Hydronephrosis of the kidney during pregnancy: possible complications

Hydronephrosis of the kidney during pregnancy is a disease that can be diagnosed already in the early stages. In this case, women are worried about dull, aching pain radiating to the groin area. In addition, the retention of urine occurs.

If you have painful feelings of this nature, you should not panic and think about the threat of miscarriage or premature birth. It will only be necessary to visit a specialist who will be able to probe the enlarged organ and diagnose hydronephrosis if there is one.

Symptoms of development of hydronephrosis in pregnancy

Clinical signs of hydronephrosis in a woman in a position similar to pyelitis, especially if the disease is supplemented with infection. At times with the development of acute form of hydronephrosis, the woman exhibits very severe pain, so the question is raised about the artificial termination of pregnancy. But, fortunately, these cases very rarely occur in medicine, especially in the case of multiple fertility or polyhydramnios.

The management of a pregnancy depends entirely on whether the disease develops for the first time before pregnancy or even during pregnancy, whether the infection joins, whether the kidneys work and to what extent.

Hydronephrosis of the kidneys in pregnant women, which appeared for the first time after the conception of the child, as a rule, does not carry the threat of miscarriage, except for the described cases of the acute form of the disease. Infection damage can be easily eliminated. Usually, the pain becomes less intense with the knee-elbow position of the body - this position has an important diagnostic value.

This is important! But with hydronephrosis, which develops even before pregnancy, the doctor often has to decide on the implementation of an artificial termination of pregnancy. This issue is solved in a hospital setting and only after a complete examination of the kidneys, the detection of an infectious lesion and taking into account the cause that caused the development of the disease and the possibilities of eliminating this cause.

How is diagnostics performed for women in the

position? Hydronephrosis of the right kidney during pregnancy or left kidney is diagnosed on the basis of urinalysis. But confirmation of the diagnosis is possible only after ultrasound. Methods of diagnosis, such as radiology or excretory urography are prohibited during pregnancy.

The risk of developing kidney hydronephrosis is the risk of pyelonephritis, because suitable conditions are created to form an infectious focus.

If hydronephrosis affects a child for anatomical reasons, then it is possible to diagnose pathology already at the stage of intrauterine development. If the diagnosis of pathology was not performed at the stage of intrauterine development, then it can be established by the presence of blood in the urine.

In addition to these characteristics, others are distinguished. For children, the following symptoms are typical: pain in the abdomen, fever and formation of a large neoplasm in the abdominal cavity. In the absence of complications, the disease lends itself to medical control. It will be necessary to establish the cause, which provoked the appearance of hydronephrosis in one of the kidneys. So, for example, if you find stones, you need to crush them.

Most traditional methods of diagnosing hydronephrosis are prohibited for women in the position, therefore, only some of the most accessible studies are used:

• Ultrasound diagnosis.
• Urinalysis.
• Catheterization for ureters.

But during the catheterization of the ureters, there is a risk of infection from the affected kidney in a healthy organ. For this reason, this method of investigation is realized provided all the known rules of antiseptic are carefully observed and applied much less frequently than other methods.

A woman can successfully bear and give birth to a child, if hydronephrosis affects only one of the kidneys, is not accompanied by complications. But with the development of severe and complicated forms of pathology, it is better to terminate pregnancy, because there is a high threat to the life of the future mother and her child.

Organization of a safe medical process

The main areas for treating renal hydronephrosis during pregnancy are as follows:

• Prevention of infection by any urinary infection.
• Prevention of constipation and their treatment.
• Stimulation of urinary diversion.

Thus, for the prevention and treatment of constipation, laxatives and special dietary meals permitted during pregnancy are used. In addition, a woman must follow the rules of personal hygiene - this is the main way to prevent the onset of infection. If a pregnant woman has nevertheless been found to have cystitis or pyelonephritis, then there is no need to postpone a visit to a doctor in order to develop a suitable treatment. Interruption of pregnancy is recommended only if the condition worsens significantly.

This is important! When preparing for pregnancy, it is better to have prophylactic treatment and various examinations, especially if there was a previous defeat of hydronephrosis. It is difficult for pregnancy if there is only one of the kidneys and the probability of a large number of complications and miscarriage increases.

In modern medicine, ultrasound examination makes it possible to easily detect pathology in the fetus. The defeat occurs due to the inferiority of the urinary system and, as a rule, spontaneously passes on the second - the third month of the child's life. But such an outcome is not always observed, therefore, it is very important to identify the disease in time and take appropriate measures to eliminate it. It turns out that hydronephrosis is not such a terrible disease in pregnancy, but subject to the implementation of qualitative diagnosis and treatment.

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