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Pregnancy and Nursing Management for Embryo-Transferred and Genetically Modified Rabbits
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Urolithiasis in pregnancy.

S O'Regan, I Laberge, Y Homsy

    European Urology
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Urolithiasis (kidney stones) in pregnancy is rare, affecting 1 in 2,534 high-risk pregnancies. Most affected were first-time mothers (primiparas), and conservative treatment led to favorable outcomes for all.

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    Area of Science:

    • Obstetrics and Gynecology
    • Nephrology
    • Urology

    Background:

    • Urolithiasis complicates a small percentage of pregnancies.
    • Previous studies have focused on multiparous patients.

    Purpose of the Study:

    • To determine the incidence of urolithiasis in high-risk pregnancies.
    • To characterize the demographic and clinical features of pregnant patients with kidney stones.
    • To evaluate the outcomes of conservative management for urolithiasis during pregnancy.

    Main Methods:

    • Retrospective analysis of pregnant patients with urolithiasis at a high-risk pregnancy referral center.
    • Review of patient demographics, stone characteristics, treatment modalities, and pregnancy outcomes.

    Main Results:

    • The incidence of urolithiasis in this high-risk cohort was 1:2,534 pregnancies.
    • The majority of affected patients were primiparas, differing from previous reports.
    • Conservative management (hydration, analgesics, antibiotics) resulted in a high rate of spontaneous stone passage for stones below the renal pelvis.
    • All pregnancies had favorable outcomes.

    Conclusions:

    • Urolithiasis in pregnancy, while rare, predominantly affects primiparas in contemporary high-risk populations.
    • Conservative management is effective for treating kidney stones in pregnancy, particularly for stones located distally.
    • Judicious use of medical therapy ensures favorable maternal and fetal outcomes in pregnancies complicated by urolithiasis.