Is it normal to have hydronephrosis during pregnancy?
During pregnancy, mild hydronephrosis is considered a normal phenomenon and may be present in up to 90% of pregnancies1-3. Dilation is usually more pronounced on the right kidney4, 5 in primigravidas6 and after mid-pregnancy6. This dilation disappears a few weeks after birth7.
What causes hydronephrosis in pregnant woman?
Hydronephrosis during pregnancy is normally considered a physiological phe- nomenon in the majority of pregnant women. It is probably caused by compression of the ureters at the linea terminalis.
What are the symptoms of severe hydronephrosis?
What are the symptoms of hydronephrosis?
- Sudden or intense pain in the back or side.
- Nausea.
- Vomiting.
- Frequent or painful urination.
- Blood in the urine.
- Weakness or malaise.
- Fever due to a urinary tract infection.
- No major change in urine output although it may be decreased.
Can hydronephrosis cause early labor?
The clinical significance of symptomatic hydronephrosis in pregnancy is its possible association with imminent complications. These include ureteric obstruction and pain, infection and deteriorating renal function. These may lead to maternal sepsis and threatened miscarriage or preterm labour.
Is fetal hydronephrosis high risk pregnancy?
Fetal hydronephrosis is one of the most common problems detected by prenatal ultrasounds. It affects approximately 1 out of every 100 newborns. Unborn babies with fetal hydronephrosis do not typically experience problems in the womb. In half of all cases, the condition resolves on its own by the third trimester.
Why is hydronephrosis more common on the right in pregnancy?
Hydronephrosis of pregnancy is more common in the right kidney because the sigmoid colon occupies space within the left pelvis and pushes the uterus toward the right ureter.
Is fetal hydronephrosis painful?
Symptoms of hydronephrosis may include: Abdominal pain with nausea and/or vomiting, especially after large fluid intakes. Flank pain (pain above the hipbone, slightly to the back) Hematuria (blood in urine)
Can kidney problems harm my unborn baby?
Kidney disease prior to pregnancy Conditions that affect the kidneys are associated with an increased risk of fetal complications such as preterm birth and pregnancy loss. Some women with moderate to severe kidney disease develop end-stage renal disease after pregnancy.
What is hydronephrosis during pregnancy?
Also referred to as gestational hydronephrosis, it associates with the common trouble of urinary tract infection in pregnant women. Therefore, it is estimated, around 90% of pregnant women suffer from some form of Hydronephrosis during pregnancy. The dilation is often more prominent on the right side of the body (85%) than the left side (15%).
What are the symptoms of hydronephrosis?
Hydronephrosis is a condition in which one or both kidneys become swollen due to the build-up of excess fluid. Symptoms may include sudden or intense pain in the back or side, nausea, vomiting, frequent or painful urination, blood in the urine, weakness or malaise, and fever due to a urinary tract infection.
What are the treatment options for fetal hydronephrosis?
Treatment of fetal hydronephrosis is usually postponed until after delivery. Only in the most severe cases (in which the loss of kidney function is expected if left untreated to delivery) is intrauterine surgery attempted during the pregnancy.
What is the prevalence of gestational hydronephrosis?
The gestational Hydronephrosis usually occurs in the second trimester. It affects almost 90% of pregnancies by the 26th and 28th weeks. The incidence of dilation is greater in nulliparous patients.