After pregnancy, due to the increase in uterine increasing the bladder, frequent urination is very common. This is a normal phenomenon during pregnancy and does not need to be treated with special treatment.But urinary tract infection can also lead to frequent urination, especially the incidence of pregnant women is twice that of ordinary women!However, it is accustomed to making expectant mothers not be vigilant enough to delay treatment. In severe cases, it may not affect the baby. So, how to identify early treatment of urinary tract infections?How to discover asymptomatic urinary tract infections?How to prevent urinary tract infection during pregnancy?For more related questions, Director Li Chunzhu is requested to answer our focus on us.
Personal profile: Doctors, chief physicians, chief physician, former director of the obstetrics and gynecology department of Guiyang Fourth People’s Hospital.He has been engaged in clinical work of women’s obstetrics for more than 30 years, published dozens of papers in various medical magazines at all levels, and the scientific research projects have won the Provincial and Municipal Scientific Progress Award.He serves as a member of the Guizhou Provincial Medical Society of Medical Association; and a member of the Guiyang Municipal Products Department of Property Management and Control Center; an evaluation expert of the Guizhou and Guiyang Medical Accident Appraisal Committee.
Good at: good at the diagnosis and treatment of various difficult obstetrics, gynecological, and family planning diseases, and have rich clinical experience and skilled surgical skills.
First, why is pregnant women higher than ordinary women?
1.During pregnancy, due to the increase in progesterone, the smooth muscle of the urethra becomes relaxed, and the peristalsis weakens, thereby slowing the flow rate of urine, which is conducive to bacterial reproduction;
2.With the increasing uterus, compression of the bladder and ureter, which causes the ureter to expand, is prone to urine stasis, urine reverse flow, urine retention, etc.
3.A amino acids, glucose and other substances in urine during pregnancy are relatively large, which is conducive to bacterial reproduction;
4.Variant immunity during pregnancy, especially when he is older than 35 years old, has a history of urinary tract infection, history of abortion, history of childbirth, complications or complications during pregnancy, such as diabetes and anemia, which is a risk factor for urinary tract infection.
What adverse effects will it have on pregnant women and fetuses?
Pregnant women: Early pregnant women will experience bladder stimuli such as urgency, frequent urination, and dysuria. If the infection is not controlled in time, it can develop into pyelonephritis. In severe cases, the symptoms of systemic poisoning occur, causing multiple organs to rest and live life.
Fetal: During the early pregnancy, if it is treated in time, inflammation will also cause an infection of the pregnant woman’s palace. In severe cases, the fetal malformation will be caused., Premature birth, fetal fetuses below pregnancy, abortion, etc.
3. What are the suggestions for scientific prevention?
1.keep healthy.All bad living habits and unfavorable factors should be avoided as much as possible;
2.Drink plenty of water and urinate frequently.The rinse of urine on the urethra can take away most of the bacteria in the urethral opening and around;
3.Sleep posture, promotes the left side position.Reduced the compression of uterine and bladder that increased uterine and bladder, which is conducive to improving the cycle of the placenta and ensuring the oxygen supply of the fetus;
4.Make control of sex.The first 3 months of early pregnancy and 1 month of delivery is a susceptible period. It is recommended to avoid sexual life and reduce the frequency of sexual life in the middle of pregnancy. For prospective mothers who have previously suffered from cystitis and urinary tract infections, it is recommended to avoid the whole pregnancy during pregnancy.Sex life;
5.Keep the vulva clean and dry.Change underwear to develop a good wipe habit. After going from the go, insist on cleaning the vulva every day.
Fourth, how to discover the urinary tract infection during pregnancy?
The typical manifestation of the bladder stimuli, such as urgency, frequent urination, and pain, so you should go to the doctor immediately when the urgency and dysuria occur.If it is further developed into pyelonephritis, there can be pain, tenderness, and tap pain on the waist, and there may be no clinical symptoms, that is, asymptomatic urinary tract infections.
Fifth, asymptomatic urinary tract infection, how to find it?
An asymptomatic urinary tract infection is relatively common, with an incidence of 4%-7%, which mainly occurs at the first month of pregnancy. As many as 40%of the cases can progress to acute pyelonephritis, causing adverse ending to pregnancy.Therefore, it is recommended to carry out urine culture examinations in early pregnancy, and at the same time do drug -sensitivity tests in order to timely detect patients with symptoms of ureaururia.
6. What are the inspections and handling when you go to the doctor?
The main examinations include urine routine, medium urine bacterial culture+drug sensitivity test. Among them, the medium -sized urine bacterial culture+pharmaceutical test is a gold standard for diagnosis of urinary infections. If necessary, B -ultrasound examination and blood routine.
7. Conventional treatment principles and methods
Treatment principles: First, drug treatment is required, not afraid of affecting the fetus and refusing to be treated; the second is that doctors conduct antibiotic drugs for the fifth classification guidance of FDA (American Food and Drug Administration) according to pregnancy.The adverse effects.
Conventional treatment method: Use antibiotics or first -line therapy drugs (amphibilotin), but can be avoided after 36 weeks of pregnancy.Mild infection, according to the results of the medicinal test, generally gives 3-5 days oral antibiotic treatment, and then review; in severe cases, hospitalization is required for intravenous administration.
