Why pulls the lower abdomen on the 6th week of pregnancy and what should I do?

It pulls the lower abdomen at the 6th week of pregnancy - it is a frequent symptom of many gynecological pathologies that carry a potential danger to the child. But not always it is necessary to worry, in some cases it is a normal phenomenon for the pregnant woman, especially if pregnancy is the first. But you need to know other clinical symptoms that are characteristic of the threat of miscarriage, in time to turn to the doctor.

Epidemiology

The epidemiology of miscarriage, especially during the first pregnancy, makes one look for causes and prevent this pathology. In comparison with women who gave birth ten years earlier, today due to the environmental situation and the decline of women's health, the problem of miscarriage comes to the fore. In 35% of infertility couples, the reason is habitual miscarriage. As for the symptomatology, only 12% of the pulling pains in the lower abdomen are caused by physiological causes. About 40% of cases of this symptomatology at week 6 of pregnancy are caused by the threat of miscarriage, and the same is caused by ectopic pregnancy. This proves the need for proper diagnosis and treatment of such conditions in pregnant women.

Causes of the stretching pains in the lower abdomen at the 6th week of pregnancy

Drawing pain in the abdomen during pregnancy - this can always be a potential sign of a threat of miscarriage. But it is necessary to remember other causes of such pain in order to pay attention to other symptoms in time. Often unpleasant sensations in the abdomen are caused by the normal process of pregnancy and simple stretching of the uterus. Therefore, it is necessary to understand the pathogenesis of pain, which has a physiological and pathological character.

The uterus is a muscular organ that grows and grows in size along with the fetus. Together with the uterus, the abdominal muscles are stretched too - this leads to lengthening of the muscle fibers of the pelvic floor, the abdominal press. In the first trimester of pregnancy, progesterone, the hormone of pregnancy, is actively being synthesized. It is he who provides stretching of muscle fibers. In addition, it acts on the pubic joint of the pubic bone, namely on the ligaments, which begin to diverge slightly. This is necessary in order to prepare the birth canal for the passage of a wide part of the fetus. Therefore, the cause of the pulling sensations in the lower abdomen may be the action of progesterone in the early term, that is, the sixth week of pregnancy. Sometimes a woman still may not know that she is pregnant, but there are such feelings. This is considered a physiological phenomenon that does not require treatment, since the cause of this is not a disease or a threat to the life of the child.

Among the reasons that must be eliminated first of all when such feelings occur on the 6th week of pregnancy, the first place is miscarriage. If a woman is pregnant for the first time, then it is necessary to pinpoint all the symptoms that she has in addition to such pains. If it is a woman who is diagnosed with habitual miscarriage, then the reason for such feelings is most likely the threat of miscarriage. The reason for the appearance of such pulling sensations at the 6th week is due to the fact that in this period of development the fetus is most vulnerable, and if any pathological factor acts, it easily causes premature birth (miscarriage). The uterus begins to contract rhythmically, which causes a gradual detachment of the fetal egg and its exit.

In second place in the prevalence of etiological factors of development of pulling pains in the early term is an ectopic pregnancy. Under normal conditions, on the seventh day after the fertilization of the egg, the embryo moves along the fallopian tube and is implanted into the uterine cavity, where it subsequently develops. When for certain reasons the embryo can not reach the uterus, it is implanted in the tube or leaves it and falls on the ovary or in the abdominal cavity, this is an ectopic pregnancy. Over time, the embryo grows and places become scarce, which leads to a stretching of the tube and the appearance of such a symptomatology. It is on the sixth week that the size of the fetal egg no longer allows it to grow further in the tube, which leads to its rupture or tubal abortion. Therefore, ectopic tubal pregnancy manifests at this time.

Pregnancy can develop against the background of the presence of a woman's inflammatory or other pathology of the ovary. This can be, if the pregnancy was unplanned, and the woman was not examined and did not treat chronic diseases. Often a woman may not know about the presence of an ovarian cyst or chronic adnexitis, since these diseases can be asymptomatic. Therefore, one of the reasons for the appearance of pulling sensations at the 6th week of pregnancy may be exacerbation of chronic adnexitis. Another pathology that causes a similar clinic may be a rupture or suppuration of the ovarian cyst, which also requires careful and timely diagnosis. In the first trimester immunity of the pregnant woman decreases, therefore she is vulnerable to an exacerbation of all former diseases. Therefore, we should not exclude these reasons, in spite of pregnancy.

Other causes that cause such pains may not be related to pregnancy itself. Often inflammatory processes of the urinary tract, for example, cystitis, can cause the same clinical picture.

Risk factors

Given all the possible causes of pain for 6 weeks, it is necessary to identify the risk factors that need to be considered in women and monitor them. Such factors include:

1. women with habitual miscarriage - they have a potential risk that a given pregnancy, which is accompanied by such symptoms, may have a risk of another miscarriage;
2. chronic adnexitis in a woman;
3. ovarian cyst;
4. frequent surgery on the uterus or abortion;
5. stressful or physical exertion of a pregnant woman can be a risk factor for interruption at an early stage.

[1], [2], [3], [4]

Symptoms of the stretching pains in the lower abdomen at the 6th week of pregnancy

Symptoms of traumatic pain in the abdomen at 6 weeks gestation are physiological muscle contraction, if there are no other symptoms. This symptom is unique and it is unstable. He does not violate the general condition of women and does not entail any problems. If such pain is not accompanied by a violation of urination, headache, dizziness, vaginal discharge, then you can simply consult the doctor about this. But if there are any other disturbances of the state, then you need to carefully differentiate between them.

The first problem is the threat of miscarriage, which is a very urgent issue at the 6th week of pregnancy. The first signs of miscarriage begin precisely from spastic pains in the lower abdomen. They can be triggered by physical exertion or stress. Then there are rhythmic contractions, which are accompanied by an increase in the tone of the uterus. In this case the pain is expressed quite strongly and can even lead to a loss of consciousness. If at the same time there are also bloody discharge, then it is already a miscarriage in the process, and then it is very difficult to save the child.

The clinic for ectopic pregnancy can also begin with a pulling sensation in the lower abdomen. If the ectopic pregnancy is interrupted by the type of tubal abortion, then the fetal egg goes into the cavity of the small pelvis and irritates the peritoneum. This causes severe pain, which may be the first sign of such a condition. If there is a rupture of the fallopian tube, it is accompanied by bleeding from the vagina, abdominal pain and a sharp drop in pressure. Therefore, a woman against a background of complete health can spin her head, she can faint and only then there will be a pulling sensation in the lower abdomen.

Inflammatory diseases of appendages during pregnancy can become more active if a woman has chronic adnexitis. In this case, there is a pulling sensation in the lower abdomen, which can be accompanied by purulent discharge from the vagina, or simply by unpleasant discharge and discomfort. There is also an intoxication syndrome - headache and muscle pain, fever. If there are any such symptoms, then you need to think about the inflammatory process.

Cystitis is a common disease of pregnant women due to compression of the bladder. If the pulling sensations at the 6th week are expressed precisely with urination, then most likely it is the inflammation of the lower urinary tract. At the same time, there is burning, frequent urination and frequent desires. This should be taken into account when identifying the cause of pain, because sometimes a woman because of fears for the child may not pay attention to the fact that the nature of urination has changed, and focuses specifically on the pains in the lower abdomen.

Thus, the pulling pain in the lower abdomen is only one symptom, and for a complete characterization of the state, it is necessary to evaluate others, in order to help in time.

Complications and consequences

The consequences of pulling sensations at the 6th week of pregnancy can be very serious, since during this period the fetus is most vulnerable. There is a bookmark and development of all the internal organs of the child, and if something is not right, then this causes similar symptoms. With the threat of miscarriage, complications can develop very quickly and a few minutes can already harm the child. If it is an ectopic pregnancy, the consequence of this condition may be a rupture of the tube and severe bleeding that threatens the life of the mother. Speaking of inflammatory diseases, untimely treatment of such processes can cause intrauterine infection and lead to further complications - chorionamionitis, congenital fetal pneumonia, congenital malformations. Therefore, it is important to pay attention to such drawing pains in a timely manner, especially at such an early time.

Diagnostics of the stretching pains in the lower abdomen at the 6th week of pregnancy

Sometimes the diagnosis of a woman's condition is complicated, because she may not know that she is pregnant. Therefore it is important to establish the history of the history, it is necessary to clarify the possibility of pregnancy and the period of the last menstruation. Next, you need to diagnose, it's physiological changes in the uterus or a serious organic disease. Sometimes the fact that pains pass after rest can indicate their physiological character. It is important to clarify whether the nature of the secretions has changed and whether the body temperature has increased. After this, you need to start examining the woman.

On the armchair in the mirrors you can see the signs of pregnancy itself, and if nothing is threatening, then the discharge will be normal and the tone of the uterus is not raised. If there is a pathology of the ovary, there will be soreness in the projection of it or you can palpate the volume formation in the presence of a cyst.

Analyzes should exclude a pathological condition, and therefore general analysis is sufficient for general diagnosis. A general blood test helps to eliminate the inflammatory process, otherwise, there will be a leukocytosis and a shift of the formula to the left. A general urine test helps to establish the function of the kidneys and urinary tract. Any increase in white blood cells or protein may indicate inflammation and possible cystitis, which in the early stages of pregnancy very often causes irradiation of the pains to the lower abdomen.

Instrumental diagnostics must be carried out in order to avoid acute conditions. Ultrasound can accurately determine the condition of the fetus, the localization of the fetal egg and you can accurately exclude a particular condition. If there is a threat of miscarriage, you can see a small detachment of the fetal egg, which causes a reduction in the uterus. Ectopic pregnancy in the early term is diagnosed with ultrasound, then you can see that there is an echogenic formation in the projection of the tube, which is a fetal egg.

Other methods of instrumental research can be used for the purpose of differential diagnosis. If necessary, then perform a Doppler study to study blood circulation in the uterus.

Differential diagnosis

Differential diagnosis of such pain at week 6 should first and foremost eliminate miscarriage. In this case, the uterine tone rises and it contracts rhythmically, when viewed, the inner pharynx can be opened. If there are secretions, then it is already a question of the abortion that has begun.

Ectopic pregnancy is also accompanied by secretions, but when examined and palpation of the fetal egg in the uterine cavity is not, but there is only soreness in the projection of the tubes. This is the main diagnostic feature that distinguishes tubal pregnancy.

Given the many causes of pain and the need for early pregnancy, you need to fully examine a woman to be sure of the tactics of treatment.

[5], [6], [7], [8], [9]

Treatment of the stretching pains in the lower abdomen at the 6th week of pregnancy

Treatment of the pulling sensations in the lower abdomen at week 6 of the week of pregnancy should be carried out only after the diagnosis is established. It is very important to determine the exact cause of such symptoms, and only then to carry out treatment. If the cause of such pain is the threat of miscarriage, then use medicines that prolong the pregnancy. In this case, the tactics of treatment are:

1. Partusisten is a drug from the group of selective sympathomimetics, the active substance of which is fenoterol. The drug is effected by binding to the uterine receptors, which leads to a relaxation of the muscle fibers. Therefore, the drug can be used to stop uncomplicated premature births, which are accompanied by an increase in the tone of the uterus and rhythmic contractions. The method of application of the drug - intravenous, which allows you to quickly achieve an effect. Dosage - 10 micrograms of the drug must be injected slowly, and then switch to infusion. Side effects are palpitations, heart rhythm disturbances, headache, fever, increased pressure, tremors, diarrhea. Precautions - the dosage of the drug should be carried out under the control of the fetus, its heart rate and the tone of the uterus.
2. Ginipral is a drug from the group of selective sympathomimetics, the active substance of which is gekoprenaline. The drug is used for the threat of miscarriage, which is accompanied by an increase in the tone of the uterus and rhythmic contractions. The method of application of the drug - intravenous, which allows you to quickly achieve an effect. Dosage - 10 micrograms of the drug must be injected slowly, and then switch to infusion. The use of a specific drug for tocolytic therapy is determined in each case individually.
3. Drotaverin is a myotropic antispasmodic that reduces the tone and motor activity of the smooth muscles of the uterus. Thanks to this, an analgesic effect occurs, therefore, drugs of this group are widely used in the treatment of the threat of miscarriage in complex tocolytic therapy. The method of application is 120-240 mg / day in 2-3 doses. Side effects that can be skin hyperemia, fever, chills, body t0, weakness, palpitations, arterial hypotension headache, dizziness, insomnia, nausea, constipation, vomiting, local reactions at the injection site. Precautions - do not use in congenital pathologies - malabsorption and lactose intolerance.
4. Lutein is a hormonal drug that is used to further treat the threat of miscarriage, after the elimination of an acute condition. Often, hormonal disorders are the cause of the threat of miscarriage at week 6 of pregnancy, so progesterone therapy is mandatory after the elimination of symptoms. Lutein includes progesterone, a natural hormone that stabilizes the activity of the muscular fibers of the uterus and reduces its tone. The drug contributes to the normalization of the trophic fetus and improves utero-placental circulation. It promotes the prolongation of pregnancy by increasing the level of natural progesterone. The dosage of the drug is determined individually. The method of administration is 50 mg per capsule every day or every other day. Side effects - dizziness, drowsiness, pain in the mammary gland, skin itching, vomiting, fluid retention with the formation of edema. Precautions - a week after the application, you need to check the effect and correctness of the selected dose.
5. Inflammatory diseases of the ovaries can also be a frequent cause of the pulling sensations in the lower abdomen during pregnancy. Therefore, to prevent infection of the fetus, such infectious diseases require antibiotic treatment. Use drugs that are not harmful to the fetus for a period of 6 weeks, because this is the period of formation of the internal organs of the child. These drugs include cephalosporin antibiotics.

Ceppodox is a beta-lactam antibiotic of the third generation, especially effective in the action on aerobic flora. The drug has a bactericidal effect on possible pathogens of chronic and acute infection, therefore it can also be used for cystitis. Dosage of the drug - 200 milligrams twice a day, at least ten days. Side effects are possible with the influence on the stomach - develops colitis or dysbiosis, which manifests itself by bloating, a violation of the stool.

Physiotherapeutic treatment of pulling sensations in the abdomen at week 6 can be widely used if such pains are caused by muscle stretching or weakness. To do this, use electrophoresis with papaverine and dimexide, as well as thermal procedures. It is necessary to pass at least ten sessions, if there are no undesirable effects of such treatment.

Vitamins can be used in complex treatment, and especially nicotinic acid throughout the first trimester.

Operative treatment at week 6 is mandatory if the pregnancy is an ectopic. Then even in the absence of a clinic, but when diagnosing a fetal egg outside the uterus, surgery is performed. The volume of it can be different. If there has not yet been a rupture of the pipe, then there may be only a small sectoral resection. But when there is a pipe rupture, the volume of the operation is the removal of the pipe. When it comes to miscarriage in the process, surgical intervention is also used. Then resort to an operative removal of a fetal egg by scraping out the uterine cavity. This reduces the risk of further complications of the health of the mother, therefore it is considered the preferred method of treatment at such an early pregnancy.

Alternative therapies

Alternative therapies that are capable of prolonging pregnancy are very many. If a woman can not get pregnant for a long time, then there are also many methods that prepare the uterus and normalize the hormonal background. They can be used in the early stages of pregnancy to extend it.

1. Ficus has been considered a sacred plant since the days of Ancient Greece, which is used to normalize the aura in the house where they want to have a child. Therefore, it is recommended to keep this plant in the bedroom, and also to look after it during the whole pregnancy to the pregnant woman. He gives her his useful properties.
2. Tincture of the leaves of the mimosa has a very pronounced tocolytic property, and besides it also has the ability to normalize the hormonal background. Therefore, in case of threat of miscarriage for further normalization of the condition, one must take medicine from this plant. To make medicinal tea you need to take the leaves of the mulberry, pour water in the amount of half a liter, and then after it tinges for twenty minutes, strain and drink. Dosage - about a liter of tea you need to drink a day.
3. Birch buds are used to prolong pregnancy. For this you need to take them fresh, wash and pour with fresh liquid honey. The medicine should last for at least two weeks, and then it must be filtered before taking it. Dosage by half a teaspoon in the morning and in the evening.
4. High efficacy in the treatment of chronic infectious processes in the ovaries, which can also cause pulling sensations, shows herbal infusion. To prepare you need the leaves of mother-and-stepmother, chamomile and string. All ingredients must be filled with water and boiled. Warm water should be washed twice a day.

The use of herbs and teas from herbs also helps to reduce the tone of the uterus and normalize the imbalance of hormones.

1. Pussy leaves are a known remedy for improving the condition of a pregnant woman, especially with pronounced gestosis, which can also be accompanied by pain in the abdomen. For treatment, you can simply drink tea from dry leaves of pussy-willow or cook a special tincture. To do this, take 50 grams of willow leaves, pour warm liquid honey in a volume of three hundred milliliters and mix thoroughly. This tincture should be kept in a dark place for five days, then take a teaspoon in the morning and evening. This tincture has a general immunomodulatory effect and normalizes the tone of the nervous system of the pregnant woman.
2. Infusion of marigolds and St. John's wort is known for its beneficial effect on the blood circulation in the uterus, so you can use this remedy with physiological pulling pains. Infusion can be done by boiling the leaves of herbs in hot water for ten minutes, and then after it has cooled to take on the pile of solution twice a day.
3. You need to take 100 grams of dry grass of the hog queen and plantain, make tea from a liter of water and drink on a tablespoon three times a day. The course of treatment is four weeks. This is an excellent tool for normalizing the trophism of the fetal egg and at the threat of such a tea is well restores the tone of the uterus.
4. The yarrow herb infused with alcohol also works well for the threat of miscarriage. For cooking, you just need to pour fresh leaves with alcohol and insist. You need to take two drops in the morning on an empty stomach.

Homeopathy is a broad direction in medicine, which is actively used in gynecology. A lot of money women take before pregnancy and in the early stages for the normal development of the child and prevention of miscarriage. This applies to women at risk. Reception of homeopathic medicines is possible and for the purpose of normalizing the level of progesterone, which also provides a normal pregnancy.

1. Aconite - a plant that is used to treat the threat of miscarriage at week 6, which is caused by a strong stress factor. The drug is especially effective in the treatment of women of strong temperament, with a rapid pulse and palpitations. The way of using the drug is parenteral and the dosage starts with three granules every three hours on the first day, then you need to take three granules every six hours the next day, and from the third day three pellets twice a day. Side effects can be on the first day of admission as an increase in the pulling pain in the lower abdomen, which occurs after several hours.
2. Echinacea is a homeopathic remedy of plant origin, which is effective in treating the pulling sensations in the lower abdomen in the early stages, if they are caused by a chronic inflammatory process of the ovaries. The preparation has very strong antiseptic properties and is used as a tincture. Dosage - three drops every day. The course of treatment can begin immediately after the appearance of complaints, and before birth you can stop taking the drug. Side effects may manifest as impaired intestinal function.
3. Plumbum is a preparation of homeopathic origin from a group of inorganic preparations. Used to treat miscarriages with severe spasmodic pain in the abdomen. The way of using the drug depends on the form. Dosage in case of taking drops - one drop per year of life, and with capsules - two capsules three times a day. Side effects are possible in the form of hyperemia of the skin of hands and feet, as well as sensation of heat. Precautions - do not use when the body temperature rises.
4. Cincomum valerianicum is a homeopathic medicine that is used to treat a threat caused by a hormonal deficiency or hyperestrogenism. The drug enhances the synthesis of progesterone, which normalizes the tone of the uterus and the condition of the fetus. The medicine is dosed four drops in the morning and in the evening, the method of application - you need to dissolve drops in a lot of water. Side effects can occur at a high dose - there is dizziness, headache, general weakness.
5. Apis is the remedy most effectively in the first trimester at week 6, when the traumatic pains are associated with a hormonal or inflammatory process in the ovary. This homeopathic medicine acts on the ovaries and improves their function. Issued in the form of drops and used in the dosage of three drops for one dose. Method of application - the solution should be diluted with boiled water and drink after eating. The course of treatment - two drops twice a day, and then a month later you can increase the dose to three drops, as the duration of pregnancy increases. Side effects are rare, allergic skin reactions are possible.

Alternative methods can be used for a long time, which has its advantages.

[10], [11]

Prevention

Preventing complications that cause the pulling sensation during pregnancy can be nonspecific and it consists in normalizing the pregnant woman's mode to avoid possible factors of miscarriage. A woman should not have a lot of physical exertion, a day's rest should be at least two hours, and a dream - at least eight. Nutrition should take into account the needs of women, with the calculation of sufficient intake of kilocalories and vitamins. A very important element in the prevention of ectopic pregnancy is the avoidance of frequent abortions and surgical interventions, timely treatment of inflammatory processes.

[12]

Forecast

The prognosis of developing a normal pregnancy can be favorable if you seek help in a timely manner. The prognosis for ectopic pregnancy is unfortunately unfavorable, since the only treatment is operative.

It pulls the abdomen in the 6th week of pregnancy - this is a serious reason for concern, since it is not just about the health of the mother, but also about the life of the baby. Therefore, it is necessary to take into account all the symptoms of the disease and contact the doctor in time. Treatment of such pathology depends on the cause, and there can not always be conservative treatment. Therefore, for a pregnant woman, especially in the early stages, you need to adhere to the appropriate regime of the day and take care of your health.