Varicose veins in the perineum in pregnant women. Varicose veins during pregnancy in the groin: causes, symptoms, treatment. What are the possible complications

Varicose veins during pregnancy in the groin are observed in 25-29% of women. This frequent phenomenon is due to changes that occur in the body during gestation. Varicose veins appear in the form of spider veins, meshes that shine through thin skin without rising above its level. As the disease progresses, varicose veins may form.

The main causes of varicose veins in pregnant women can be divided into endogenous and exogenous:

• venous insufficiency caused by heredity;
• hypodynamia;
• prolonged forced posture;
• wearing high heels;
• excess weight;
• hormonal disbalance;
• some chronic diseases and pathologies of organs (heart, liver, spleen, etc.);
• changes due to age;
• violation of posture and flat feet;
• taking certain types of drugs (oral contraceptives, steroids);
• increased intracranial pressure, which causes:
• constipation;
• pregnancy, etc.

In women, the state of the venous system is determined by the morphological and physiological characteristics of the body. So, some scientists suggest that a special gene is responsible for the pathology of the veins in the body of women, which is inherited and sex-linked. It determines the ratio of collagen and elastin in the walls of the veins.

In addition, in violation of hemodynamics in the deep veins, there is a discharge of blood into the saphenous veins. The subcutaneous tissue structure in women has characteristic differences. Well-developed subcutaneous tissue divides the tissue into sectors with connective tissue bridges. In women with loose subcutaneous tissue, as a rule, the veins are thin-walled and tortuous. "Jumpers" put pressure on the thinned walls, further preventing the outflow of blood.

The state of the muscular layer of the venous wall in women is also influenced by the amount of sex hormones.

With a decrease in the level of estrogen caused by pregnancy, hormonal disruptions, menopause, the so-called “yellow body” hormones appear, which relax the muscles of the venous wall.

According to statistics, it is in women who have had a failure of the menstrual cycle that 70% develop varicose veins during pregnancy.
During pregnancy, an increased risk of developing venous pathology is associated with:

• mechanical pressure - an increase in the fetus puts pressure on the inferior vena cava and obstructs blood flow;
• violation of circulation - during pregnancy, the volume of blood increases and its outflow from the heart increases, which creates an additional load on the veins of the small pelvis;
• an increase in the level of progesterone affects the tone of muscle tissue in the walls of the veins, significantly relaxing them;
• violation of hemostasis is accompanied by an increase in blood clotting and an increase in its viscosity, which leads to thrombosis.

Exogenous factors aggravate the course of the pathological process in a woman. Physical activity associated with the peculiarities of labor activity, hypothermia, the habit of cross-legging, etc.

Expanded veins in the groin can be localized on the pubis, labia, in the inguinal folds. Varicose veins with such localization bring discomfort to a woman during pregnancy.

Symptoms of varicose veins are almost the same for any localization. They are presented:
In the initial stage, the symptoms of pathology are manifested as follows:

• feeling of heaviness and fullness in the groin;
• feeling of tingling or numbness when sitting for a long time;
• swelling, itching, burning.

With the progression of the disease, the manifestation of symptoms increases:

• "asterisks" or an interlacing of thin capillaries appear in the form of a mesh;
• dilated veins appear, tortuous and deformed;
• changes in the color of adjacent tissues;
• pain is felt irradiir ouch in the lumbosacral region or in the leg;
• visible inflamed areas with hyperemic skin;
• along the course of the vein during palpation, compacted thrombosed nodes are felt;
• the skin in the groin becomes dry, tightness is felt;
• discomfort does not go away after rest.

Symptoms depend on the nature and stage of varicose veins.. With the escalation of the process, varicose veins can lead to severe complications. Symptoms increase, pain is felt not only after physical exertion, but also in a calm state.

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There is itching and burning inside the damaged vein. Due to insufficient blood supply, skin nutrition is disturbed, melatonin is deposited in damaged cells, staining the epidermis in a dark color, sometimes there is a visual increase and deformation of the labia.
Varicose veins in the groin, as a rule, are detected by a gynecologist during examination. However, the treatment is prescribed by a vascular therapist. Further clarification of the diagnosis requires the results of a blood test and ultrasound. Research is carried out as follows:

• transabdominally;
• transvaginally.

In the first case, ultrasound waves pass through the anterior abdominal wall, and in the second, ultrasound occurs when a special transducer is inserted into the vagina.

This type of research is safe even in early pregnancy and has greater diagnostic capabilities compared to the transabdominal method.

After a detailed analysis of the results, additional studies may be required:

• computed tomography or MRI;
• dopplerography;
• laparoscopy.

These methods are not used during pregnancy, so the disease is so dangerous during this period that the woman's condition imposes certain restrictions on diagnostic procedures and the use of therapeutic methods.

Based on the results of a complex of studies, the doctor develops a treatment strategy, taking into account all the features of the condition and comorbidities.

Treatment of varicose veins in the groin

During pregnancy, surgical methods and the use of many groups of drugs are contraindicated. Therefore, the treatment of varicose veins is difficult. First of all, a woman should reconsider her lifestyle. She needs:

• eat right and balanced;
• avoid constipation;
• lead an active lifestyle - walk in the fresh air, engage in exercise therapy specially developed by the doctor. Water aerobics, yoga, dancing have proven themselves excellently. Now there are many programs designed for expectant mothers;
• be sure to use special compression stockings for pregnant women. It contributes to the maintenance of the venous wall, the distribution of pressure in the organs of the small pelvis, legs and abdominal cavity;
• correctly alternate physical activity and rest;
• avoid stress.

In some cases, medications cannot be avoided.. The doctor must prescribe the most gentle to the woman and develop an individual treatment regimen for varicose veins in the groin.
The pharmaceutical industry produces a large number of ointments, creams and gels for the treatment of varicose veins.

In the initial stage of the disease, they act effectively and can both relieve the symptoms of varicose veins and prevent the further development of the disease. During the gestation period, you can use products based on natural ingredients. Depending on the active substance that is part of the drug, they are divided into several groups:

• heparin derivatives, which have an antithrombotic effect, relieve inflammation of the vascular wall, and normalize vascular permeability. Many ointments contain substances that promote deep penetration of heparin into tissues, have an analgesic effect and stimulate local blood circulation. This group includes - Heparin ointment, Dolobene, Hepatrombin. Lyoton1000, Thrombophobe, Trombless. Venolife et al. These drugs prevent platelet aggregation, reducing the risk of blood clots. Heparin promotes the resorption of existing blood clots. Creams and gels relieve swelling, restore the vascular wall, increase the tone of the veins and relieve the manifestations of varicose veins - itching, pain and a feeling of fullness, discomfort.
• External products based on herbal ingredients (horse chestnut, ginkgo biloba, red grape leaves, sweet clover, etc.) - Venitan, Venen, Troxevasin, Antistax, Escin, Venastat, Ginkor, Dr. Theiss gel, Reparil-gel, etc. Preparations strengthen venous walls, relieve pain and swelling, improve blood supply to tissues, have anticoagulant properties.
• Drugs based on non-steroidal synthetic substances include: Dicloren. Voltaren-gel, Diclofenac, Fastum-gel, etc. They relieve inflammation and prevent the formation of edema, repair blood vessels, and improve blood flow.

It is necessary to use external agents in accordance with the instructions for the drug and as prescribed by the doctor. Some even external preparations are forbidden to be used in various phases of gestation.

Varicose veins in the groin is not a contraindication to natural delivery. Only in exceptional cases can a doctor recommend a caesarean section.

The disease, which is commonly called varicose veins, is incredibly diverse, sometimes this pathology can surprise many ordinary people.

After all, sometimes, there is not only swelling of the venous structures on the legs, often, women are forced to face such a problem as varicose veins in the groin during pregnancy.

What is varicose veins in the groin area? Why does pathology so often occur during the period of bearing a child? What should be done with such phenomena, because pregnancy does not allow a woman to use many standard methods of treatment?

That is what we are going to talk about in today's post.

Why can pregnancy cause varicose veins in the groin area?

Recall that varicose veins (varicose veins) are common pathologies in which there is a lesion (expansion, thickening, knotting or thinning) of various vascular structures - veins. At the same time, varicose veins during pregnancy in the groin is only one type of the pathology under consideration.

This condition is characterized by:

It is in the groin that the problem occurs most often during pregnancy. The problem can be barely noticeable, or it can give expectant mothers a lot of unpleasant uncomfortable sensations, worries and fears.

Deformities of the veins in the groin of a pregnant woman occur against the background of primary changes characteristic of the state of pregnancy.

Doctors identify several specific factors that provoke the appearance of a problem during pregnancy - these are:

Practitioners note that in order to prevent such problems during the period of bearing a baby, it is important for women to monitor nutrition, their own weight, do therapeutic exercises for pregnant women and regularly visit a gynecologist!

Problem symptoms. Which doctor should I contact?

Symptoms of varicose veins, as a rule, directly depend on the form and severity of the pathology. Varicose veins - deformation and expansion of the inguinal veins that occurred during pregnancy can manifest itself as follows:

More often, the pathology that occurs after the onset of pregnancy has moderate manifestations and progresses relatively slowly. Patients may experience more intense symptoms only in the later stages of bearing a baby. At the same time, unpleasant symptoms can disappear on their own after a successful birth.

But, unfortunately, this is not always the case, and in certain cases the pathology under consideration proceeds quite aggressively, is complicated by other, more dangerous conditions for the pregnant woman - bleeding, thrombophlebitis, thrombosis, varicose ulcers, etc.

That is why the very first signs of the development of any vascular pathology during pregnancy should make a woman turn to doctors as soon as possible. In particular, initially, a woman should come for a consultation with a gynecologist, and if the doctor considers it necessary, then in the future, contact a phlebologist or even a vascular surgeon.

Whether it is necessary to treat? How?

It should be remembered that not all of the existing methods of treating varicose veins can be applied to women who are carrying a child. For example, sclerotherapy techniques, surgical actions at this life stage of a woman are highly undesirable, although they can be carried out if the risk of disease progression and the development of its complications (life-threatening for the patient) is excessively high!

Therefore, in most cases, provided that the disease does not manifest itself too intensively, they prefer only to observe the pathology, without conducting medication or other treatment that is unsafe for pregnancy.

In addition, in many cases, a fairly effective remedy in the fight against varicose veins is the elementary wearing of compression underwear (special shorts, stockings or knee-highs).

Also, doctors often recommend that women not neglect special therapeutic exercises while carrying a baby, which helps strengthen blood vessels, allows you to distribute the load on the body evenly, reducing pressure on certain areas of the venous bed.

Prevention

It is quite clear that in the case of varicose deformity of the vascular bed at the stage of pregnancy, it is easier to prevent pathology than to successfully fight it! Undoubtedly, the role of elementary prevention of this disease is truly enormous.

Even at the stage of pregnancy planning, you should make sure:

If a woman became pregnant and only at this stage decided to think about preventing the development of the considered pathology, in order to prevent possible problems she should:

If, despite the use of all preventive measures, the problem of varicose veins in the groin during the bearing of the baby nevertheless arose, you should immediately contact a gynecologist or phlebologist. It is quite possible that it will be possible to correct the condition through the use of high-quality compression underwear.

Patient Victoria, 23 years old, 27 weeks pregnant. The patient went to the gynecologist with complaints about the bulging of the vein from the inner side of the thigh, its soreness, fatigue in the legs in the evenings, and the appearance of edema. After examination and diagnosis, the woman was diagnosed with varicose veins in the inguinal region. It is recommended to wear compression shorts, a bandage, as well as regular monitoring by a phlebologist.

In conclusion, I would like to say that varicose veins of the inguinal veins during pregnancy is a pathology, although extremely unpleasant, nevertheless, with the correct behavior of women, it is quite harmless. If a woman notices a problem in a timely manner, turns to doctors, does not self-medicate, the disease quickly recedes.

If the problem is started or aggravated by the incorrect use of various therapeutic methods, varicose veins can turn into a formidable disease, which is complicated and life-threatening.

Take care of your pregnancy, do not forget about reasonable prevention of problems and be healthy!

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A detailed description for our readers: varicose veins during pregnancy in the groin how to give birth on the website site in detail and with photos.

Varicose veins are a disease that most often occurs in the lower extremities, where it is characterized by the appearance of thick swollen veins under the skin and the formation of edema in the legs. But this disease sometimes affects other parts of the body.

One of these common problems is varicose veins of the labia, which affects women during pregnancy.

What to do if during pregnancy there is varicose veins in the groin, in the outer part of the vagina, on the labia? What treatment methods will help to cope with the problem safely? And most importantly - is it possible to give birth at the same time?

This disease occurs usually in the third trimester of pregnancy, but it can manifest itself much earlier - women often complain about this problem already at the beginning of the 2nd trimester. In most cases, varicose veins of the labia are formed against the background of varicose veins of the lower extremities.

It is not possible to notice this pathology immediately. During the first stages of development, small soft nodule on labia, which does not cause any inconvenience. Over time, it begins to grow, causing pain and other discomfort.

Often this disease disappears after the birth of a child. But this does not mean that you can leave it unattended, especially if the varicose veins continue to grow in size. When a disease is detected, it is necessary to consult a doctor, because in advanced cases, varicose veins of the labia during pregnancy can lead to varicose veins of the small pelvis and serious complications that threaten the health of the mother and unborn baby.

Causes and risk factors

This disease is characteristic of women "in position", since during this period the body is subjected to heavy loads. Body weight is growing, as well as changes in the hormonal system. The hormones progesterone and estrogen rise sharply, which negatively affects the structure of the veins. They weaken and become more stretchable.

Other common causes of this disease are:

• The fruit is growing, as a result, the uterus increases in size and compresses the lower part of the vena cava, as well as the iliac veins. This leads to circulatory disorders in the pelvic organs.
• Increasing blood volume. In order for the fetus to receive enough oxygen and nutrients, the body begins to produce more blood. It overflows the veins, which, due to increased pressure, stretch, and their tone decreases.
• Chronic diseases of the genital organs characterized by inflammatory processes.
• Lack of physical activity, inactivity. If a woman is in a standing or sitting position for a long time, congestion occurs in her pelvic organs, blood circulation worsens, which contributes to the formation of pathology. The occurrence of inguinal varicose veins during pregnancy can also be associated with a sharp physical load - for example, when lifting weights.
• Physiological disorders in the structure of venous valves, congenital pathologies of the venous walls, as well as a genetic predisposition to varicose veins.
• Obesity. While carrying a child, a woman quickly gains weight, and this negatively affects the condition of the lower extremities, since the load on them increases. This contributes to the development of varicose veins of the legs, which often leads to varicose veins of the labia.
• constipation. This problem is common to almost any woman during pregnancy. The activity of the intestine is disturbed, the tension in it grows, as a result of which increased pressure is exerted on the vessels of the small pelvis, which provokes varicose veins.

Predisposed to the development of this disease are women who give birth not for the first time, who bear several children, as well as those who had previous births with severe complications.

How to give birth

This disease itself is not a contraindication to natural childbirth. Only in the event that the pathology develops rapidly and the expansion of the veins has reached alarming proportions, a caesarean section can be indicated.

After the birth of a child, varicose veins often go away on their own, but if the disease was severe and neglected, it can continue into the postpartum period. Women at the highest risk of recurrence of varicose veins in an intimate place are women during the next pregnancy. That is why it is so it is important to be observed by a doctor, follow all his instructions and follow preventive measures.

Danger and complications

Varicose veins of the perineum are a dangerous condition during pregnancy, which can lead to rupture of altered veins during childbirth and profuse bleeding. Another complication of this disease is acute varicothrombophlebitis, which is characterized by inflammatory processes in the walls of blood vessels with the formation of a blood clot in them.

It is for this reason that in severe cases, a cesarean section is prescribed to prevent these complications of varicose veins.

Symptoms

Before the outward signs of the disease appear, the pregnant woman the woman begins to feel the following unpleasant changes:

• pain in the perineum;
• constant itching and burning;
• labia look swollen.

Gradually nodules begin to appear in the area of ​​​​the labia. They look like small swellings, soft to the touch. Over time, these nodules expand under the influence of bulging veins, the symptoms become more pronounced, and the aesthetics of the genital organs deteriorate.

Unpleasant sensations in the intimate area cause a lot of inconvenience - a woman it becomes difficult to move, she experiences pain while walking, sitting for a long time and even at night while sleeping. Most expectant mothers are forced to completely abandon sexual contact. And the problem here is not only that they are embarrassed to demonstrate modified genitals, but also fear for possible damage to the swollen veins during sexual intercourse.

Since the slightest friction of clothes against the affected labia causes a lot of suffering, a woman has to wear loose underwear to minimize contact of clothes with the genitals.

Diagnostics

You can also detect the disease yourself by probing the labia, but still it is recommended to consult a doctor to clarify the diagnosis.

At the first signs of genital varicose veins during pregnancy, you should visit a phlebologist who will conduct an examination and give the necessary recommendations to prevent the development of the disease. To make an accurate diagnosis, the doctor may prescribe duplex scan or ultrasound. Only after all these procedures is determined the course of suitable treatment.

Treatment Methods

Although this disease in most cases resolves on its own after the baby is born, certain methods of treatment can prevent a number of complications during childbirth and alleviate the patient's condition.

Medicines

The most common treatment for varicose veins in the groin during pregnancy is sclerotherapy. This procedure consists in the introduction of a special drug into the affected vein, as a result of which its condition is normalized. Injections are carried out in the hospital, the number of procedures depends on the severity of the disease.

• Troxerutin;
• Diosmin;
• Detralex;
• Hesperidin;
• Phlebodia;
• Lyoton;
• Heparin;
• Gels, creams and ointments containing ginkgo biloba extract.

It is not recommended to choose a drug for treatment on your own, since some of them can provoke irritation of the vaginal mucosa. Before using any remedy, you should get approval from your doctor.

Compression underwear

Wearing special clothing, namely special compression stockings, helps to restore the normal condition of the swollen vein. Compression underwear for varicose veins compresses the affected areas, putting pressure on the veins, as a result of which they are in constant tone.

In parallel with wearing compression underwear, to relieve pain and maintain blood vessels, it is recommended to carry out special gymnastic exercises. For example, you can bend your knees in turn while lying down. Or get on all fours with your head on the pillow. In this case, the pelvic region will be above the head, which will improve the outflow of blood from the affected areas and relieve pain.

Good effect can be raising on toes, bending the knees while lying on the left side, or simply walking in place. A specific set of exercises is prescribed by a specialist based on individual indications.

Prevention measures

Preventing varicose veins on the labia during pregnancy is not a very difficult task. It is enough to observe certain preventive measures:

• do not walk in high heels;
• reduce the amount of salty and overly spicy foods in the diet, as well as foods high in vitamin C, which contributes to the formation of edema;
• avoid heavy physical exertion, rest more often, but do not neglect regular gymnastics;
• control body weight;
• wear a special bandage that prevents excessive stress on the growing abdomen on the legs and pelvic organs;
• observe the rules of intimate hygiene - carry out hygiene procedures in the mornings and evenings, using special gels instead of soap, change underwear every day, giving preference to materials made from high-quality natural fabrics.

Varicose veins of the labia in pregnant women - the disease is unpleasant, but not very dangerous. Timely measures taken will help to avoid its occurrence and prevent any other types of varicose veins. If the disease has begun to manifest itself, it is not worth delaying contacting a doctor. The sooner treatment begins, the less likely the formation of dangerous complications.

Varicose veins during pregnancy in the groin is a common phenomenon and, if it occurs, requires the adoption of the necessary measures. Expectant mothers undergo a radical restructuring of the body, so there is nothing surprising in the appearance of varicose veins. However, pathology can be avoided, in extreme cases, to prevent its further aggravation. With advanced forms, for example, ruptures of blood vessels and heavy blood loss that occur during childbirth are possible.

What is the cause of the disease?

As you know, with varicose veins, the vascular structures expand, become thinner, thicken, and characteristic nodularity is observed.

More specifically, this condition is accompanied by:

• an increase (moderate or more enhanced) in certain areas of the lumen of the venous bed;
• obvious thinning of the walls of blood vessels;
• gradual formation of nodularity and a kind of tortuosity of the veins.

A variation of this disease is varicose veins of the perineum during pregnancy. Most often, it is in the inguinal region that women find such an unpleasant violation. For some, the problem causes almost no inconvenience, but sometimes the discomfort is significant.

Varicose veins are provoked in an intimate place by several factors:

1. Sudden hormonal changes, thanks to which the pregnancy goes well. This refers to the increase in the concentration of progesterone after conception has occurred. The need for the hormone is explained by the fact that the uterine muscles must be in a relaxed state, otherwise the body will simply reject the fetus. And since due to progesterone, the venous walls relax, their deformation occurs.
2. Significant increase in venous pressure. Due to the increase in size and weight of the main reproductive organ, the veins of the small pelvis are forced to take on a gradually increasing load. Because of this pressure, the vessels expand not only in the groin area, but also on the thighs, legs, shins and even on the labia.
3. A certain increase in the fluidity and viscosity of the blood, as a result of which the likelihood of blood clots increases.
4. A decrease in motor activity in most women in position.

Clinical manifestations

The longer the varicose veins progress, the more intense the symptoms will become.

The disease can be recognized by many signs:

• on visual inspection, some swollen sections of the venous vessels are visible;
• as a result of deformation and swelling of the veins, the patient may feel painful discomfort;
• the condition is often supplemented by general weakness, pain in the lower extremities, fatigue, which occurs even with slight exertion;
• often pregnant women complain of a feeling of fullness in the groin, as well as the resulting swelling of the labia;
• swelling of the arms or legs is not excluded;
• many women experience numbness and tingling in certain areas.

If the deformation of the veins during pregnancy occurs at the beginning of the term, its manifestations are usually moderate. Such a pathology develops slowly. But with the approach of childbirth, there is an increase in symptoms, which sometimes disappears on their own after the appearance of the child.

Unfortunately, some women have to deal with a disease that is quite aggressive and causes complications in the form of bleeding, thrombosis, thrombophlebitis, varicose ulcers, and so on. No one can say with certainty how pregnant women will develop varicose veins. Better to get tested early.

If you have any of the following symptoms, you should seek help as soon as possible:

• vessels in the inguinal region are clearly visible, while the formation of nodules or "stars" is not excluded;
• intimate organs change externally - in shape or color;
• the skin in the groin is dry and flaky;
• there is discomfort in the form of tingling, burning and itching sensations, which is explained by squeezing the nerve endings.

What are the possible complications

If any pathology arises, of course, I want it to disappear as soon as possible. Varicose veins in the groin area in some women disappear on their own after delivery. But this does not mean that you should wait until the problem resolves itself. Basically, you have to resort to some methods, thanks to which you can weaken the existing signs.

Until a pregnant woman gives birth, serious treatment cannot be started. And even if it seems that the disease has receded in the postpartum period, it is necessary to deal with therapy.

Expectant mothers should be aware that pathology can result in the occurrence of:

1. Hemorrhoids. Due to congestion in the pelvic area, pathological changes are possible in those organs that are located in the neighborhood. The appearance of hemorrhoids and anal fissures will cause severe discomfort and pain during each act of defecation.
2. Trophic ulcer or other dermatological disorder in the area of ​​intimate organs. Problems with the supply of vitamins and oxygen to the skin will negatively affect local defenses and regenerative capabilities. As a result, dry skin will be observed, on which various inflammations and rashes are subsequently not excluded. During pregnancy, there should be no dermatological problems.
3. Thrombophlebitis. It is often present in association with other blood flow disorders.
4. Acute placental insufficiency. This situation is considered extremely dangerous for the baby. If doctors fail to normalize the blood circulation of the fetus within a few hours, the child is threatened with intrauterine death.

Only a conscious attitude of a pregnant woman to her condition will help prevent all possible risks.

Ways to deal with the disease

What to do if inguinal varicose veins were found during pregnancy? Naturally, it is impossible to ignore the disease in any case. But at the same time, treatment methods should be selected in such a way that neither the mother's body nor the child's body is affected.

To restore blood flow in the pelvis, increase the elasticity and strength of blood vessels, as well as to improve immunity, doctors prescribe treatment with:

1. Medications. Usually, a patient who is due to give birth after a certain period of time is prescribed drugs that stimulate the regenerative abilities of the connective tissues located in the perineal region. If necessary, creams and ointments with anti-inflammatory effect are used. They contribute to a fairly rapid increase in local defense forces. If infection or viral damage to the pelvic organs occurs, then antibiotic agents with local action will be appropriate. As a result, the pathogen is eliminated, while there are no negative consequences. The tone of the veins is increased with the use of Troxerutin, Detralex, Hesperidin, Lyoton, Heparin, as well as preparations containing ginkgo biloba extract.
2. Physiotherapy procedures. Doctors don't see them very often. Against the disease, electrophoresis or ultraviolet lamps are used. The duration of the procedure is affected by the degree of venous damage, the general condition of the mother and child, and how long the pregnant woman is.
3. Surgical intervention. An operation is always prescribed only under one condition: if the future woman in labor or the baby is in serious danger. The surgical event is very risky, since all manipulations will be carried out near the reproductive organs and the placenta.
4. Folk or homeopathic remedies. Their use is allowed only if other methods are available, as well as after agreement with the doctor. It is forbidden to use folk methods at your own discretion. There are a fairly large number of herbs, due to the impact of which uterine hypertonicity may occur.

Doctors say that when the pathology is mild, it is better to constantly monitor it without the use of medications or other methods that can be dangerous. Although you can use topical agents or wear special compression underwear.

Should I be afraid of natural childbirth?

There is nothing surprising in the fact that women who are preparing for future motherhood are very worried about how to give birth in the presence of varicose veins in the groin. This issue will be decided only by the attending physician. He will make the final decision based on the examination data, the condition of the pregnant woman, the position of the fetus in the womb, and so on.

For many women, if varicose veins are at an early stage, natural childbirth is recommended. The main thing is that there are no contraindications for any other pathologies.

The patient will be prepared for a caesarean section if there are certain symptoms:

1. If, due to the development of varicose veins in the inguinal region, the veins are so deformed that even the slightest pressure can provoke a rupture of the walls. The situation will result in severe blood loss, which, most likely, cannot be eliminated. Accordingly, the death of a woman in labor or her baby is not excluded.
2. If there are serious problems with the patency of the birth canal. The anatomical structure of the birth canal may suffer due to venous expansion or the appearance of nodes.

Do not panic in advance until the doctor conducts a complete examination. The probability of successful childbirth always exists. You just need to follow the recommendations of a specialist and avoid self-medication.

Methods for preventing pathology

Prevention should never be forgotten. This is especially true for women who are in position. Naturally, everyone wants everything to be in order with the baby and that there are as few difficulties as possible during labor.

Therefore, pregnant women should:

1. Swim constantly. Due to moderate activity while in the pool, the organs of the expectant mother, as well as the baby, function normally. In the water, a woman will move smoothly, while there is a uniform distribution of body weight and restoration of blood flow in the intimate area. Talk to your doctor about exercise. The result of the classes will not be long in coming. Since the legs and spinal column suffer greatly during pregnancy, swimming will help relieve stress.
2. Take care of the normalization of the chair. The quality of life and the very health of the expectant mother can be seriously deteriorated due to the occurrence of blood stasis in absolutely all organs located in the small pelvis. Constipation must be dealt with. If the kidneys and heart work smoothly, the liquid should enter the body in an amount of 1.5-2 liters. It is also necessary to lean on greens and vegetables containing a high concentration of vegetable fiber.
3. Wear compression medical underwear. Such clothes are selected individually. Even after a few days of using underwear, the discomfort due to the expansion of blood vessels in the groin will weaken. Before going to bed, linen must be removed, otherwise the vein clamping is not excluded.
4. Avoid high heeled shoes.
5. Salty and spicy foods should be almost completely excluded from the daily diet. The rule also applies to those products in which vitamin C is present in excessive doses, since edema is formed due to it.
6. Avoid extreme fatigue. Rest is shown regular. It is important to constantly perform the gymnastic exercises recommended by the doctor.
7. Regulate your weight.
8. Always observe intimate hygiene. In no case should the genitals smell bad. Hygiene procedures are appropriate at least in the morning and evening hours. Soap should be replaced with a special gel. Underwear should be changed every day, and it is worth choosing only products made from high-quality natural material.
9. Get out into the fresh air for a walk.
10. To appear at the gynecologist regularly, especially if certain negative changes in the state of health are found.

Summing up, we can almost say with certainty that although this disease is quite unpleasant in terms of symptoms, it can be quite successfully dealt with. Only timely detection of pathological changes guarantees effective treatment. Those who ignore the problem or use ineffective techniques risk dangerous complications. Therefore, if a pregnant woman treats her health with all responsibility, specialists will be able to help her overcome the difficulties that have arisen. Moreover, there are enough ways to eliminate the disease during the bearing of a baby.

The content of the article: There is no woman who has never heard of such manifestations as asterisks, swelling, heaviness, dilated veins, etc. All of them are associated with one rather unpleasant and serious disease - varicose veins. It is considered a female ailment, although men also suffer from it. Basically, this pathology occurs in expectant mothers (about 80% of all sick women). Therefore, the question naturally arises - how does childbirth go with varicose veins, what is the danger and what are the features of the process.

About the disease: what is varicose veins?

The disease has been known since ancient times, even ancient medical treatises described ways to treat it. The bottom line is the swelling, expansion, thinning and increase in the size of the superficial vessels that carry blood to the heart. These vessels are veins. The muscle tissue in them is very thin, and the blood flows in the right direction thanks to the valves. So, the disease damages them, or with it they are generally absent. This failure of the valves is considered a trigger for the development of the disease.

Most often, the disease manifests itself on the legs. Although often women (especially during pregnancy) are affected by varicose veins of the following localization:

Vagina;
groin;
uterus, etc.

But even under such circumstances, childbirth with varicose veins is often carried out naturally.

Causes of varicose veins

The disease is called primary if the wall of a large vein was initially weak. Or when the disease has arisen due to congenital dysfunction of the valves. And the secondary - in the event that the problems appeared due to pregnancy, exorbitant loads, etc. All this is the cause of varicose veins, among which are also:

Direct walking;

Genetics;
"stationary" way of life;
hormonal disorders;
prolonged "standing" on the legs;
obesity and many other factors.

Of course, if you monitor your health and pay attention to any changes and symptoms in time, you can prevent the onset of the disease. Expectant mothers especially need to be careful, as they are a high risk factor. In addition to the fact that pregnancy itself is the cause of varicose veins, excess weight, a sedentary lifestyle and hormonal surges can also accompany the development of the disease.

Symptoms of varicose veins

Varicose veins do not appear "suddenly", they develop over time. Therefore, you need to know the first signs of the disease, so as not to miss it. These include:

Pain in the legs;
changes in the appearance of the veins (they become thicker, darker);
tingling, burning;
itching;
swelling;
convulsions at night.

Is it possible to give birth with varicose veins?

With the disease, everything is clear. But the most painful question that worries women suffering from an illness is whether it is possible to give birth with varicose veins? The answer is yes. But the method of childbirth in this case does not depend on the wishes of the woman in labor, but on the emerging obstetric situation, the degree of development of the disease, the place of its manifestation, etc. Labor activity takes place under strict control, in compliance with all the requirements for the conduct of such childbirth, taking into account possible risks and complications. In addition to the gynecologist, a phlebologist should also take part in all this, if possible.

For the most part, only childbirth with varicose veins of the legs can be natural. This is the mildest form of the disease and the most common, often disappearing by itself after the baby is born. How to give birth with varicose veins in the uterus or in the groin? In other places of localization of this pathology of the veins, most likely, a caesarean section will be considered as a method of delivery. Most likely, but not necessarily.

Childbirth with different types of varicose veins

There are several types of diseases that affect labor and the characteristics of childbirth.

1. Varicose veins of the lower extremities. It has already been mentioned. This is the most common form. With a normal course and compliance with all necessary measures, a woman can give birth on her own. With such a pathology, you can not do without special equipment. That is, the expectant mother should put on anti-varicose stockings for childbirth, or her legs should be rewound with an elastic bandage (this is done for any localization of the disease). This is necessary in order to avoid reflux of blood through the veins during the straining stage.

2. Varicose veins in the groin. In this case, natural delivery is also not prohibited. Of course, it depends on the degree of development of the pathology, its severity. If the manifestations are strong (there are serious difficulties in the movement of blood through the vessels), then the doctor will most likely insist on an operation. For childbirth with varicose veins in the groin, so that they pass normally, a woman needs to prepare seriously and thoroughly, not forgetting to follow all the doctor's recommendations and preventive measures even during pregnancy. These include:

Control of nutrition and own well-being;
wearing the right clothes (not squeezing, made from natural fabrics, compression underwear and tights) and shoes (comfortable and comfortable);
refusal of a bath and a hot shower in favor of a contrast one;
treatment, etc.

3. Varicose veins of the uterus. It can absolutely not manifest itself in any way, appearing in all its glory during pregnancy. The disease occurs:

Due to inflammatory processes of the genital organ,
abortion,
irregular cycle;
uncontrolled use of contraceptives,
genetic failure;
hormonal disorders and other factors.

Varicose veins that appear in the uterus when carrying a baby is a natural process, since he (the baby) squeezes the uterine veins in the later stages. But if the disease was present initially, that is, before pregnancy, then, of course, an interesting situation can only aggravate the situation and lead to various complications.

Childbirth with varicose veins of the uterus is recommended only surgical. Natural ones cause such tension of the organ that this force is able to break the vein.

The same can be said about varicose veins of the neck. In addition, impaired blood flow will not allow the uterus to open normally. Therefore, childbirth with varicose veins of the cervix is ​​also recommended operational.

4. Varicose veins of the vagina. There are quite a few reasons for the appearance of pathological vasodilation in this place, most of them are associated with pregnancy. Childbirth with vaginal varicose veins depends on the severity of the disease. Natural delivery takes place under the full control of the doctor, because not attempts, so the eruption of the baby's head can cause a rupture of the vein.

At the moment of attempts, the doctor squeezes the affected area, protecting it from overflowing with blood. To prevent varicose veins (both large and inconspicuous) from rupturing, perineotomy and perineal episiotomy are performed.

Varicose veins sometimes disappear after the birth of a child, as the main factor in the development of the disease, pregnancy, disappears.

And yet childbirth and varicose veins of the small pelvis are compatible. And even natural delivery is possible, if the condition of the vessels allows it and does not threaten the life and health of the mother and baby.

Features of childbirth with thrombosis

A disease such as thrombosis is characterized by the formation of blood clots (clots) in deep veins (usually the legs). Men are more commonly affected, but pregnancy and the use of oral contraceptives (and, of course, some other factors) make the disease common among women as well.

Childbirth with deep vein thrombosis takes place taking into account the intensity of the thrombotic process and the situation as a whole. Everything is decided only individually. If thrombosis is not floating, then the baby can be born naturally, of course, when there are no other indications for surgery. At the same time, therapy with drugs that prevent thrombosis is carried out. Heparin (anticoagulant) is canceled 6 hours before the expected onset of labor. And the introduction of funds is resumed after the same time.

If a patient with a diagnosis of floating thrombosis gives birth, but ordinary childbirth is possible only after a cava filter is implanted into the vein - a device similar to a metal umbrella (or tulip) that catches blood clots moved by the blood flow. The cava filter is implanted into the lumen of the inferior vena cava.

Without installing a filter, only operative delivery is allowed.

What is dangerous varicose veins during childbirth?

In general, the consequences of neglected varicose veins are thrombophlebitis and thrombosis. A violation of blood flow in the uterus affects the hormonal background, as a result of which:

The level of female hormones falls;
the menstrual cycle is disturbed;
infertility develops (when everything is completely running).

And every expectant mother needs to know how dangerous varicose veins are during childbirth. Especially if she directly encountered this trouble. So, the following complications are possible:

Early discharge of water;

Bleeding;
vessel rupture;
the formation of hematomas;
short contractions;
placental abruption, etc.

There is a risk of complications from varicose veins during childbirth. But an experienced doctor will minimize all negative consequences. If, nevertheless, a rupture has occurred, then an examination is quickly done, the wounds are sutured, the vessels are tied up and covered with ice.

To reduce all risks, a woman herself should not start the disease: undergo an examination in a timely manner, follow all the doctor's instructions, and lead the most healthy lifestyle. And then by joint efforts you can get a positive result. Most often, the disease recedes, but still it should alert and make you pay more attention to your health, in particular, to the vessels.

Make an appointment with a doctor in your cityClinics in your city

You have probably heard about such a disease as varicose veins. It is associated with persistent irreversible dilatation of the veins and the disruption of normal blood flow as a result. Varicose veins are most often observed in the lower part of the body - on the legs, on the genitals, in the small pelvis. One of the favorable factors for the occurrence of such changes is pregnancy. Of course, this does not mean that when you become pregnant, you will definitely encounter this disease: only half of women notice varicose veins during pregnancy. If a woman has suffered from it before, then when carrying a baby, the disease will most likely begin to progress.

Causes of varicose veins during pregnancy

Varicose veins during pregnancy develop due to changes in the body of the expectant mother, the structure of her body and a change in the woman's lifestyle. There are some specific factors that provoke the appearance of this disease:

1. Hormonal changes. During pregnancy, the level of progesterone increases, which relaxes the muscles of the uterus, but it also has a “side effect”: relaxation of the walls of blood vessels. As a result, the ascending veins cannot actively pump blood, stagnation begins, which contributes to even greater vasodilation - a vicious circle!
2. Increased venous pressure- the blood in pregnant women becomes more fluid. This is necessary to improve the blood supply to the fetus. But for the veins, this is not so good: their persistent expansion occurs.
3. Increased blood clots- so the body prepares for childbirth so that the woman does not lose too much blood after the placenta separates. But, if varicose veins have already begun, the tendency to thrombosis will only worsen the situation.
4. Decreased level of physical activity- Pregnant women often prefer to lie down than to do some kind of gymnastics. However, if there are no contraindications, gymnastics must be done! Or take long walks. All this improves blood circulation and serves as a prevention of varicose veins. Read more about gymnastics for expectant mothers →

Types of varicose veins during pregnancy

By the way, there are different types of varicose veins. Consider those that occur most often during pregnancy:

• varicose veins during pregnancy in the groin - the appearance of swollen veins in the groin, the woman feels "bursting" in this area;
• uterine varicose veins during pregnancy is the result of a hereditary predisposition and increased work of the iliac veins. It can also occur as a result of prolonged inflammatory processes, abortions, menstrual irregularities, etc.;
• varicose veins during pregnancy is a fairly common form of the disease, which is especially common among women whose mothers and grandmothers suffered from varicose veins in the legs;
• and, finally, varicose veins on the legs - the most common form of this disease.

Treatment of varicose veins

Not all methods used to treat varicose veins can be applied to women in an "interesting position". For example, sclerotherapy (injections of special drugs) and surgery - radical, but also the most effective methods - are categorically contraindicated for pregnant women. They should not be used even if a woman plans to become a mother over the next two years, because then the recurrence of the disease can hardly be avoided.

Therefore, the only remedies for varicose veins during pregnancy, which will certainly not harm either the expectant mother or the baby - wearing compression underwear(special stockings and tights) and various topical preparations(creams, ointments). If we talk about the latter, then the means based on heparin ("Lioton-gel") and horse chestnut extract (drugs like "Dr. Theiss", "Venitan", etc.) have proven themselves well. If the doctor has recommended that you wear compression stockings or stockings, be prepared to wear them during childbirth - at this time, the risk of developing thrombosis increases significantly.

How is childbirth with varicose veins?

Varicose veins are not at all a contraindication to the bearing and birth of a baby. You just need to take better care of your health. The doctor will suggest the prevention of thrombosis and inflammation of the veins. There will also be a question about which way to give birth - naturally or by caesarean section. You will decide this together with the gynecologist and phlebologist. If possible, natural childbirth is always preferred. But before giving birth, you will definitely wear compression stockings or bandage your legs with elastic bandages to prevent backflow of blood during labor.

Does varicose veins go away after childbirth?

By the way, many are interested: if during pregnancy the doctor diagnosed "varicose veins", then what to expect after childbirth - recovery or, conversely, an aggravation of the situation? No one will give you a definite answer to this question, even the attending physician. It all depends on the characteristics of your body. Some women after childbirth forget about what varicose veins are (at least for a while), while others continue to suffer and look for ways to eliminate this problem. So, how are varicose veins treated after childbirth?

To date, medicine can offer 2 ways to treat varicose veins: conservative- with medication and operational- through surgery.

After childbirth, women often develop, in addition to varicose veins, also venous thrombophlebitis, inflammation of the walls of the veins, venous thrombosis. Symptoms are usually the same: tension of the veins, pain when touched, redness of the skin on the affected area of ​​the body, up to an increase in temperature. If you observe all these unpleasant phenomena in yourself, immediately consult a doctor and be prepared for the fact that he will prescribe you hospitalization.

Now you need bed rest, and most of the time the legs should be in an elevated position. If we talk about drug treatment in this period, then in such cases, sulfonamides, antibiotics, anti-inflammatory drugs and, if necessary, painkillers are usually prescribed. Sometimes doctors fight the problem with the help of coagulants - drugs that prevent blood from clotting. There is one feature: you can take them no earlier than 3 days after childbirth to avoid uterine bleeding.

Prevention of varicose veins during pregnancy

As usual, preventing a disease is much easier than treating it. Therefore, every woman needs to know about the measures to prevent varicose veins during pregnancy - regardless of whether she has a predisposition to this disease.

If neither you nor your family has ever encountered such a problem, you do not spend all day on your feet and you are not overweight, the prevention of varicose veins will not be difficult. If all these "aggravating" factors are present, then preventive measures should be resorted to with double diligence: this really gives very good results.

By the way, remember that each subsequent pregnancy increases the risk of occurrence and development of varicose veins.

If you notice that swollen venous "nodules" (even if very small) have appeared on your legs, go to a phlebologist or surgeon: the doctor will observe you throughout the entire pregnancy and for some time after childbirth.

How to avoid varicose veins during pregnancy

Let long (at least 2 hours) walking walks around the city will become your daily habit. This is a good warm-up for the calf muscles, and blood circulation when walking improves significantly. But in extreme heat it is better to stay at home.

Another great option is swimming: this is both physical activity and a kind of water massage. It is also useful in that it has a beneficial effect on the spine, which, as your tummy grows, experiences more and more stress.

A contrast shower will also be useful to you, only the temperature difference should not be too large, otherwise you may become ill (not because of varicose veins, but simply because of an “interesting position”). Focus on your feelings.

Be careful with your choice of shoes. No high heels! If the heel is low (no more than 3-5 cm) and stable. It should not have elastic bands, ties and laces that squeeze and tighten the leg - this disrupts blood circulation. The same goes for tight elastic socks.

Try periodically throughout the day lie down for 15-20 minutes with raised legs. Have you seen in films how Americans sit with their legs on the table? We consider this unacceptable, but what an excellent prevention of varicose veins! Of course, it’s not necessary to throw your legs on the table, but on a soft pillow - that’s it.

get used to it sleep only on the left side: this relieves the pressure of the uterus on the vein that is on the right side and reduces the venous pressure in the legs. Try putting a small pillow under your stomach, it's very comfortable.

For the prevention of varicose veins during pregnancy, and just for good health, try to distribute during the day the time you spend in standing-sitting-lying positions. Any extremes are unacceptable: you should neither walk to the point of exhaustion, nor lie on the couch for 10 hours in a row.

Do not sit with your legs crossed, especially on a low seat.

Adjust your nutrition. Firstly, it is important to normalize the functioning of the intestines, and secondly, a special diet has a beneficial effect on the condition of the veins, which we will discuss below.

Diet for varicose veins

Pay attention to the liquid: there should be a lot of it. This is water, and juices, and soups, and vegetables contain a lot of water (cucumbers, for example, consist of 97% of it). Red grape juice is extremely beneficial for you: half a glass a day will reduce platelet activity by 75%.

Most often, the foci of varicose veins are localized in the region of the lower extremities, because it is they who are subjected to a large functional load every day, but it happens that VRV also affects the pelvic organs. So, inguinal varicose veins often occur during pregnancy.

Causes of the problem

Varicose veins in pregnant women in the groinbecomes a consequence:

• Hormonal changes in the body of the expectant mother. The bearing of the fetus is accompanied by increased production of progesterone, a hormone that causes the degeneration of connective tissue fibers. This is what causes the veins to lose their elasticity.
• Enlargement of the uterus in size. The body exerts increased pressure on the veins of the small pelvis, blood flow is disturbed.
• An increase in the volume of blood circulating in the body. The liquid presses on the vascular walls, which, in turn, cannot cope with the increased load, deform, lengthen, stretch.
• Excess body weight and, as a result, increased pressure on the venous walls.

How the disease develops

Varicose veins during pregnancy in the groin goes through several successive stages of its development. So, at first, saphenous veins undergo pathological changes - they are deprived of a supporting layer of muscles. Typically, the typical symptoms of inguinal varicose veins during pregnancy "declare themselves" closer to the 20th week. So, superficial veins become visually visible to the naked eye, the labia swell, large varicose nodes are visible on them. Patients may experience recurrent pain in the intimate area, which radiates to the lower back, legs.