Umbilical Hernia During Pregnancy

Umbilical Hernia During Pregnancy


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Umbilical Hernia From Pregnancy

For certain pregnancy doesn't proceed presently without any complications, small troubles, or force majeure. And one of such problems during child-bearing is umbilical hernia. What this disease is? How to act and what efforts should be made by future mother in this case?

Shortly About Umbilical Hernia

Umbilical hernia is pathological process. This is protrusion of abdominal organs because of weakening of muscles of umbilical ring. It should be noted that each expectant mother stays in a zone of risk umbilical hernia formation. Chances of its emergence increase in case of multifetation and repeated pregnancy, as well as when there is large fetus, or polyhydramnion, and also when the woman is 30 years of age and older.

But it isn't necessary to panic when umbilical hernia is detected. If the hernia was already before pregnancy, then it is necessary to visit the surgeon before detection of its symptoms. The surgeon will observe you and if necessary will prescribe therapy for minimization of risks of complications.

Usually hernia isn't formed during the first trimester. In respect of its emergence the 2nd and 3rd trimesters are the most dangerous. The reason is that the child grows in mother’s womb, uterus is enlarged, and intra abdominal pressure increases. Muscles which are weakened by such pressure aren’t capable to hold inner organs – so the hernia diverticulum is formed.

Symptoms of Umbilical Hernia at Pregnant Women

Umbilical Hernia In Pregnancy

Symptoms of umbilical hernia in pregnant women are rather peculiar. This is oblong or spherical formation in the belly-button area. Such diverticulum can be set easily by careful pressing or when the woman is in horizontal position. However on later stages such invagination is impossible. The bulge is enlarged and pulses when straining, for example, when coughing. Painful attacks are typical during the period of fetus quickening on later terms.

Umbilical hernia symptoms depend on the size of a diverticulum and on hernia contents. If the big epiploon bulge out, then the pregnant woman is disturbed firstly by only hernial defect and the pain appears later. If intestine loops evaginate, then there may be constipation, rumbling in a stomach, nausea, viscous pain in umbilicus area, and other sensations of discomfort.

The growing uterus forces out abdominal organs up. At the same time the hernial bulge actually remains empty. This is the reason that during palpation the camber on later stages the emptiness is felt in it and slight plop may be heard when pressing. Therefore the strangulation of hernia in labor usually doesn't occur. Existence of umbilical hernia in the pregnant woman isn't the indication to Cesarean section.

Treatment of Umbilical Hernia in Pregnancy

The main form of treatment of umbilical hernia in the healthy person is operation. If umbilical hernia has occurred to the pregnant woman, then planned operative measures are contraindicative because of negative impact of drugs during operation and after it.

Usually hernia passes off of itself just after the delivery. Therefore the main way of treatment of pathology is wearing of compression linen. It helps to reduce muscle tension. This bandage should be applied after consultation with the doctor as its wearing demands skills of bracing. At the wrong wearing of the bandage there may be pathology of fetation or fetus misarrangement in the uterus.

Whether Umbilical Hernia is Dangerous in Pregnancy?

The most dangerous complication of hernia during pregnancy is infringement of hernial cavity with its contents. The risk of such infringement increases in the period of physical exercises or constipations. It can lead to a necrosis of tissues. Acute pains in umbilical area, nausea, vomiting, prolonged lack of stool and gases are typical of this complication. Complication in the form of peritonitis is possible in the beginning of hernia ulterior symptoms.

In order to avoid such complications the pregnant woman has to consult with the surgeon. The expert will give exhaustive information on what it is necessary to do and what is impossible. There is no blinking the fact that this apparently harmless pathology is moderately dangerous by its consequences, and for sure, it demands medical supervision.

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