Symptoms of cystitis in pregnant women

Cystitis during pregnancy – quite frequent phenomenon. What are the causes and possible complications. What are the methods of diagnosis and treatment?

Custitis – inflammatory process, as a rule, bacterial etiology, affecting the mucous membrane of the bladder.

Cystitis during pregnancy is a predominantly acute process, which, due to the reduction of immunity, has recurrected from chronic.

This pathology is one of the most important problems studied in obstetrics and urology, since, in addition to the problems of etiology, diagnosis and treatment, cystitis for pregnancy represents also the threat of the development of complications in the reproductive system, in the fetus, as well as directly in the urinary system itself. Cystitis during pregnancy amazes more than half of women. As a rule, those who have come across it before conception (less than one percent of pregnant women acquire inflammation already in position).

This is due to the fact that the body has a source of infection, and with the onset of pregnancy it is activated as a result of a general decrease in immunity.

Causes of occurrence

Such sources in the body of women are chronic pyelonephritis and asymptomatic bacteriuria.

Pyelonephritis – Nonspecific inflammatory process, in which a cup of maternity system and parenchymal kidney fabric amazed.

Asymptomatic bacteriuria – this is bacterial colonization of the bladder, with the symptoms of the inflammatory process (elevated body temperature, the feelings of chills, pain and cut, dizuriy) do not manifest.

Both the first and the second pathology themselves permanent source of infectious agents capable of calling symptoms of cystitis during pregnancy in the presence of one or more risk factors:

1. Low socio-economic situation;
2. Age;
3. Excessive sexual activity;
4. Anatomical features of the location of the urethra;
5. Functional disorders in the organs of the urogenital system;
6. Diabetes;
7. Transferred infectious and viral diseases in history.

In addition, such risk factors play an additional role in the development of infection:

1. One-time or systematic supercooling, especially legs and pelvic organs;
2. Nedietic food (smoked and stroke and acute) in large quantities;
3. Constipation;
4. Sitting position especially in the car;
5. Failure to comply with intimate hygiene rules (beaming and rubbing behind ahead, tightly adjacent or graceful underwear).

In addition to the fact that asymptomatic bacteriuria and pyelonephritis can cause sharp cystitis in pregnant women, they also initiate each other. So, pyelonephritis, can be a source of downward infection, and bacteriuria without proper treatment – the cause of pyelonephritis.

Diagnosis of cystitis in pregnant women

Diagnosis of cystitis in pregnant women presents a special difficulty for clinician. Often, the first symptom is frequent urge to urination.

And as often, neither the patient itself nor a female consultation specialist pays for due attention.

The cause of banal – anatomical changes during pregnancy and the physiologically caused physiologically normal frequent urges. Nevertheless, this symptom plays a decisive role that allows diagnosing cystitis in early pregnancy, especially in patients with a burdened history (pyelonephritis, a recurrent form of disease before pregnancy and T.D.).

The defining study method for the formulation of this diagnosis is the culture study of urine. It is believed that more than 105 microorganisms identified in 1 ml of urine – this is a sufficient quantitative criterion of bacteriuria.

However, less concentrations of microorganisms are considerable importance. The importance is to prevent cystitis in a pregnant woman in the early stages.

Treatment of cystitis during pregnancy

The most important thing in the therapy of cystitis in pregnant women – the patient should not treat the disease herself, relying on what she already had or some of the acquaintances.

Almost all antibiotics used in modern practice overcome the fetoplacentar barrier, and also stand out with breast milk.

Therefore, the infection identified in the early stages is preferably treated with local manipulations and by rehabilitation by herbal champs (and other gentle preparations). From the use of tablets from cystitis during pregnancy, it is advisable to be held, or to reduce their reception to a minimum.

What to treat cystitis in pregnant women?

• Taming and scripture. It may be chamomile grasses, calendulas, turn. It is possible to use a weak mortar of manganese. Special disinfecting solutions;
• Instillations Sancing solutions of the urinary bubble cavity through the urinary catheter;
• In the involvement of genital organs (vulvit, vaginitis) apply Intravaginal drugs a wide spectrum, for example, a Marat-Combi;
• Herbal tablets, Such as Trinefron, Kanefron and Decractions Safe during pregnancy medicinal herbs: chamomile, rosehip, cornframes.

The etiotropic treatment of cystitis in pregnant women is carried out on the basis of microorganisms detected by the results of bacteriological sowing and, in fact, their sensitivity to one or another antibiotic. The most common medicine used in this monulela situation, but amoxiclav, gentamicin, etc.

Many pregnant women have a question: «Is it possible to treat cystitis during pregnancy and does not harm the use of antibiotics kid?».

In this situation, the attending physician must make a choice of risk for the life of the mother and the child and the expected effect of treatment. In the treatment of cystitis, pregnant women are also assigned a guarantee – a woman is recommended by sexual rest until the end of treatment.

Diet with cystitis in pregnant women is to reduce the use of saline, eliminate sharp and smoked, as well as apply abundant drink, best of all, nodes or birch juice.

Summing up, you can allocate two main aspects in the diagnosis and treatment of cystitis in pregnant women:

1. For the early diagnosis of this pathology, a full history and attentive attitude to banal symptoms are important;
2. In case of detection of the infectious process at a late stage, complex treatment can prevent dangerous complications for both the patient and the fetus.

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