Features and causes of the problem
The approach to this surgical pathology during pregnancy depends on many factors. On an individual basis, the doctor decides whether to operate a hernia. This takes into account the state of the woman and the features of the course of pregnancy. But most often this is not done. Operations are carried out only in emergency cases, when there is infringement.
What is this type of hernia? The inguinal canal is a space resembling a gap between the rectus abdominis muscles. He was always considered a weak spot in the body. Through the inguinal canal in the stronger sex passes the spermatic cord. But women have a round ligament of the uterus. Therefore, the hernia in the groin is nothing more than the exit of the abdominal organs through the inguinal canal. As practice shows, the hernial sac often contains part of the omentum or bowel loop.
The inguinal hernia is congenital and acquired. The main cause of its occurrence is increased intra-abdominal pressure. Recall that in future mothers with increasing uterus and fetal growth, it always increases. This is what determines the frequency of surgical pathology among pregnant women. In addition to the main reason, to provoke the inguinal hernia during pregnancy can often constipation. They often occur in expectant mothers. Lifting weights, chronic cough, heavy physical exertion, weakness of abdominal muscles can also contribute to the emergence of this surgical pathology in pregnant women. All of these, combined with the pressure of the growing uterus on the groin and the lower parts of the abdominal region, provoke the inguinal hernia in the second half of pregnancy.
Signs of surgical pathology
How does the clinical picture of a hernia in the groin look like? Her signs during the period of gestation are almost the same as for ordinary women. The main symptom is protrusion in the groin area. It has an oval shape. The consistency of the pathology is mildly elastic, with palpation painless. Most expectant mothers detect discomfort in the area of ??protrusion. It is directly proportional to the duration of pregnancy. The protrusion appears in an upright position, more often after excessive and prolonged loads. It disappears in a state of rest and in a lying position. In rare cases, women note that the pain radiates to the waist and sacrum. During pregnancy, the hernia grows, it increases along with the period of gestation of the baby. The larger the size, the more uncomfortable it is during walking, with a little physical exertion, the future mother feels.
And the inguinal hernia is accompanied by difficulty urinating, rumbling in the abdomen, increased gas production.
Inguinal hernia and delivery
How a woman with this surgical pathology will give birth, largely depends on the size of the protrusion and the presence of other complications of pregnancy. Ordinary births are possible only when the protrusion is small, there is a special supporting bandage. Then in the process of delivery, in attempts, the obstetrician-gynecologist holds the hernia with his hand to avoid infringement.
The caesarean section is indicated for those pregnant women who have large inguinal hernia size, there are other accompanying pathologies, for example, abnormal fetal position, abnormalities of labor or complicated pregnancy. As practice shows, after the appearance of the baby in the light of newly mummies, inguinal hernia for some time disappears without a trace.
All pregnant women with such a surgical pathology are recommended to wear a special bandage before the end of the term. They are strictly forbidden to lift weights. And the physical load for them is taboo. This category of women must perform special exercises, the purpose of which is to strengthen the muscles of the abdominal wall. It is recommended to pregnant women and adherence to a special diet.