Diseases of the urinary tract in pregnancy: obstetric and therapeutic tactics


  • В. Ф. Нагорная Odessa National Medical University, Ukraine




diseases of the urinary system, pregnancy, urinary tract infections, extragenital pathology during pregnancy


In the structure of extragenital pregnant pathology rapidly increased the number of diseases of the urinary system in recent years. Pyelonephritis is a main case of hospitalization during pregnancy on non-obstetric indication. According to official statistics of the Ministry of Health of Ukraine, the prevalence of urinary tract infections is increases from year to year.This article describes the etiology, pathogenesis, clinical manifestations, diagnosis, treatment and prevention of the major diseases of the urinary tract in pregnancy.

Author Biography

В. Ф. Нагорная, Odessa National Medical University

MD, Professor


Medved VI Introduction to the clinic of extragenital pathology at pregnancy. – K.: Avicenna, 2004. – 168 p.

Schechtman MM Guidelines for management of extragenital diseases in pregnant women. Fourth Edition – M.: Triad-X, 2008. – 816 p.

Vozianov OF, Lyulko OV Urology: Textbook. – K.: High shcool, 1993. – 711 p.

Debre B, Saighi D Preyromaure M. Urologia: Masson, Paris.: 2004. – 191 р.

Rebrov BA Diseases of urinary system during pregnancy (diagnosis and treatment). Methodical recommendations. LugGMU. – 2010. – 32 p.

Lopatkin NA, Shabad AL. Urological kidney disease in women. – M.: Medicine, 1985. – 240 p.

Kalinka J, Szekeres-Bartho J E ect of dydrogesterone (Duphaston) on hormone pro£ le and progesterone inducted blocking factor in women with threatened abortion // Am. Y. Kepsod. Jmmunol. – 2005. – V. 53. – P. 205–208.

Pytel AJ Guidelines for clinical urology. – M.: Medicine, 1969.

Lopatkin NA Urology. – M.: Medicine, 1982.

Murray Enkin, Marc DzhNS Keyrs, Mary Renffyu, James Neilson Еd. Eleanor Enkin. Guideline for effective care in pregnancy and delivery. Second edition; Translated from English. LP Simbirtseva. – St. Petersburg: Nordmed – 544 р.

Vozіanov SO, Gzhegotsky MR, Shulyak OV, Petryshyn YM, Misakovets OG, Becket OO Urolog – Lviv.: Svit. – 2003. – 304 p.

Urology. Textbook / NA Lopatkin, AF Darenkov, VG Goryunov et al.; Ed. by NA Lopatkin. – Moscow: Medicine, 1992. – 496 p.

Clinical guidelines EUA (2006, 2009).

Order of the MOH of Ukraine № 234 of 10.05.2007. Order of the MOH of Ukraine № 906 of 27.12.2006.

Sinyakova LA, Kosova IV Women’s health, 2010. – № 3 (49). – P. 52–56.

Wright et al. Asymptomatic bacteriuria during pregnancy. Rapia ansnurg uring. Cochrane library. Canadian Family Physician. – 1993; 48 : 58–60.

The management of urinary and male genital tract infections, European Association of Urology, 2007 edition.

Mashkovsky MD Medicinal drugs. – M.: Medicine, 2006.

Nefrokea, recommendations of the company manufactured Schonen (Switzerland), 2010. Ekobiol,

Compendium. Medicinal drugs / Ed. by VN Kovalenko, AP Viktorov. – K.: MORION, 2006. – 2270 p.

Nicolle LE et al. Clin. Infect. Dis 2005; 40: 643–54.

McCallagh DL Di¡ cult Diagnosis in Urology / Trans. from English. – M.: Medicine, 1994. – 440 p.

Hofmeyer DY Cochrane guidelines: Pregnancy and Birth // Translation from English. VI Condrova, OV Eremina; Ed. by GT Suhih. – Moscow: Logosfera, 2010. – 440 p.

Resnick M, Novik E Urology Secrets; Trans. from English. – M. Benom, 1997. – 352 p.





Pregnancy and childbirth