-carbonated mineral water, natural fruit drinks, green tea up to 2 liters a day, if you do not recommend fluid restriction).
Pigmentation - skin discoloration (darkening or lightening) in some areas.
Brown spots may be formed not only on the abdomen, but also on the face (the forehead, chin, around the eyes, on top of the cheeks, upper lip or arch from temple to temple), the inside of the thighs, halos breast, nipples.On abdominal pigmentation appears as a band (strip Alba), which appears to 10 weeks.
band Alba on his stomach
Again, refuting does not depend on the sex of the child the beliefs, say that the pigmentation.This again is to blame hormonal imbalances and stress.In women with freckles probability of pigmentation above.After delivery, almost all dark spots disappear or become much paler.
Pregnant women advised to avoid excessive exposure to the sun and to take folic acid (or drugs metafolina) in the prescribed dosage of a physician.If you have postpartum were spots and you are concerned, a correction of skin tone in cosmetics (chemical or laser peels, abrasive treatment, mesotherapy).
If the skin of the anterior abdominal wall under compression in the fold takes the form of "lemon peel" - is indicative of edema.Surely edema of the abdominal wall sopustvuyut swelling of feet, legs and hands.This condition requires obstetrical consultation (if necessary, the therapist) and to be treated.
abdomen before birth
considered full-term pregnancy for a period of 37 weeks to 41 weeks, which is an average of 280 days (counting from the first day of the last menstrual period) or 10 obstetric months.Or 9 calendar months.
abdomen before birth "falls", because the baby's head presses against the entrance to the pelvis and the bottom of the uterus becomes a little closer to the umbilicus than before.Some stomach drops for 2-4 weeks before delivery, and someone in the process of childbirth itself.
How do you know that the stomach down?
Doctor Petrov AV