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Chapter 7 - Urinary Tract Problems in Pregnancy

Published online by Cambridge University Press:  14 July 2023

By
Neil Harvey ,
Ian Pearce  and
Rohna Kearney
Edited by
Swati Jha  and
Priya Madhuvrata
Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Lower urinary tract symptoms occur commonly during pregnancy with two thirds of women reporting urinary frequency and nocturia. Stress urinary incontinence is reported by 50% of pregnant women and women who experience stress urinary incontinence during pregnancy are more likely to have persistent stress urinary incontinence post-partum. Pelvic floor muscle training is advised for women from 20 weeks of pregnancy who have a first degree relative with pelvic floor dysfunction. For women who fall pregnant following a continence procedure, delivery by Caesarean section is usually recommended. Urinary retention during pregnancy can be acute or chronic and catheterisation is the mainstay of treatment. Care needs to be taken with bladder management in women who have had spinal anaesthesia or following instrumental delivery or perineal trauma. Pregnancy in women following previous urinary tract reconstruction, renal transplantation or with congenital urological anomalies requires multidisciplinary involvement.

Keywords

pregnancyurinary tracturinary incontinenceurinary retentionrenal transplanturinary reconstruction
Type
Chapter
Information
Gynaecology for the Obstetrician , pp. 61 - 71
Publisher: Cambridge University Press
Print publication year: 2023

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