Pielonefrita acută la gravide

Abstract

Background: Acute pyelonephirtis are the most common medical complications of pregnancy, reaching about 10% of all pregnancy and may have an increased incidence in pregnant because anatomical and physiological changes during pregnancy facilitates the development ofacute pyelonephirtis. The goal of the study was to develop particularities of development of acute pyelonephirtis in pregnancy, birth and postpartum period. Methods: The retrospective study were analyzed step by step for 80 patients. Recorded data included: age; live anamnesis, somatic and gynaecological anamnesis, physical examination. laboratory investigations and ultrasound examination. Statistic analises. Is prezented as mean±SD unless otherwise stated. Rezults: Evolution complicate pregnancy in women with UTIs: risk of giving premature birth imminence – 62.32% cases; early rupture of the amniotic membranes and premature birth, pre-eclampsy – 25.38%; IUGR, intrauterine fetal hypoxia – 12.40% cases. The birth „per vias naturalis” went in 87.6% of cases, and in 12.4% of cases pregnancy end caesarean section, after emergency obstetric indications. The birth was complicated by early rupture of amniotic membrane in 51.83% cases, intrauterine fetus acute hypoxia – 4.38%, discordinatory birth – 43.79% of cases. The septic complications as puerperal endometritis developed in 40.14 % and acute exacerbation of pyelonephritis cases in the first three week safer birth was found in 2014.6% cases.