Women, unfortunately, often suffer from diseases of the reproductive system. Moreover, some ailments occur in the usual state, while others can appear only during pregnancy. In this article, we will focus on a pathology called the uterus of the Kuveller. You will learn what tactics are used to treat it, and also find out the risk factors. It is necessary to say about the reasons for the appearance of the uterus of the Kuveller and add information about the method of prevention.
What is this pathology?
The uterus of the Kuveller is a pathology that occurs exclusively during pregnancy. More often the disease affects expectant mothers in the last weeks or during childbirth. The pathology “Kueveler uterus” got its name because of the scientist who first diagnosed such a disease. His last name is Kuveler.
From doctors and expectant mothers, a similar term can be heard quite rarely. More often, the uterus of the Kuveller has the colloquial name "premature detachment of the placenta."
Methods for diagnosing pathology
There are several ways to determine the pathology. The Kuveller uterus is an ailment that is diagnosed with indirect and explicit signs. Let's consider them in detail.
Clinical picture
With the development of the disease, a woman has pronounced symptoms. The expectant mother experiences severe intolerable pains that are localized in the lower abdomen and extend to the lower back. A manual examination of the uterus is very painful.
If the pathology develops during childbirth, then the pregnant woman complains of the feeling of one endless struggle. The spaces in which the woman in labor should rest are filled with pain in the lower abdomen.
In addition to pain in a woman, blood pressure may decrease, perspiration may appear and nausea with indomitable vomiting may occur. Abundant spotting from the genital tract is also noted, but they may not be.
Fetal condition
If there is a suspicion of a pathology such as the uterus of Kueveler, obstetrics recommends a CTG study. During the diagnosis, gynecologists and obstetricians note strong changes in the heart rate of the baby. This is due to the fact that the exfoliated placenta ceases to supply the embryo with oxygen and nutrients. There is oxygen starvation, which doctors call hypoxia.
It is worth noting that this condition is quite dangerous, since during the restriction of oxygen supply the fetal brain can be severely damaged. In some situations, the death of the embryo is possible.
Purely subjective, a woman may note that the future baby, located in the womb, behaves unusually. The fetus begins to show severe anxiety and hanged motor activity. In some cases, the opposite reaction occurs: the baby subsides and practically stops moving.
Ultrasound diagnostics
The uterus of the Kuveller is most accurately determined by ultrasound. During diagnosis, the specialist notes a thickening of one of the walls of the uterus. Also, between the placenta and the genital organ, an anechogenic formation occurs , which has a rather impressive volume.
An ultrasound scan (with a Doppler study) determines a blood flow disturbance between the fetus and the placenta, and damaged vessels are also visible.
Kueveler uterus: therapeutic tactics
Women who have such a pathology need to provide emergency medical care. Otherwise, everything can end pretty badly. Some pregnant women lose their babies with this complication, while others may remain disabled for life. With prolonged inaction, a fatal outcome is possible.
Therapeutic tactics for placental abruption are always prompt. An emergency cesarean section is performed on a woman. It is worth noting that such a method is chosen even when the baby is already dead.
After removing the fetus from the genital organ, the doctor notes the complexity of the pathology. In some cases, it is possible to stop bleeding and save the uterus. In more complex situations, it is necessary to completely remove the organ (along with the cervix). The cervical canal is removed during surgery so that blood clots do not subsequently form. Very rarely, it may be necessary to extract the appendages from the pelvis of a woman with a pathology called the “uterus of the Cuveler”.
The prognosis after surgery completely depends on the complexity of the pathology. If a woman has a child-bearing organ, then inpatient treatment is carried out. Drugs that stop the blood are prescribed. With hysterectomy , reverse acting agents are prescribed. In this case, the woman receives blood-thinning drugs that prevent thrombosis.
With the complete removal of the uterus and appendages, a woman needs long-term therapy, which is subsequently replaced by lifelong administration of hormonal drugs.
Kueveler uterus: risk factors
Is it possible to find out who is more susceptible to this pathology? Of course, yes. There is a group of certain risk factors. If you find at least one of them, then you should be more attentive to your own condition, and also inform your doctor about pregnancy. So, what are the risk factors for the development of a pathology called the “uterus of the Kueveler”?
- Diseases of the uterus. If a woman in the past had severe inflammatory diseases of the pelvic organs, then there may be problems with the attachment of the placenta. Also, some diseases can cause premature detachment of the child's place. These include endometritis, endometriosis, adenomyosis and others.
- Features of pregnancy. With multiple pregnancies, the Kueveler uterus is more likely to occur than with a conventional one. Also, frequent births in the past (more than five) can cause abnormalities in the attachment of the placenta.
- Bad habits of a future mother. If a pregnant woman smokes, drinks alcohol or drugs, the placenta quickly ages. Having reached a certain point of development, it simply begins to exfoliate.
- Gestosis, or late toxicosis. If the expectant mother has health problems (pathology of the kidneys, the occurrence of edema, high blood pressure and others), then there is a risk of the appearance of the uterus of the Cuveler.
- Anomalies of the attachment of the placenta. If during pregnancy such a pathology as presentation of a child’s position is detected, then there is a high risk of developing detachment. Also, the placenta, located in front, often has developmental abnormalities than a child's place located on the back wall.
Preventative measures
When registering and throughout pregnancy, a woman undergoes numerous examinations. These include analysis of blood, urine, diagnosis of the state of the genitourinary system, examination by a therapist and cardiologist. If any risk factor is detected, prophylaxis in the last trimester of pregnancy and during the labor period is necessary. There are several ways to prevent the development of a pathological process. Let's consider them in detail.
Limitation of physical activity
Expectant mothers who have problems with the cardiovascular system, as well as those who have placenta previa, should completely limit physical activity. Otherwise, with a sharp effort, vascular damage can occur and a hematoma appears between the uterus and the placenta.
If bleeding occurs during pregnancy that is caused by previa or a low placenta, then you should be especially careful about yourself. Your doctor may recommend bed rest. Follow the advice of a specialist.
Taking certain drugs
If you have health problems, then it is worthwhile to direct efforts to eliminate them. For example, with a disease of the genitourinary system, diuretics and anti-inflammatory drugs should be taken. Also, during an increase in blood pressure, it is necessary to drink tablets that regulate the flow of the bloodstream.
If you encounter edema, then consult a doctor. The doctor will prescribe the appropriate funds for you. Remember that you can not carry out the treatment yourself. The intake of any medications must be agreed with the gynecologist. Otherwise, you can harm the future baby more than help.
In the later stages of pregnancy, the doctor will prescribe you special remedies that improve blood circulation between the fetus, placenta and mother. Most often, such treatment is carried out in a hospital. Do not refuse such a correction. She will always be useful to the unborn baby.
Sexual Rest
With a possible detachment of the placenta and the appearance of the uterus of the Kueveler, it is recommended to completely limit sexual intercourse in the second and third trimester of pregnancy.
During intercourse, an increased uterine contraction occurs, which can become an incentive to separate the placenta from the wall of the genital organ.
Fetal monitoring
In the later stages of pregnancy (before and during childbirth), it is necessary to monitor the behavior of the unborn baby. At short intervals, it is necessary to examine the expectant mother with CTG. If there is a suspicion of deterioration of the fetus, it is necessary to diagnose with ultrasound.
A few weeks before the planned birth, an ultrasound scan is needed. During the examination, much attention should be paid to the condition of the placenta. The specialist determines the degree of maturity of the body and makes an appropriate conclusion.
Timely treatment of diseases
The main prevention of the uterus of the Kueveler is the timely treatment of emerging pathologies. So, with inflammation of the uterus or the appearance of hormonal diseases, it is necessary to start the appropriate correction in time.
Also, if there are complaints during pregnancy, you should carefully examine the expectant mother and, if necessary, prescribe treatment.
Conclusion
So, now you know what the uterus of the Kuveller is. A photo of ultrasound pathology is presented in this article. If it occurs, you need to conduct surgery as soon as possible. Only in this case is there a probability of a positive outcome.
Carefully monitor your well-being during pregnancy. If symptoms of pathology appear, consult a doctor or call an ambulance. Health to you and your baby!