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Related Experiment Videos

Urinary calculi in pregnancy

D R Lattanzi, W A Cook

    Obstetrics and Gynecology
    |October 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Urinary calculi (kidney stones) affect about 1 in 1500 pregnancies, often in the second or third trimester. Conservative treatment is preferred, as over 50% of stones pass spontaneously with rare complications.

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    Area of Science:

    • Obstetrics and Gynecology
    • Urology
    • Nephrology

    Background:

    • Urinary calculi during pregnancy present diagnostic and management challenges.
    • Existing data on incidence and clinical presentation are limited.

    Purpose of the Study:

    • To determine the incidence, clinical characteristics, and management outcomes of urinary calculi in pregnancy.
    • To consolidate data from multiple studies to provide a comprehensive overview.

    Main Methods:

    • A retrospective review of 11 cases of urinary calculi in 11,292 deliveries over 5 years.
    • Meta-analysis of 8 previous studies, compiling data from 96 cases in 138,296 patients.

    Main Results:

    • The overall incidence of urinary calculi in pregnancy is approximately 1 in 1500 deliveries.

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  • Symptoms are most common in the second and third trimesters; multigravidas have twice the incidence of primigravidas.
  • Spontaneous passage occurs in over 50% of cases; surgical intervention carries rare maternal and fetal complications.

    • Conclusions:

    • Urinary calculi are relatively uncommon in pregnancy but require careful management.
    • Conservative therapy is the initial treatment of choice due to high spontaneous passage rates.
    • Surgical intervention, when necessary, is associated with low complication rates for both mother and fetus.