Show Summary Details
Page of

Urological problems in pregnancy 

Urological problems in pregnancy
Chapter:
Urological problems in pregnancy
Author(s):

John Reynard

, Simon F Brewster

, Suzanne Biers

, and Naomi Laura Neal

DOI:
10.1093/med/9780198783480.003.0015
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 26 May 2020

Important physiological changes to the urinary tract during pregnancy are examined, including physiological hydronephrosis of pregnancy and reduction in creatinine levels due to glomerular hyperfiltration. Changes in the anatomy contribute to an increased risk of urinary incontinence and lower urinary tract symptoms. Consequent urinary stasis contributes to a higher risk of urinary tract infection and pyelonephritis, which can contribute to preterm birth, and hence the importance of treating asymptomatic bacteriuria in the pregnant woman. Special attention may be given to the use of antibiotics in the different trimesters of pregnancy, and this is summarized in the chapter. The common diagnostic dilemmas of loin pain and hydronephrosis in pregnancy are debated, and guidance given on evaluation. Other essential urological issues that arise in pregnancy are reviewed, including the management of pregnant patients with previous urinary tract reconstruction, placenta accreta, and the problem of urinary retention after childbirth.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.