Bacteruria in Pregnancy: Difference between revisions
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*# '''<span style="color:#ff0000">Bladder changes</span>'''; enlarging uterus displaces bladder, progesterone stimulates relaxation resulting in '''increased capacity'''; estrogen may cause '''bladder hypertrophy''' | *# '''<span style="color:#ff0000">Bladder changes</span>'''; enlarging uterus displaces bladder, progesterone stimulates relaxation resulting in '''increased capacity'''; estrogen may cause '''bladder hypertrophy''' | ||
*# '''<span style="color:#ff0000">Improved renal function; glomerular filtration increases by 30-50%,</span>''' and urinary protein excretion increases; '''values considered normal in non-pregnant females may represent renal insufficiency during pregnancy'''. Similarly, urinary protein in pregnancy is not considered abnormal until > 300 mg of protein in 24 hours is excreted | *# '''<span style="color:#ff0000">Improved renal function; glomerular filtration increases by 30-50%,</span>''' and urinary protein excretion increases; '''values considered normal in non-pregnant females may represent renal insufficiency during pregnancy'''. Similarly, urinary protein in pregnancy is not considered abnormal until > 300 mg of protein in 24 hours is excreted | ||
* '''Changes to the urinary tract in pregnancy that increase risk of UTI:''' | * '''<span style="color:#ff0000">Changes to the urinary tract in pregnancy that increase risk of UTI:''' | ||
*# '''<span style="color:#ff0000">Decreased bladder tone because of edema and hyperemia</span>''' | *# '''<span style="color:#ff0000">Decreased bladder tone because of edema and hyperemia</span>''' | ||
*# '''<span style="color:#ff0000">Increased urine volume in the upper collecting system as the physiologic dilation of pregnancy evolves,''' can increase the propensity to develop pyelonephritis</span> | *# '''<span style="color:#ff0000">Increased urine volume in the upper collecting system as the physiologic dilation of pregnancy evolves,''' can increase the propensity to develop pyelonephritis</span> | ||