Abstract
There is a high incidence of urinary tract infections in pregnant women. Significant physiological changes in all organ systems, including the urinary system, occur during pregnancy.
These changes significantly modify the pathogenesis, course and treatment of urinary tract infections in gravidity. Presence of asymptomatic bacteriuria nad dilatation of the renal pelvis, calyces and ureter play an important role in the development of symptomatic uroinfection in pregnancy.
Untreated bacteuria increases the risk of acute pyelonephritis, premature delivery and perinatal mortality. Antimicrobial therapy of asymptomatic bacteuria and uroinfection in pregnancy is always targeted and controlled by urine culture.
Choice of antibiotics depends on the stage of gestation and a history of patientś allergy. Obstructive gestational pyelonephritis with obstruction of urine flow in the kidney and ureter requires urgent endoscopic insertion of ureteral stent to ensure free derivation of the kidney.
In pregnancy, the problem is a frequent formation of stent encrustations.