Varicose veins during pregnancy

According to statistics during pregnancy, approximately 20-40% of expectant mothers face varicose veins.Among all women with varicose veins, 70-90% of cases are associated with the onset of the disease with pregnancy.And although this disease is not an indication for abortion at all, it is important to control the pathological process, because varicose veins can lead to not harmless consequences.

Table of contents: Reasons for widening of the veins during pregnancy Symptoms of varicose during pregnancy Treatment of

Reasons for widening of the veins during pregnancy

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Varicose is called persistent and usually irreversible enlargement,Due to changes in their walls and valves.Why is this disease so common in pregnant women?

• First, the development of the disease may be due to inherited factors.
• Secondly, if a woman already had signs of a developing varicose veins, it is not unreasonable to assume that during pregnancy the disease will only worsen more.
• Thirdly, the development of the disease is affected by the physiological changes that occur in the body of a pregnant woman.
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During pregnancy, the production of hormones of progesterone and relaxin increases, relaxing the muscular wall of the veins.As a result, the vessels lose their tone and expand.In addition, the growing uterus squeezes the blood vessels, through which the blood returns from the lower extremities.As a result, the venous outflow of leg blood becomes difficult.It turns out that the vessels of the legs are relaxed and dilated, and at the same time, blood stasis is caused by a complicated blood flow.Adjusting to the changed conditions of the vein, stretch both in length and width.

Well, the following factors can contribute to the development of varicose veins:

• Obesity;
• Rapid weight gain in pregnancy;
• Long stay on legs;
• Sedentary lifestyle;
• Heavy lifting;
• Repeated pregnancies;
• Wearing a high heel.

Symptoms of varicose during pregnancy

The clinical picture depends on many factors: the localization of the pathological process, the stage of the disease.The veins of not only the lower extremities, but also the skin of the abdomen, buttocks, perineum, vagina, rectum, pelvic organs, mammary glands can be affected.

There are two forms of varicose veins:

1. Uncomplicated;
2. Complicated( thrombophlebitis, acute deep vein thrombosis, bleeding, eczema, erysipelas).

When varicose veins of the legs, women complain of pain and a feeling of heaviness in the legs, quick fatigue arising from walking, swelling and sometimes night cramps in the calf muscles.With an external examination of the lower extremities, it is possible to visualize the blue or violet dilated subcutaneous veins, when testing, their tension is determined.

For , vaginal varices ( varicose veins in the groin, labia, vagina), women are concerned about a feeling of raspryaniya and pulling, aching pain in the genital area, extending to the lower extremities.

Treatment

Pregnant women are recommended conservative treatment of varicose veins.So, future mothers are advised to take a horizontal position several times a day and at the same time lift their legs up.This position contributes to an outflow of venous blood from the legs.In addition, it is worth paying attention to and compression knitwear in the form of stockings, tights or simply elastic bandage.Such compression promotes the compression of the subcutaneous veins, the redistribution of blood from the subcutaneous veins into the deep and, as a consequence, the improvement of blood flow in the legs.

To combat varicose disease, pregnant women should not neglect exercise therapy and self-massage. The approximate set of exercises looks like this:

1. Sit on a chair.The legs should be bent at the knees, and the hands are lowered down.On the inspiration, get up from the chair, sit on the exhalation.
2. Sitting on a chair, resting his heels on the floor, make circular movements in feet, first outwards, then inside.
3. Sitting on a chair, resting his heels on the floor, slowly press your feet to the floor.Go back to the starting position and do the exercise several times.
4. Move the chair away, stand flat, feet shoulder-width apart.Alternately bend the right and left legs in the knee joints.The feet must always be pressed against the floor.
5. Now go up on your toes, hold for a few seconds in position, drop to the full stop.
6. Climb to your toes and walk around the apartment, alternate with movement on the heels.
7. Standing on the left foot, pull forward your right leg and begin to make circular motions first stop, then the shin and finally the whole leg.Do the same with the other leg.

All of the above exercises must be repeated ten times.In addition, women should pay attention to their food.

.It is necessary to exclude from the diet foods that provoke constipation.The thing is that constipation leads to straining and, as a consequence, increased pressure in the veins of the lower extremities.It is recommended to saturate the diet with sour-milk products, vegetable fiber, which stimulate intestinal motility.

The physician can also prescribe certain medications:

• Venotonics( detralex, troxevasin, escusin, venoruton);
• Vitamins( nicotinic acid, ascorbic acid);
• Mineral substances( calcium gluconate);
• Anticoagulants( heparin) and disaggregants( trental, quarantil) can be administered on the last days of pregnancy with hypercoagulability and the risk of developing deep vein thrombosis.

The management of labor in pregnant women with varicose has its own characteristics.First of all, the presence of this disease can lead to premature discharge of amniotic fluid, placental abruption, weak labor, as well as bleeding during and after childbirth.And in the presence of deep vein thrombosis of the lower extremities, it is worthwhile to fear pulmonary arterial thromboembolism.

All women with varicose veins before the attempts make an elastic bandaging of the legs.With pronounced varicosity, it is necessary to get a surgeon's advice.

After giving birth, women should not stop fighting with varicose veins.We need to continue to bandage our feet, wear compression jersey and do therapeutic gymnastics.And in this case, the manifestations of varicose veins will be minimized.

Grigorova Valeria, medical reviewer