1 Factors provoking the development of the disease

Umbilical hernia in pregnant women is most common if a woman is no longer the first child to bear. This process is associated with stretching and weakening of the abdominal muscles under the influence of the loads that they experience when carrying a child. But despite the general statistics, every future mother has a risk of having an umbilical hernia.

If a woman before the onset of the conception was diagnosed with this ailment, inthe child's planning period is recommended to consult a surgeon and solve the problem. Hernia and pregnancy are compatible concepts, but you should not risk your health and your child. The danger of pathology is that there may be an infringement of internal organs.

To provocateurs, the diseases include:

• multiple pregnancies;
• is overweight;
• large fetus;
• large amount of amniotic fluid;
• hereditary predisposition;
• presence of hernial protrusion in childhood;
• weakening of the umbilical ring and abdominal wall muscles;
• rapid uterine enlargement in size, which leads to an increase in intra-abdominal pressure.

2 Symptomatology of pathology

If a woman has not previously experienced this pathology, it is most likely that the hernial protrusion is formed not earlier than the end of the 2nd semester. When a hernia appears, the umbilical area changes. In this area, a round or oblong neoplasm( protrusion) is formed. It does not cause any discomfort, and if you press on it, it easily reclines. Sometimes it is enough for a woman to lie on her back, so that the protrusion returns to its original place.

This sign, indicating a pathology, should force a woman to immediately seek help from a specialist. Do not expect that the disease will pass by itself. As the stomach grows, the symptoms will only get worse.

After a while, the protrusion can no longer be fixed with the fingers, even in the horizontal position of the body.

Umbilical hernia in pregnancy in later terms may become larger or increase in size with an increase in intra-abdominal pressure, for example, when coughing. A future mother may begin to experience pain in the problem area at a time when the baby starts to move.

Unpleasant symptoms with umbilical hernia in different women may differ. Much will depend on the size of the protrusion and the contents of the hernial sac. When the neoplasm is an epiploon, the pain of the future mother does not bother for a long time. They begin to appear near the end of pregnancy. In the presence of such protrusions, the primary problem is initially the skin defect itself.

Symptoms worsen sharply when they enter the hernial sac of the intestinal loops. Future mother may be harassed:

• rumbling in the abdomen;
• stool disorders( frequent constipation);
• nausea;
• heartburn.

The navel of a pregnant woman begins to ache. There may be problems with the circulatory process.

Due to the increase in the uterus, internal organs move, they rise upward. This results in the release of the hernial sac from its contents. The protrusion itself remains. If you click on it, you can feel that it is empty. Sometimes, when trying to reassign at a later date, a woman can hear light cotton.

Umbilical hernia during pregnancy is not an indication for carrying out artificial birth, that is, cesarean section.

3 Possible complications and methods of treatment of hernial protrusion in pregnant women

The danger of this pathology is that it may be infringed. This can happen at the time of increased stress on the abdominal wall, for example, during defecation. As a rule, the symptoms of infringement are severe pain in the navel. The general condition of a woman can significantly worsen. If you do not take any action, the necrosis of the tissues begins to occur. If signs of infringement do not manifest themselves in an acute form, a complication such as peritonitis may occur.

At occurrence of any alarming signs the future mum should as soon as possible address for the help to the doctor.

If the umbilical hernia is formed in an ordinary person, then the indication to treat the problem is a surgical operation. This method of solving the problem is considered unacceptable for pregnant women. The future mother should be constantly observed at the surgeon so that the doctor can monitor the dynamics of the pathology and, if necessary, take measures to eliminate it.

An operation during pregnancy can adversely affect the child's health, as various medications will be used during the course of the pregnancy. Surgical treatment is considered inexpedient for the same reason that the hernial protrusion can disappear on its own after the birth. To speed up the process of self-correction, a woman is assigned to wear compression underwear or a bandage. Thanks to them, the pressure on the abdominal muscles is reduced.

A bandage can also be prescribed during pregnancy to alleviate unpleasant symptoms and prevent pinching. Before using this medication, you need a doctor's consultation. The fact that wearing a bandage must be neat. He is selected according to the term of pregnancy and should not strongly squeeze the stomach. Otherwise, the bandage can affect the placement of the uterus, make it wrong or even provoke a violation of the intrauterine development of the baby.

In the event that the infringement of the hernial protrusion during pregnancy does occur, a woman may need urgent surgical intervention. The complication that entails the infringement of the hernial sac is dangerous for both the mother and the child. The variant of a lethal outcome is not excluded.

If the hernia does not pass by itself after delivery, the best solution to the problem will be her surgical treatment, especially if the woman is still going to become a mother.