One of the first places among the impressive number of diverse extragenital pathology in pregnant women is varicose veins.
Predisposing factors for varicose veins in pregnancy:
Hormonal changes the body aimed at ensuring an environment conducive to carrying a baby. There is a relaxation of the uterus and the provision of a negative effect on the vascular wall and lead to a reduction in its tone.
Starting from the fourth month of pregnancy, the woman's venous system begins to work in conditions of high load. 20-30% increase in blood volume is mainly due to its liquid component (plasma) that is essential for the nutrition of the fetus, but also makes it difficult for the female body.
Pressure on the pregnant uterus is located below the inferior vena cava. This vessel is a major collector, in which blood flows from the lower body to the heart. Consequently, the difficulty of outflow through it contributes to venous stasis, which is one of the main functions of the pathogenesis of varicose veins.
Amount of amniotic fluid, placenta previa, the tone of the abdominal wall, and, of course, the individual characteristics of the parent organism (genetic predisposition, obesity, high growth) also affect the venous circulation.
At the beginning of the disease goes unnoticed, can be detected only minor cosmetic defect in the form of a small segmental expansion of the subcutaneous blood vessels, or characteristic "reticula" on their feet. Sometimes at a very early stage there are transient swelling, growing and disappearing in the evening the next morning. In this case the woman begin to bother feeling fatigue, heaviness, and sometimes arching pain in the legs, itching, night cramps in the calf muscles.
As the disease progresses aesthetic violations increase, the risk of complications, the most common of which is thrombosis in the basin of the inferior vena cava, including the vessels of the legs and pelvis. This is due to increase in the clotting ability of blood during child bearing. Despite the fact that the most striking changes in varicose veins are localized on the legs, under no circumstances forget the fact that in the pathological process is often involved, and other veins.
Often, pregnant women have problems with the pelvic vessels, uterus, ovaries, labia and other organs. These changes contribute to the development of bleeding due to rupture of varices, especially during and after childbirth.
A few rules:
enough to lead an active life with no sudden movements and heavy lifting;
sleep with a raised foot end (at the expense of a small roller or pad);
try lying on your side, especially since the thirtieth week of pregnancy;
wear comfortable shoes and loose clothing;
make a diet of foods that promote bowel movements in a timely manner.
daily wear compression stockings, designed for pregnant women (on the advice of a doctor).
Expectant mothers should always remember that their attention and respect for one's health - the best care of the unborn baby.
To protect against adverse effects and to prevent progression of the disease, it is necessary when the first symptoms persist phlebologist and in the future adhere to the recommendations given to them.
