Vplyv akútnych urologických príhodna priebeh gravidity

Influence of Acute Urological Cases on Courseof Pregnancy

Objective:
To evaluate influence of acute urological cases (AUC) on course and results of pregnancies.Design: Retrospective clinical study.Setting: 1st Department of Gynaecology and Obstetrics, Department Urology Faculty Hospital,Košice, Slovakia.Methods: 40 pregnant women with AUC aged 15 - 34 years (average 24) which delivered at ourDepartment.Results: The most often occurrence of AUC was in the 2nd and 3rd trimester of pregnancies. 62.5%women were primiparas. The most frequent urological complication was acute pyelonephritis(APNP) - 23 (57%) patients, more often on the right side 4.75: 1. 27 patients (67.5%) had renal colic,more often presents on the right side (6:1). 83% women had infection of urinary tract (IUT). 34 (85%)women were treated by antibiotics or urodesinficiens. 70% pregnancies were closed as intactpregnancies without intrauterine risk of the fetus. Signs of premature labour had 8 patients (20%),hypotrophy of the fetus was evaluated in two patients (5%) and 2 pregnancies were terminated bycaesarean section due to intrauterine asphyxia of the fetus.We identified nearly double increase ofpremature labours in the group of women with AUC in opposition to average in 1998 at Košicedistrict. Risk of newborn early asphyxia syndrome at the 1. minute is important (12.5%).Conclusion: Almost 1/3 pregnancies with AUC have obstetrical complication. Most common incidenceof AUC is at the first gravidity, at the right side. AUC require complete obstetrical and urologicalexamination with adequate therapy.We can reduce incidence by careful prenatal care and therapy.

Key words:
acute urological cases, obstetrical complications, risk factors