YOSH OLIMLAR
ILMIY-AMALIY KONFERENSIYASI
in-academy.uz/index.php/yo
54
URINARY TRACT INFECTIONS IN PREGNANCY: TREATMENT AND
MANAGEMENT
Abdukayumova Mokhinabonu Dilshodovna
Akbarova Nozima Khusniddinovna
Clinical residents of the Department of Obstetrics and
Gynecology No. 1 of the Samarkand State Medical University
Tilyavova S.A.
Scientific supervisor: PhD, ass.
https://doi.org/10.5281/zenodo.14620586
Annotation.
According to the literature, the incidence of gestational pyelonephritis (GP)
is 5-10%, while the development of the disease increases the risk of intrauterine infection and
miscarriage (Styazhkina S.N. et al., 2015). The study of the interaction between gestational
pyelonephritis and pregnancy is relevant due to the high percentage of obstetric
complications, negative perinatal outcomes and severe diseases in newborns, which
emphasizes the medical and socio-economic significance of the problem. In chronic
pyelonephritis, pregnancy is complicated by iron deficiency anemia (35-70%), premature
termination of pregnancy at various stages (15-20%), chronic placental insufficiency (30-
35%), preeclampsia (35-70%). 30-40% causes complications such as chronic uterine hypoxia
(30-40%), fetal infection (20-30%) and growth retardation (12-15%). In chronic
pyelonephritis, the ability of pregnant women to adapt to newborns is significantly impaired
and the risk of early neonatal death increases.
Keywords:
gestational pyelonephritis, pregnancy, treatment, childbirth.
The aim of the research
: is to study the effect of GP on the course and outcome of
pregnancy.
Material and methods.
We observed 72 pregnant women who received treatment for
GP in the pregnancy pathology department of the Samarkand State medical university clinic in
the period 2023-2024.
The distribution of patients was as follows: 12-22 weeks - 25 (34.8%), 2331 not - 12
(22.4 s), 3238 - units-3 (47.3 diagnosed 30. Among the clinical symptoms in combination of
pregnancy and GP, the following prevailed: pain syndrome in the lumbar region on the right
(55,6%; n = 40), febrile div temperature (17.4%; n = 12), subfebrile temperature (27,8%; n
= 20), dysuria (16,7%; n = 12). According to the results of laboratory tests, leukocyturia was
detected in 42 pregnant women (58,4%), erythrocyturia - in 21 (29,1%), proteinuria - in 39
(54,1%), bacteriuria - in 14 (19.4%). Leukocytosis was noted in 13 (18%), and an increase in
ESR in 23 (32%). In all cases, treatment was carried out aimed at relieving the symptoms of
GP, with antispasmodic drugs used in 100%, and antibacterial drugs - only in 14 patients
(19,4%). | Further observation of pregnant women revealed the following complications of
gestation: threatened miscarriage (TM) was diagnosed in 52 (72,4%), anemia - in 30 (41,6%),
fetoplacental insufficiency (FPI) - in 7 (9%), chronic fetal hypoxia - in 6 (8%), preeclampsia
(PE) - in 4 (5%). In addition, recurrence of GP was observed in 26% of cases. Premature birth
(PL) at 23-32 weeks was recorded in 7 women (9,7%).
Conclusion
. Thus, according to our data, GP often develops at gestation periods of 32-38
weeks, is accompanied by an erased clinical picture, and negatively affects the further course
of pregnancy, increasing the risk of FPI, PE and TM.
YOSH OLIMLAR
ILMIY-AMALIY KONFERENSIYASI
in-academy.uz/index.php/yo
55
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