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Published on: June 6, 2020
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Neonatal outcomes after intervention for suspected renal colic in pregnancy
Alec Sun1, Madison Lyon2, Carrie Bennett3
1Case Western Reserve University School of Medicine, United States.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|October 25, 2024
Summary
Management of suspected renal colic in pregnant women with percutaneous nephrostomy (PCN) was associated with lower gestational age at delivery and higher neonatal intensive care unit (NICU) admission rates compared to ureteroscopy (URS) or stent placement.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Neonatal Medicine
Background:
- Renal colic during pregnancy presents a management challenge.
- Interventions include ureteroscopy (URS), stent placement, and percutaneous nephrostomy (PCN).
- Neonatal outcomes associated with these interventions require further clarification.
Purpose of the Study:
- To compare neonatal outcomes following URS, stent, or PCN in pregnant women with suspected renal colic.
- To identify potential risks associated with different procedural approaches.
Main Methods:
- Retrospective review of 95 pregnant women undergoing procedures for renal colic.
- Categorization by initial intervention: PCN, stent, or URS.
- Comparison of neonatal outcomes including gestational age, NICU admission, and respiratory distress syndrome.
Main Results:
- Gestational age at delivery was lower in the PCN group compared to stent and URS groups.
- Neonatal Intensive Care Unit (NICU) admission rates were higher in the PCN group.
- Respiratory distress syndrome rates differed significantly between groups, with no significant differences in birth weight or Apgar scores.
Conclusions:
- Percutaneous nephrostomy (PCN) in pregnant women with renal colic is associated with poorer neonatal outcomes.
- Lower gestational age and increased NICU admissions were observed with PCN.
- Further multi-institutional studies are needed to confirm these findings.
Keywords:
Neonatal outcomesNephrolithiasisPercutaneous nephrostomyPregnancyUreteral stentUreteroscopyMore Related Videos
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