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Chapter: Obstetric and Gynecological Nursing : Abnormal Puerperium

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Urinary Complications

Urinary tract infection is a common problem during pregnancy.

Urinary Complications

 

 

Urinary tract infection is a common problem during pregnancy. Its cause lies in the stasis of urine which occurs during pregnancy and encourages the formation of a reservoir of organisms. Trauma during labor or inadequate Vulval hygiene leading to an ascending infection predisposes to its recurrence during the puerperium. Such recurrent infections may lead to chronic pylonephritis.

 

Cause - usually Escherichia coli

 

Sign and symptom

 

·        Malaise

 

·        ache and pains in the back and flank

 

·        pain on micturation in some cases

 

 

More severe infection may consist of either acute cystitis characterized  by  scalding  on  micturation,  or  pylonephritis which causes a raised temperature, pain over the kidney and haematuria.

 

Investigation

 

A  midstream  specimen  of  urine  for  bacteriological investigation

 

Treatment - Antibiotic ampicillin, nitrofurantion or nalidixic acid

 

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