Course of pregnancy for women with single kidney pyelonephritis
Abstract
AIM: to analyze pregnancy course and outcomes and to value dynamic monitoring routine methods for women with persistent single kidney pyelonephritis. PATIENTS AND METHODS. Article presents monitoring results of 63 pregnant women with persistent single kidney pyelonephritis and the reference group. RESULTS. Arterial hypertension among pregnant women with persistent pyelonephritis is more often occurred during III pregnancy trimester (in 22,7% cases). Pregnancy course in women with single kidney (if this kidney keeps functioning) did not differ much from physiological pregnancy course in women without extragenital pathology. Cesarean section was reliably more often observed among pregnant women with pyelonephritis (18,2%) in comparison with control group (9,1%) and pregnant women with single kidney (15%) (р>0,05). No reliable differences in glomerular filtration rate of all patients were discovered. Results of research allow allocating risk group where arterial hypertension during the second part of pregnancy can develop and infectious inflammatory process (pregnant women with persistent pyelonephritis) can deteriorate. Also it is necessary to follow-up women with single kiney in coalition with obstetrician gynecologist and nephrologist with daily blood pressure monitoring as well as blood test with determination of urea and creatinine in each trimester of pregnancy.
About the Authors
N. V. Agranovich
Stavropol state medical University
Russian Federation
Russian Federation
S. A. Knyshova
Stavropol state medical University
Russian Federation
Russian Federation
A. S. Useeva
Stavropol state medical University
Russian Federation
Russian Federation
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Review
For citations:
Agranovich N.V., Knyshova S.A., Useeva A.S. Course of pregnancy for women with single kidney pyelonephritis. Nephrology (Saint-Petersburg). 2015;19(5):64-67. (In Russ.)
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