What to do if you have hydronephrosis during pregnancy

We know that pregnant women need to pay attention to their food, clothing, housing and transportation during pregnancy. If a pregnant woman has any abnormal physical condition during pregnancy, it will not only affect herself but also the fetus. Therefore, we recommend that pregnant women must pay attention to taking good care of themselves during pregnancy. Some pregnant women will have symptoms of hydronephrosis during pregnancy, so what exactly causes hydronephrosis during pregnancy? How should we treat this symptom?

Causes of Hydronephrosis during Pregnancy:

Usually in early pregnancy, due to increased progesterone secretion, ureteral peristalsis is inhibited, and urine emptying in the renal pelvis is affected, resulting in mild hydronephrosis. In the middle and late stages of pregnancy, the enlarged uterus or fetal head compresses the lower end of the ureter, which can also cause hydronephrosis.

During normal pregnancy, there is often mild hydronephrosis and ureteral hydrops, which often occurs on the right side. This hydronephrosis is a physiological condition that disappears after delivery.

Types of hydronephrosis during pregnancy:

It is generally divided into two types: physiological hydronephrosis and pathological hydronephrosis. Hydronephrosis during pregnancy is mostly physiological, and more than 70% may be combined with hydronephrosis in the late pregnancy.

The pain of physiological hydronephrosis is generally not obvious and can be relieved by lying on the affected side upwards. It often occurs on the right side. It is best to choose to lie on the left side when sleeping, which can effectively reduce the burden on the kidneys. The pain of pathological hydronephrosis is severe.

Treatment of hydronephrosis during pregnancy:

The choice should be made based on the cause of the disease, and also to determine whether the pain relief treatment can be maintained. If the pain recurs and is unbearable, ordinary drug treatment will be difficult to maintain. If the situation is too bad or the cause is complicated, percutaneous nephrostomy can be performed to drain the kidney first; for severe hydronephrosis or pyonephrosis, if the contralateral kidney function is good, nephrectomy can be performed; for those who cannot undergo surgical resection, double "T" tubes or stent tubes can be placed.

If hydronephrosis occurs during pregnancy and it is a physiological change, most of the time no special treatment is needed, but you should pay close attention to changes in your body. If it is pathological, you should immediately go to a regular hospital for systematic treatment to avoid miscarriage, premature birth, intrauterine fetal death, etc.

In the above article, we introduced a symptom that pregnant women may experience during pregnancy, that is, hydronephrosis. We know that hydronephrosis during pregnancy is divided into two types. The above article analyzes in detail the causes of hydronephrosis during pregnancy and the treatment methods of hydronephrosis during pregnancy.