In the practice of an obstetrician-gynecologist, there are various cases requiring immediate resolution. Some drugs 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 contradictory reviews. “Ginipral” is prescribed by a doctor during pregnancy to prevent excessive uterine activity and treat hypertension. Repeatedly it can be appointed to eliminate the threat of premature birth. Important! The drug is not prophylactic, and tablets should be taken strictly at the prescribed dosage. This remedy has a number of contraindications, so self-medication can promise a lot of problems for a pregnant woman, up to premature birth or miscarriage.
Pregnancy: uterine tone
No one can foresee the course of an interesting position of a woman, even in the event of a preplanned pregnancy, complications can occur. Given the frantic pace of life, the quality of nutrition and the environmental factor, expectant mothers are constantly faced with such a common condition as uterine tone. It can manifest itself to a greater or lesser extent, but it requires urgent action, otherwise it can threaten a miscarriage. Among other things, the systematic tension of the uterus can slow down the development of the fetus, since blood with nutrients comes to him 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:
- 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 sleep pregnant.
- Bad family relationships.
- Work associated with certain risks.
- Age to 18 years and after 35 years.
- A history of inflammatory diseases, abortion.
- SARS and the flu 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.
With tonus, the following symptoms are observed:
- drawing pains in the lower abdomen and in the lower back;
- cramping pains ;
- the stomach becomes hard, an unpleasant sensation of tension appears.
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 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, an ultrasound specialist can detect a reduction in muscle fibers. Another diagnostic method is a special apparatus for measuring contractions of the myometrium, but it has not been widely used since there are faster methods for determining the stress state of the uterus.
Drawing pains in the lower abdomen is not always a sign of any complication: in the first half of pregnancy, this may be a consequence of the natural growth of the uterus and stretching of the muscle fibers. From there and pain.
What can not be done with hypertension
Having discovered the tension of the uterus, the doctor will most likely prescribe Ginipral tablets. In pregnancy, characterized by a problematic course, bed rest and a complete state of rest are recommended. You cannot engage in any activity, no matter what the cost. Absolutely forbidden:
- engage in physically active labor or exercises (also forget about washing, cleaning, ironing and other homework);
- lift weights (entrust this to your husband and loved ones);
- stay in too crowded places and crowded transport, long walks (more often take a rest);
- visiting the bath (also avoid a hot bath or shower);
- intimate relationships (at least deep penetration);
- long trips, and even more so flights.
Calm, only calm
The reason for the increased tone of the uterus can often be emotions. The pregnancy itself in a woman causes a lot of feelings, moreover, this condition is aggravated by significant changes in the hormonal background of the future mother. Excessive release of adrenaline into the blood can provoke tension in the muscles of the uterus, in some cases, conversations with a therapist and taking sedatives can help to correct the situation.
"Ginipral" during pregnancy: why is it prescribed?
Regardless of whether the state of tonus first appeared 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 disorders are eliminated with the help of a number of drugs - Magne B6, Motherwort, anti-inflammatory drugs, calcium blockers or Ginipral (there are many, and mostly positive, reviews of pregnant women about it). With the ineffectiveness of sedatives (motherwort or valerian), the doctor may prescribe Trioxazine, Nozepam, and Sibazol medicines.
In the diagnosis of uterine hypertonicity in early pregnancy, specialists prescribe hormonal drugs, since during this period, tissue stress is associated with a violation of the hormonal background of the future mother. In the second half of the term, or even a little earlier, from 16-17 weeks, doctors resort to more serious drugs, such as Ginipral. Reviews of doctors about him are positive. Experts note that this tool reduces tone, directly affecting the vessels of the uterus and placenta.
Features of the reception
The drug is used strictly as prescribed by the doctor. In pharmacies, tablets and Ginipral injection solution are sold. Reviews of many patients contain information that the medicine is quite effective, helped many mothers to endure healthy babies. If there is a threat of miscarriage , they start taking this drug from the second trimester of pregnancy. The decision on the advisability of prescribing, 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 future mother.
Drug shortcomings
Before taking this or that remedy, you must carefully study the instructions. Do not overlook the recommendations of doctors and their reviews. "Ginipral" during pregnancy is contraindicated in the following cases:
- Individual intolerance to individual components.
- Glaucoma.
- Diseases of the cardiovascular system.
- Liver and kidney disease.
- Bronchial asthma.
- Hyperthyroidism.
- Premature detachment of the placenta.
- Uterine infection or heavy bleeding.
In fact, the Ginipral drug does not cause side effects during pregnancy not so often, however, patients still note some negative reactions of the body, such as:
- excitation;
- dizziness;
- trembling limbs;
- rapid pulse.
To prevent or eliminate these unpleasant phenomena, medications that normalize the work of the heart, including potassium preparations, are prescribed along the way. Since the drug in question can provoke sharp pressure surges, an increase in blood sugar (as some reviews insist), Ginipral is prescribed very carefully during pregnancy, while the level of blood pressure and glucose in the body is constantly monitored.
Duration of administration and withdrawal of the drug
The course of taking the medicine can last 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 baby is ready for birth.
To avoid such complications, doctors advise, if possible, to limit the amount of salt in food and the amount of fluid consumed (in order to prevent edema).
The undesirable effect of the medicine can be enhanced by the use of coffee or tea, so drink them with caution.
Remember! It is impossible to prescribe, and even more so, cancel the Ginipral drug, it is fraught with irreversible consequences. With a sharp discontinuation of the drug, especially if it was used in high doses, the threat of termination of pregnancy may resume.
Ginipral medication: dropper during pregnancy
In emergency cases, 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 are added to a 5% glucose solution (500 ml). Before the completion of the procedure, for 2-3 hours, start taking 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 many reviews say. “Ginipral” during pregnancy simply helps to reduce the risk of premature birth, and when it is canceled, the possibility of natural delivery returns.