Treatment of varicose veins during pregnancy

During pregnancy, a woman’s body is subject to additional stress. The blood circulation deteriorates and the lower limbs are swollen. Varicose veins were observed on the legs, small pelvis and genitals.

Varicose veins during pregnancy are an optional symptom, occurring in only 30% of women. Let us take a closer look at how to prevent varicose veins and what causes the disease.

The characteristics and risks of the disease

Varicose veins are a pathology of the venous system. When you are sick, the veins will expand and twist, and the valve device will lose some functions. In the first stage of the disease, symptoms appear:

  1. Forms a network of small blood vessels under the skin;
  2. The veins under the skin are swollen in some places;
  3. Node formation
  4. When pressing the pathological area, women will feel pain;
  5. At night, his limbs were swollen and his legs were heavy.
Varicose vein examination during pregnancy

If the disease is not diagnosed in time, it will develop into venous insufficiency.

In addition to the above symptoms, it also includes: calf cramps, thrombophlebitis, the appearance of nutritional ulcers, and varicose veins rupture.

There are several localized areas of varicose veins:

  • Varicose veins of visceral smooth muscle: esophagus, uterus. The disease is caused by portal hypertension or genetic predisposition.
  • Failure of the spermatic venous system-varicocele. Occurs in men with cardiovascular diseases.
  • Pathology of the anus and lower rectal veins-hemorrhoids. In women, the disease develops after childbirth because it is in the process of pushing blood down the pelvis.
Natural childbirth and varicose veins

To diagnose the disease, you must consult a phlebologist. The expert will determine the hemodynamics of the disease and prescribe treatment. Diagnosis was performed using USDG dual vascular scan of the lower extremity venous system. In some cases, radionuclide research techniques are used.

For varicose veins, natural childbirth is not contraindicated. However, the recommended delivery method depends on the severity of the disease. During the trial, the blood was poured back and the burden on the diseased veins increased. In some cases, compression stockings or elastic bandages are sufficient during childbirth.

But in the case of severe varicose veins, cesarean section is recommended.

Cause of disease

During pregnancy, the female body must work two. The fetus presses on the internal organs, the woman's lifestyle changes, and her weight is redistributed. If pregnant women have a tendency to have varicose veins before pregnancy, the disease will develop during pregnancy.

The development of venous insufficiency during pregnancy is due to the following factors:

Hormonal changes in women

During pregnancy, the level of progesterone in the blood will rise. Hormones help avoid hypertonicity of the uterine muscles. However, by relaxing the muscle system, hormones affect the walls of blood vessels. The blood flow slows down and the lower body is congested. The veins are enlarged and varicose veins appear.

hypertension

The blood of pregnant women needs to be pumped vigorously through the venous system, because it not only needs to nourish the woman's body, but also the fetus. However, the increased load on the venous system did not produce positive results. Untreated blood vessels weaken and vein walls expand.

Measurement of varicose vein pressure during pregnancy

Increased blood clotting

The pregnant woman’s body prepares for childbirth, and the blood clots faster. The increase in blood clots will prevent massive blood loss during childbirth, but the risk of blood clots will increase.

Lack of physical exercise

The huge changes in abdomen and weight make it difficult for women to lead an active lifestyle. During 2-3 months of pregnancy, pregnant women prefer to lie down. Without physical exertion, blood circulation will slow down and limbs will swell. Pregnant women need special gymnastics.

Poisoning

During poisoning, kidney function is destroyed. An increase in protein content is observed in urine, and fluid remains in the body. During the edema period, the blood circulation will be interrupted. The veins are expanding.

Varicose Vein Poisoning During Pregnancy

Poisoning is particularly dangerous in the later stages of pregnancy.

Symptoms and types

There are many forms of varicose veins in pregnant women:

  • Varicose veins in the groin;
  • Dilation of veins in the wall of the uterus;
  • Vaginal varicose veins;
  • Varicose veins of the lower extremities.

Varicose veins in the groin appear in the last trimester of pregnancy. Symptoms are caused by rapid weight gain and lack of physical activity. The first sign is that the groin area is full.

Uterine varicose veins occur in 10% of cases. At-risk populations include women with genetic predispositions and patients who have enhanced venous function. The causes of the disease are: untreated inflammatory diseases, miscarriage, irregular periods.

Vaginal varicose veins are not uncommon during childbirth. Like varicose veins of the lower extremities, vaginitis occurs in every third of pregnant women. Women who tend to be overweight are particularly susceptible to this disease.

The form of varicose veins can develop individually or in combination. The treatment will be prescribed separately after examination by a gynecologist and a phlebologist.

Clinical picture

The clinical situation depends on the stage of development of varicose veins. In the initial stage, the pregnant woman did not notice these changes, but she may complain of heavy legs and itchy groin. During the compensation phase, the disease continues to develop without obvious symptoms and may disappear within a few months after delivery. Visual inspection revealed slight swelling of the veins. The skin remains unchanged, the veins are soft, without nodules and curves.

In the second stage of compensation, the patient complained of unbearable pain. Standing for a long time, the legs will swell. After taking the position of liquidation, the swelling will be reduced without additional funds. By the end of the day, the patient's ankle was mushy and slightly swollen.

During the decompensation period, pregnant women will continue to experience heavy legs, local pain in varicose veins, and calf cramps. At night, before trophic ulcers appear, the itching of the skin will increase. Obvious varicose veins can be seen from the outside, and venous hemodynamics are easily affected by the overall disturbance.

In the final stage of varicose veins, the veins expand and have a dense texture. In the affected area, the wall was welded to the skin. After venous mucositis, a depression will form at the adhesion site. Thinning of the skin was observed, accompanied by obvious purple osis lesions. The skin cannot be folded and trophic ulcers are observed. The final stage of pregnancy hardly occurs, but if it is not treated in time, the disease will progress rapidly.

Intravenous treatment

Varicose veins can be treated in three ways:

  1. Conservative;
  2. Compression sclerotherapy;
  3. Through surgery.

Not all techniques are suitable for pregnant women. The choice of technique depends on the stage of the disease, and in some cases, treatment should be started after delivery.

Conservative technique

Conservative therapy is the main method of treating varicose veins in pregnant women. The technology includes:

  • Maternity gymnastics
  • Rules to reduce the burden on the legs;
  • How to use compression elasticity: pregnant women stockings, elastic bandages, special socks;
  • Tic therapy.
Varicose Vein Gymnastics During Pregnancy

Gymnastics for pregnant women is performed by specialist doctors.

Women in interesting positions are not allowed to do all exercises. It is best to attend a group meeting in a maternity hospital or obstetrics and gynecology center. In the classroom, they will tell you how to breathe properly during training and what exercises are allowed during the different stages of pregnancy.

This is useful for pregnant women to visit the swimming pool. During swimming, all muscle groups work, and the burden on pregnant women is minimal. It is useful to perform a hydromassage procedure after tiredness. This will help increase blood flow and build muscles.

The use of elastic underwear is effective in the treatment and prevention of varicose veins in pregnant women. The pressure suit exerts pressure on the body parts with different forces, and the blood drains from the limbs faster.

There are four versions of compression underwear for pregnant women:

  • Knee socks;
  • Bandage panties;
  • Silk stockings
  • Leggings
Compression panties for varicose veins during pregnancy

The degree of compression and the size of the linen are individually selected under the guidance of a phlebologist. Underwear is not only used for the treatment and prevention of varicose veins, but also replaces bandages. The model is very comfortable and can reduce most of the burden on the lower back. Wearing underwear every day can reduce the pressure on the uterus, and the fetus will get more oxygen. Reduce the burden on the venous system.

Creams based on heparin and natural ingredients are allowed during pregnancy. Apply the ointment to the location of the varicose veins several times a day.

Sclerotherapy

There is no provision for compression sclerotherapy during pregnancy. This method is suitable for women who have already given birth. The disease does not always go away, and people have to resort to medical intervention. The technique is based on the introduction of special drugs into large veins, which cause vasospasm and fill the blood vessels completely.

After taking the medicine, patients are advised to wear tights. A few days later, the veins recovered and formed a commissure at the varicose vein lesions. Retention underwear should be worn for 1. 5–2 months until full recovery.

Surgical treatment

Surgical treatment of varicose veins is the most effective and effective method. However, surgery is only allowed after delivery.

Modern medicine provides several techniques to treat varicose veins at different stages:

  • Microsurgery;
  • Coagulate with laser;
  • Radio frequency condensation;
  • Photocoagulation
  • bloodletting;
  • Venitomy.

In the initial stage, the cobwebs can be easily removed with a laser. But before any surgical operation, women must be thoroughly examined.

Precaution

With every subsequent pregnancy, the risk of developing varicose veins increases. However, if preventive measures are taken, the risk will be reduced by 70%. If there are small nets and "nodules" on the legs or groin, it is not recommended that you delay medical treatment.

Some simple rules can help you avoid varicose veins during pregnancy:

  1. Walk every day. You should walk at a steady pace for at least two hours. In hot weather and rainy days, walking is replaced by treadmills.
  2. Taking a contrast shower once a day will help speed up blood flow. The temperature of the water is selected according to personal feelings. It is recommended that women in this position choose a comfortable temperature.
  3. When choosing shoes, pay attention to a stable heel that does not exceed 2-3 cm.
  4. During sleep and rest, it is best to lie on the left side. This reduces venous pressure. Place a special roller or pillow under the abdomen.
  5. During the sitting position, the legs are raised, so the blood flow does not slow down. Before going to bed, you can lie down with your feet on a pillow or wall for 15 minutes.
  6. Try to change your body posture more frequently. Lying, standing or sitting for a long time is harmful to the circulatory system.
  7. Pay attention to your diet. Eating large amounts of salty, salty or smoked food is harmful. Drink at least 1. 5 liters of water every day.
  8. Regular intake of vitamins and minerals helps prevent the development of cardiovascular disease.

Varicose veins are not an inevitable partner of pregnancy. However, if a woman is genetically susceptible to the disease or is overweight, it is necessary to carefully monitor the vein status throughout pregnancy. Preventive measures are easier to implement than varicose veins.