In some mothers due to hormonal changes during pregnancy,
kidney enlargement (maternal hydronephrosis) is normal and is seen in most
pregnant women, this is called physiological hydronephrosis. Enlargement is
more common in the right kidney. Although this enlargement resolves in a short
time after birth, it may rarely take 1-2 months to recover. Blood flow to
kidney increased during pregnancy by 30-50%. Most of the kidney enlargements
during pregnancy do not complain and are not noticed.
Complaints such as flank pain, abdominal pain may occur in
case of excessive enlargement of the kidneys due to stenosis in the urinary
tract during pregnancy, due to infections or stones, or depending on the
pressure of pregnancy. This condition is called symptomatic hydronephrosis. In
the acute period of pain, complaints such as nausea, vomiting, and fever may be
accompanied. In the presence of hydronephrosis, it is also easier to settle the
kidneys.
The diagnosis of hydronephrosis can be made easily by
ultrasound. If there is no excessive enlargement in the treatment and it does
not cause any complaints, only follow-up is recommended, it is expected to
recover spontaneously after birth. In the presence of severe and
patient-causing enlargement, double J catheter (thin wire shaped tube, stent)
is applied to the ureter (urinary tract) by urologists.
Generally, the expansion of the mother's kidney does not
create a caesarean justification alone, normal delivery is also possible. The
decision whether normal delivery or cesarean is made according to the degree of
enlargement and complaints and other accompanying obstetric criteria.
-HYPOTENSION IN PREGNANCY
-HYPERTENSION IN PREGNANCY
-TROID DISEASES IN PREGNANCY - GUATR
-OVER CYSTS IN PREGNANCY
-WOUND ON LIPS AND PALATE IN PREGNANCY
