The anterior wall of the uterus - frequent questions

A little anatomy

The uterus is a genital organ in the female body. It is in the womb that life is born, the growth and development of a small person is taking place. This organ resembles a pear in shape - the wider part is located on top, and the narrow one, which passes into the cervix, from below.

The structure of the uterus is quite simple: the outer layer is serous, and the inner layer, consisting of interlacing of muscle fibers, is mucous. Due to the presence of a powerful muscle layer and a chaotic arrangement of the muscle fibers, the uterus can greatly change its size during pregnancy.

Anatomically divided into several parts: the bottom, the body and the neck. Conventionally, gynecologists distinguish the walls of the uterus. This is necessary to establish the attachment point of the placenta during pregnancy, and also serves as a guide for the pathological processes developing in the organ. Allocate the posterior, anterior, lateral walls and bottom.

The anterior wall of the uterus is the part that faces the front wall of the woman's abdomen. Normally, the bottom should have a slight inclination forward, and the front wall, respectively, is slightly downward.

The uterus is a mobile organ. Thanks to the powerful ligaments that hold it in the pelvic cavity, it can change its position. For example, with a full bladder, you can move back, and when filling the intestine - forward. During pregnancy the uterus gradually shifts up and forth due to the increase in the weight of the fetus.

The placenta on the anterior wall of the uterus - what does this mean?

On a screening ultrasound, the doctor must note the location of the placenta. What is it for? The location of the placenta in this or that area of ​​the uterus allows you to predict possible complications during pregnancy and childbirth. This gives time to take preventive measures.

Normally, the most successful option for attaching the placenta is on the back wall. The advantages of this arrangement lie in the anatomical features of the main genital organ.

1. The posterior wall and the uterine fundus zone has a rich blood network. A good blood supply of this area provides a greater flow of blood to the "children's place", the delivery of oxygen and nutrients to the fetus occurs in a larger volume.
2. This part of the uterus is more dense and difficult to stretch, which allows the placenta to remain in a calm position without the risk of premature detachment.
3. The baby less "kicks" the legs of the placenta, thereby reducing the traumatic effect.

If the placenta is located on the front wall of the uterus, there is no particular cause for concern. However, it is worth considering that this arrangement has its own peculiarities. It is important for a pregnant woman to know this in advance, so that when first signs appear that indicate possible complications, seek help.

• If the child is overactive, premature placental abruption may occur. It can also occur during training fights, when the body is prepared for childbirth. Although these phenomena are rather rare, one should remember them.
• If a woman's anamnesis had surgery on the uterus or previous births were resolved by caesarean section, the risk of a placenta gaining to the rumen is high.
• If the placenta is attached very low in the anterior wall, then the possibility of bleeding in labor is likely. Most likely, this circumstance will require a cesarean section. When the placenta is located high in the anterior wall of the uterus, there should be no cause for concern.

Pregnancy in finding the placenta on the front wall has some features.

• The future mother starts feeling later, than with the classical location of the placenta. This is because the placenta is rather thick, weak tremors will not be transmitted to the abdominal wall.
• It will be difficult for the doctor to hear the baby's heartbeat, as the placenta will reduce the conductivity of the sounds.
• It is also difficult for the gynecologist to feel the parts of the fetal body.

Despite all the nuances, pregnancy in the anterior location of the placenta is not a pathology. Births occur naturally, unless there are other indications for cesarean section.

What is hypertension of the anterior wall of the uterus during pregnancy and what is it dangerous for?

Hypertonus is an excessive muscle contraction. If the muscle bundles are reduced only in some particular area of ​​the uterus, then talk about local hypertension. Hypertension of the posterior and anterior walls of the uterus is often noted.

With hypertension of the anterior wall of the uterus of the muscle, a woman feels pain and a feeling of heaviness in the abdomen. The pain symptom is similar at that during menstruation. Naturally, in the normal course of pregnancy, this should not be.

Hypertonus is dangerous because it can provoke miscarriage in the early stages or placental abruption in the future.

Diagnosis of hypertension during ultrasound. A future mother with hypertension of the uterus should observe peace of mind and limit physical activity. The need for drug treatment is determined by the doctor.

What is the chorion in the anterior wall of the uterus?

Chorion in embryology is called the outer shell of the embryo. At a small period of pregnancy, the shell in which the child is still difficult to call the placenta. After 16 weeks of pregnancy, the membranes become a full placenta.

If the ultrasound was indicated that the location of the chorion along the front wall of the uterus - this indicates the attachment of the fetus to this area of ​​the uterus.

The classic and most successful option of attachment is the posterior wall of the uterus. But do not get upset if the chorion is located on the front wall. This is by no means a pathology, but only a variant of the norm.

What is the omission of the anterior wall of the uterus?

Omission of the walls of the uterus occurs with the weakness of the ligaments that hold the uterus in the normal position. Very often this pathology occurs in women in adulthood. The cause of omission can serve as a difficult birth, multiple births, a large fruit.

• Sometimes the omission of the uterus is associated with disease( tumor, connective tissue disease) or heavy physical exertion.

For a long time, the descent of the anterior wall of the uterus may not have symptoms. Omission of the uterine wall is rarely an independent symptom. More often this condition is combined with the lowering of the walls of the vagina and cystocele. The bladder moves downward, lowering the vaginal wall.

A woman with this condition feels uncomfortable with urination, complaining of difficulty in withdrawing urine or, conversely, incontinence.

As a result of stagnant phenomena, cystitis develops. In the area of ​​the vagina, a woman can feel a foreign object. This is the bladder, which has fallen very low, causing pain during sitting and sex.

More information on the treatment of uterine prolapse.

Node on the front wall of the uterus - is it dangerous?

The most common benign tumorous disease of the uterus is fibromyoma( leiomyoma).The disease affects a large number of women at different ages. Leiomyoma in most cases is asymptomatic. The disease is usually found during ultrasound.

A woman diagnosed with leiomyoma, as a rule, begins to worry about her reproductive function. I must say that pregnancy with leiomyomi can proceed safely.

It all depends on the number of nodes and their location. The nodes located on the outer wall of the uterus( serous) do not interfere with pregnancy. Nodes that are in the thickness of the inner layer of the uterus, pregnancy can not interfere, but create problems during childbirth and after - will interfere with normal contractions of the uterus.

The location of the fibromatous node on the anterior wall of the uterus from the mucosa side( submucous node) can prevent the onset of pregnancy. In this case, the node must be deleted.

The location of the node on the anterior wall in the muscle layer( intramural node) or the external( subserosal node) of pregnancy may not interfere with, but cause pain and cause menstrual cycle disorders.

Fibromatous nodules must be treated at an early stage of development. There are medical and surgical methods of treatment. The tactics of treatment is determined by the doctor individually, relying on the number, size of the nodes and their location.