Urinary tract infection in pregnant women: treatment
Often there is urinary tract infection in pregnant women. This is because during pregnancy the immune system is weakened women and the body becomes susceptible to various infections. Infection immediately urinary system experts consider most frequently asked.
The causes and factors
In women, the urogenital organs are located near the anus, therefore, out of harmful bacteria are just getting into the urethral canal. Considering that its small size, bacteria are easily placed in the urinary cavity, and subsequently in the kidneys. During pregnancy the body undergoes changes, urinary system is no exception. In pregnant women decreases muscle tone, slows the course of the urine, the renal pelvis increase in size, the kidneys themselves are shifted, and the ureters become longer.
In addition, affects the body and hormonal changes. Progesterone, which begins to occur in early pregnancy, has an impact on the muscles and relaxes them much. Due to this the urine begins to stagnate and it is bacteria. This contributes to the emergence of infections of the urinary system, which usually makes itself felt after the 3rd of the month.
Factors influencing the emergence of infections:
- constant change of sexual partners;
- failure to comply with rules of hygiene;
- inflammation of the genital organs;
- chronic diseases.
Often a urinary tract infection during pregnancy cured. However, if urinary infection is diagnosed too late and the treatment was of poor quality, there is a risk of complications. They adversely affect the fetus and can cause premature birth. Experts have conducted numerous studies that show that women diagnosed with diseases of the urinary system during pregnancy more susceptible to complications after childbirth. The first months after birth the patient may disturb the aggravated inflammation.
Symptoms of urinary tract infection in pregnant women
When infectious diseases is observed as a strong symptoms, and for mild. Infections cause cystitis, which has the following symptoms:
- the presence of blood in the urine;
- pain when urinating;
- frequent urinary urge;
- pain sensations in the lower abdominal region.
Asymptomatic bacteriuria often is fraught with premature birth and the excessively low weight of the baby. In situations where bacteriuria is not treated, there is a higher risk of kidney failure. If treatment of bacteriuria is carried out, the risk is reduced several times. For the detection of bacteriuria, the patient will be required to pass a General analysis of blood, often resort to the help of ultrasound, which shows the deviation in the renal pelvis. In cases when the bacteria is detected, the specialist assigns the use of antibiotics, harmless to pregnant women. The duration of therapy is week, after which the patient need to do a blood test to make sure the cure bacteria. In cases where infection persists, doctors prescribe additional treatment, assigning a different antibiotic.
How is the infection?
Definition infections of the genitourinary system during pregnancy often has no difficulties. First, the specialist queries the patient about the symptoms, followed by examination of urine. Often required and a common blood test that confirms or denies the presence of infections. If the inflammatory process is confirmed, the pregnant woman sent for ultrasound. Radiological methods of investigation resorted to only in extreme cases because they have a negative effect on the fetus.
Treatment of infection
Treatment urinary tract infection it is important to carry out only under the supervision of a doctor because only he can prescribe the correct medication, with minimal effect on a woman’s body and the fetus. In the first trimester of pregnancy therapy cystitis trying to do without antibiotics. Their use is possible from the 2nd trimester. The duration of treatment is several weeks, followed by another study of urine for the presence of bacteria. After the patient stopped taking antibiotics she prescribed the use of herbal remedies such as cranberry juice, broth cowberry leaf and bearberry. It is important not to neglect the therapy of cystitis because it often develops into pyelonephritis (infection of the kidneys).
Pyelonephritis of the kidneys during pregnancy is treated in the hospital. Prescribe antibiotic medications and administered them intravenously when the patient has an increased body temperature. The introduction of antibiotics continues a few days after its decline. After that, the pregnant woman may start to take drugs oral. In cases where the patients acute chronic pyelonephritis that is accompanied by severe symptoms and a strong disorder state of health of the woman and the embryo in the 3rd trimester mandatory conduct a cesarean section.
Urinary tract infection during pregnancy has complications in the form of chronic oxygen starvation of the embryo, anemia, preeclampsia, early departed waters, of complications of childbirth and the period after them. It is important to remember that complications are minimal if the patient will observe recommendations of the specialist and seek assistance in case of deterioration of vital signs.
Women who are planning pregnancy or are already pregnant, it is important to follow rules that will help avoid urinary tract infections. For starters, women who plan a pregnancy, it is important to carry out therapy of chronic diseases and to eliminate possible sources of infection and inflammatory processes. In situations where women have endocrine pathology, you need to consult a doctor who will prescribe a complex of drugs which hormonal will gain normal performance.
During pregnancy you should drink plenty of fluids. Is taken into account not only water but all liquids that enter the body, for example, teas, fruit drinks, herbal tea and soups. However, it is important to note that the heavy drinking regime you need to observe only those pregnant women who do not have a strong edema. It is important to empty your bladder when you experience the urge, in cases, even when not full. This rule plays a key role, because the accumulated urine in the bladder puts pressure on the uterus, resulting in miscarriage.
In addition, during pregnancy the patient is prohibited to use douching. Instead, you should consult with your doctor and to take a different route for treating disease. The patient need to observe personal hygiene. During pregnancy it is forbidden to take a bath, and underwear is better to change every day. We should not forget that pregnancy should be under constant and careful supervision of the attending physician. If patient has changes in condition and new symptoms appear, you should immediately contact a doctor and find out the cause of.