urinary tract disorders in pregnancy

?To understand and demonstrate appropriate knowledge, skills and attitudes in relation to pregnant women with kidney disease.
?Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of women with kidney disease.
?Appreciate the importance of preconceptual counselling and its impact on improving pregnancy outcomes
?Understand the impact of renal disease on pregnancy.
?.1. Kidney enlarges during pregnancy.
2.increase circulating hormones (progesterone) & mechanical (pressure of pregnant uterus on bladder ) will lead to dilatation of ureters & pelvi – calcyeal system (97% had hydronephrosis ).This occur from the first trimester , more on right side - stasis – increase UTI (asym.&symptomatic bacteruria ) .
3. Vesico- ureteric reflux occurs in 3% will lead to increase incidence of pyelonephritis in pregnancy.?50% increase in R.P.F & G.F.R from the first trimester.
?Increase G.F.R will lead to glycosuria 10 times more than non pregnant .2/3 had glycosuria.
?Increase GFR will lead to decrease blood urea & uric acid due to increase renal clearance.
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