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Cystitis in pregnant women treatment. The essence of the danger of cystitis for a pregnant woman and a fetus. Treatment of acute cystitis during pregnancy

Pregnancy in a woman's life is often a long-awaited and exciting period of waiting for a baby. Usually it is associated with pleasant emotions, but sometimes they are disturbed by unpleasant sensations, one of which is cystitis.

Why does cystitis develop during early pregnancy?

Statistics show that every 10th woman faces cystitis during pregnancy. Cystitis during early pregnancy occurs most often. It's all about the increased susceptibility of a pregnant woman's body to various adverse factors, including infections. This happens for physiological reasons that occur in a woman's body during pregnancy:

  1. In order to prevent immunological rejection of the embryo or the so-called immunosuppression, immunity is suppressed in pregnant women.
  2. The constantly increasing size of the uterus puts pressure on the bladder and the pelvic organs, and, accordingly, on the vessels that supply them with blood. The blood supply is disrupted, and any infection that enters the body does not meet with much resistance.
  3. Progesterone, also called the "pregnancy hormone", is able to tone down the bladder.

These factors make it difficult for fluid to drain from the bladder and cause it to not empty completely. Residual urine is an excellent breeding ground for bacteria. Their number is constantly increasing, and the inner walls of the bladder become inflamed. Cystitis develops during pregnancy.

Symptoms

Usually, someone who has encountered this disease at least once will not confuse it with anything else. How to recognize cystitis during pregnancy? The symptoms of this infectious disease appear almost immediately:

  • patients feel a pulling pain in the lower abdomen;
  • pain and burning are felt when urinating;
  • there may be frequent false urge to urinate;
  • frequent urination and small portions;
  • Urine may be cloudy due to a large number of white blood cells or bacteria, and sometimes there is a red tint if red blood cells appear in it (blood in the urine);
  • subfebrile temperature sometimes rises.

An experienced doctor can easily identify cystitis during pregnancy based on symptoms and test results. The symptoms of this disease are difficult to confuse with anything else.

Diagnostics

After taking a history and identifying symptoms that bother the woman, the doctor will prescribe a series of studies to clarify the diagnosis. This is the standard examination for suspected cystitis in early pregnancy:

  • general urine analysis;
  • urine analysis according to Nechiporenko;
  • bacteriological in order to identify opportunistic microorganisms;
  • general blood analysis;
  • if necessary, an ultrasound of the genitourinary organs is prescribed in order to detect concomitant diseases;
  • cystoscopy and cystography can reveal the nature of the disease, as well as the degree of the inflammatory process and the presence of tumors in the bladder;
  • DNA diagnostics of major infections can be assigned.

Cystitis during pregnancy sometimes occurs without any symptoms. It is for this reason that pregnant women need to pass urine for analysis every time they visit their supervising doctor.

Treatment

Self-medication during pregnancy is categorically contraindicated. Even seemingly harmless alternative methods of treatment during pregnancy can lead to irreparable consequences. Some herbs cannot be used for treatment during pregnancy, and heat treatments (warming up) can cause early miscarriage or premature birth later.

Traditional medicines for the treatment of cystitis should not be taken by pregnant women without supervision. To treat cystitis during early pregnancy (in the first trimester) with drugs should be especially careful. Medicines can only be taken after consulting a doctor.

The main treatment, even during pregnancy, remains only the most gentle antibacterial and uroseptic drugs. Modern ones capable of treating cystitis during early pregnancy are, for example, the drugs "Amoxiclav" and "Monural".

In some cases, drugs are applied topically, i.e. they are inserted through a catheter directly into the bladder. This method is called instillation, but in case of an acute inflammatory process, it cannot be carried out. Instillations are carried out only in medical institutions.

After drug treatment has been carried out and all acute processes of cystitis have been removed, a rehabilitation course can be carried out with safe herbal remedies of traditional medicine.

Folk remedies for cystitis

  • a good and safe folk remedy for the treatment of cystitis is cranberry juice;
  • you can use an infusion of black currant leaves;
  • infusion of birch leaves;
  • infusion of medicinal collection from red rowan berries and with the addition of honey;
  • with honey.

A good cure for cystitis in women during pregnancy is drugs that contain herbal ingredients. In fact, these are the same herbal preparations, but in tablet form, for example, this drug "Kanefron". This drug has antimicrobial, diuretic and antispasmodic effect and does not have a harmful effect on the fetus, therefore it is safe during pregnancy.

Prevention of cystitis

If a woman has already had cystitis, and she is prone to relapses of this disease, then even before planning pregnancy, it is advisable for her to undergo a full medical examination and find out the cause of these relapses. Certain gynecological diseases, such as chlamydia, mycoplasmosis and ureaplasmosis, can provoke the development of the disease. They must be treated before pregnancy.

Drinking a lot of liquid, especially fruit drinks and cranberry juice, can serve. Cranberries can increase the acidity of urine, and the acidic environment has a detrimental effect on bacteria and prevents the development of infection.

Tight clothing can also trigger the development of this disease. During pregnancy, it is best to wear comfortable underwear that will not interfere with normal blood circulation in the pelvic area.

Constipation can provoke cystitis. Fighting will help avoid the onset of the disease. Drink plenty of fluids and eat fiber-rich plant foods.

How does cystitis affect the body of the expectant mother?

If cystitis is treated in time, then its consequences are reduced to nothing. But if the process takes a severe form, then the inflammation can rise higher, and then the infection affects the kidneys. Pyelonephritis is a very dangerous complication. This is an inflammatory kidney disease, which is purulent in nature, characterized by an increase in temperature to high numbers and severe pain in the kidney area. This condition requires immediate hospitalization.

Kidney damage can cause hypertension, and this, in turn, is a dangerous possible development of preeclampsia and eclampsia - a very dangerous condition during pregnancy.

How does cystitis affect

The effects of cystitis on pregnancy can be very detrimental. A strong inflammatory process can lead to a deficiency in the body weight of the newborn, because the mother's body was emaciated and the baby was not getting enough nutrition. In severe cases, a neglected inflammatory process can lead to fetal death or developmental abnormalities. Some experts argue that a bacterial infection provokes the development of cerebral palsy in a child.

Untreated cystitis in the early stages can lead to miscarriage, and in the latter - to premature birth. Even if the birth takes place on time, passing through the birth canal, the child is able to swallow pathogens, which will lead to general intoxication of the baby.

At the first, it is imperative to consult a doctor. Only a specialist can select the medicines that are allowed during pregnancy. Self-medication can also have a detrimental effect on the health of the unborn baby.

Pregnancy is associated with many women not only good memories, but also troubles. Basically, this concerns all sorts of different sores, which now and then cling to at the most inopportune moment. Take cystitis, for example. Statistics say that every tenth woman learns about cystitis "on herself" during pregnancy. It's one thing if the expectant mother suffered with this disease long before pregnancy, because, most likely, she had already learned how to treat it, and before getting pregnant, she underwent another course of treatment (for chronic cystitis), and if the disease appeared during the period of “interesting provisions ", then the" hardened "mother does not panic, but immediately turns to an experienced specialist and together with him takes appropriate measures.

But what about a woman who only now, when a new life is being born in her stomach, suddenly learned what pain during urination, frequent urge to go "in a small way", cramps and pains in the lower abdomen? Naturally, the first thing to do is panic: what will happen to the child? Why did it all happen? Is this really the same terrible cystitis? And how to cure him so as not to harm the child?

The last question is perhaps the most serious, because any treatment during pregnancy is fraught with considerable dangers. This also applies to cystitis, since this disease is treated with antibiotics, and every woman knows about their use during pregnancy. Cystitis is an inflammation of the walls of the bladder caused either by pathogenic microorganisms (E. coli, streptococci, staphylococci, chlamydia, ureaplasma, Trichomonas, mycoplasma), or provoked by other conditions (weakened immunity, overwork and hypothermia, dysbiosis of vaginosis drugs). That is why the treatment of cystitis is aimed at eliminating the cause that provoked it and, naturally, at eliminating the unpleasant symptoms of this disease.

Most often, women catch cystitis in the early stages of pregnancy. This is because during this period the immunity is suppressed so that a foreign body, that is, an embryo, is not rejected. Therefore, even the slightest hypothermia, non-observance of hygiene rules, rare emptying of the bladder and even a change in climacteric conditions can cause the occurrence. As soon as you have the first symptoms, you should not seek advice from "experienced", as well as grandmothers, neighbors and other "experts", what kind of weed to drink so that everything stops, since you need the help of a professional, and even a few with a gynecologist and urologist at the head.

Immediately, we note: there may be too many folk remedies for cystitis in your grandmother's arsenal. Do not take risks, because you are responsible not only for yourself, but mainly for the little treasure that begins its life within you. After all, no one knows how your "pregnant brain" will react to winter lover, cinquefoil, bollush or cinquefoil. If you still want to try (after all, it helped everyone around!), Then first consult your doctor.

As for the "traditional" treatment of cystitis during pregnancy, then serious problems can arise here. Those antibiotics that treat cystitis can cripple your child. And this, alas, is true. The harmful effects of many antibiotics on the developing fetus have been proven by numerous studies. But it is also impossible not to treat cystitis in order to avoid serious complications that will also harm the unborn child. (For example, pyelonephritis, which can develop against the background of untreated cystitis, is much more dangerous for a pregnant woman and even more difficult to treat).

Modern medicine takes care of the health of a pregnant woman and all the time "improves" antibacterial drugs, making them more harmless to the unborn child, but at the same time no less effective for treating a particular sore. During pregnancy, it is important to take a medicine that will act exactly in the bladder - the focus of infection with cystitis. Of all the possible antibiotics for cystitis, pregnant women are allowed to take Monural, and in some cases, doctors still prescribe Amoxiclav and Kanefron. For the treatment of cystitis, a single dose of Monural is sufficient, and this is a big plus, especially if a woman is in an "interesting position." Monural has few side effects and does not affect the fetus. However, do not self-medicate and take any medication strictly as directed by your doctor. As for Amoxiclav, its use for the treatment of cystitis during pregnancy is not always justified and not always safe. Canephron is prescribed for cystitis to relieve spasm. Also, this herbal preparation has antimicrobial and diuretic effects.

Quite often, installations are prescribed for the treatment of cystitis in a pregnant woman. The procedure is carried out in a hospital, and it consists in the fact that antibacterial compounds (rivanol, boric acid, silver nitrate, medicinal oils) are injected directly into the focus of infection - the bladder - through a catheter. However, this procedure is dangerous in the early stages of pregnancy, and it is necessary to resort to it only as directed by a doctor and under his strict supervision.

The fact that we have named these drugs and procedures does not mean at all that we recommend them to treat cystitis. Moreover, we strongly recommend not to treat cystitis on your own! What is written in the recipe of your pregnant girlfriend should not become your appointment, since cystitis is a cystitis, as is the pregnancy of pregnancy.

If cystitis is suspected in the early stages, then it is quite possible to get rid of it by observing bed rest, a diet (without spicy, fried, pickled and spicy) and a plentiful drink regimen. And most importantly: take care of yourself from hypothermia and overvoltage! I wish you health and easy pregnancy!

Specially for Tanya Kivezhdiy

This is an acute or chronic inflammation of the inner lining of the bladder that occurs or worsened during gestation. It manifests itself by frequent painful urination, heaviness or pain above the pubis, clouding of urine, in severe cases - low-grade fever, weakness, and other signs of general intoxication. It is diagnosed on the basis of the data of the general analysis and bacterial examination of urine, ultrasound, cystoscopy. For treatment, penicillin, cephalosporin, nitrofuran antibiotics, drugs from the group of phosphonic acid derivatives, uroantiseptics are used.

General information

Treatment of cystitis in pregnant women

Inflammation of the mucous layer of the bladder is the basis for antibiotic therapy with drugs to which the causative agent of the disease is sensitive. The duration of the course of active drug treatment of cystitis, according to the recommendations of urologists, is 3-7 days. In the presence of asymptomatic bacteriuria, antibacterial agents are taken within 3-5 days. A pregnant woman is prescribed antibiotics with a uroseptic effect without toxic effects on the fetus:

  • Semi-synthetic penicillins... Drugs with a broad spectrum of action, resistant to an acidic environment, have a bactericidal effect on most gram-positive and gram-negative microorganisms, including E. coli, the most common causative agent of cystitis. Combinations of penicillins with clavulanic acid, which inhibit β-lactamase, are even more effective.
  • Cephalosporins... The bactericidal effect of semi-synthetic cephalosporin antibiotics is due to a violation of the synthesis of the bacterial wall of most infectious agents that cause cystitis. The 2nd generation drugs are resistant to the action of β-lactamases, which cause resistance of the microbial flora, which increases the therapeutic efficacy of drugs.
  • Nitrofurans... Due to inhibition of the synthesis of RNA, DNA, proteins, disruption of the formation of cell membranes, inhibition of aerobic metabolism, antibiotics of this group have a bacteriostatic and bactericidal effect on a wide range of microbial agents that cause urinary tract infections. Resistance of microorganisms to nitrofurans is rarely formed.
  • Phosphonic acid derivatives... By inhibiting the initial stage of the formation of peptidoglycans of the bacterial cell membrane, they inhibit the reproduction of cystitis pathogens. Disrupt the adhesion of infectious effects to the epithelium of the bladder. They have a wide spectrum of action, do not have mutagenic or genotoxic effects.

An alternative to general antibacterial therapy with semisynthetic and synthetic antibiotics is the instillation of solutions with antimicrobial action directly into the bladder. Local treatment is combined with the intake of decoctions of diuretic herbs and uroantiseptics, which provide a complex anti-inflammatory, antioxidant, antispasmodic, analgesic, antibacterial, diuretic effect. Pregnant women who have undergone cystitis are recommended natural childbirth. Caesarean section is performed only for obstetric indications.

Forecast and prevention

With timely diagnosis and an adequate treatment regimen, the prognosis for the pregnant woman and the fetus is favorable. When planning pregnancy, patients suffering from chronic cystitis are shown early sanitation of the urogenital tract, treatment of bacterial vaginosis and genital infections. To prevent the development or exacerbation of the inflammatory process during gestation, it is recommended to register early in the antenatal clinic with regular urine tests, exclude hypothermia, consume a sufficient amount of fluid (in the absence of contraindications), regularly empty the bladder, refuse alcohol, acute, sour, salty , spicy, fried, pickled. When carrying out postpartum catheterization, it is important to strictly adhere to the requirements of asepsis.

Cystitis is a disease that mainly affects women: in the reproductive age, the incidence is 25-35%. In pregnant women, episodes of cystitis are much more common.

A doctor must conduct an examination, diagnose and recommend treatment for cystitis of pregnant women: a gynecologist, therapist or urologist. Most likely, the doctor will prescribe a urine culture for the sensitivity of microflora to antibiotics before and after treatment. Cystitis is a condition that, during pregnancy, necessarily requires competent, professional treatment.

Therapy is prescribed empirically, that is, based on standards developed as a result of clinical research. If the primary course is ineffective, treatment is adjusted in accordance with individual sensitivity. This article will help you navigate modern appointments.

How to behave?

Bed mode is recommended. Severe pain syndrome can provoke contraction of the smooth muscles of the uterus, which is undesirable during pregnancy. In addition, good rest will have a positive effect on the state of immunity, and the state of the body's reactivity is of great importance to combat its own flora (usually E. coli). Hot baths are contraindicated. It is possible to apply heat to the stomach only after the permission of the doctor: during pregnancy, it is recommended to refrain from any physiotherapy procedures.

What to drink and eat?

Dieting and drinking guidelines will also help you heal the infection faster. Many substances are excreted in the urine in dissolved form. In order not to irritate the inflamed mucous membrane of the bladder, you need to refrain from foods containing spices, peppers, vinegar, spices, carbonated drinks, coffee, alcohol. A dairy-vegetable diet is recommended.

To quickly flush microorganisms out of the bladder, it is recommended to drink more, and a slight acidification of urine contributes to their early elimination. Cranberry and lingonberry fruit drinks will create the desired urine reaction. Herbal preparations also have a diuretic and anti-inflammatory effect, but during pregnancy they should be treated with caution and used only after being prescribed by a doctor.

How to deal with the cause of the disease?

The main stage of treatment is.

When dealing with cystitis in a medical institution, it is imperative to warn the doctor about pregnancy, since many drugs cannot be used during this period.

It is worth remembering that fluoroquinolones, doxycycline, nitrofurans, sulfa drugs are contraindicated for pregnant women.

Cystitis during pregnancy is equated to complicated forms, therefore, antibiotic treatment is carried out for a longer period: single doses and 3-day courses during pregnancy are not prescribed.

According to the latest standards of therapy, for acute cystitis in pregnant women, the most effective antibiotics are Amixicillin clavulanate, Cefixime or Fosfomycin.

Amoxicillin clavulanate (Augmentin, Amoxiclav, Flemoklav Solutab and others) is characterized by good treatment results with a 5-7-day regimen of use, but it can cause intestinal irritation and diarrheal manifestations. The drug is usually used at a dosage of 500/125 mg 3 times or 875/125 mg 2 times a day. You can reduce side effects by taking the tablets at the beginning of a meal.

Cefixim (Ceforal Solutab or Suprax Solutab) belongs to the 3rd generation cephalosporins and is used at a dosage of 400 mg / day once a day or 200 mg 2 times a day. The duration of therapy should be at least 5 days.

Monural (Fosfomycin trometamol), produced by the Italian company "Zambon", belongs to a series of drugs that, according to the instructions, are approved for use during pregnancy with caution. It accumulates in high concentrations in the urinary tract, it is applied in a dose of 3 g once, after 24 hours it is recommended to repeat it.

How to deal with pain?

The relief of the pain syndrome must be carried out without fail: the baby will be much more hurt by the pain that the expectant mother is experiencing than antispasmodic drugs, for example, No-shpa. Also used for cystitis (Ibuprofen, Diclofenac and others), however, according to the instructions, pregnancy is a contraindication to their use. The doctor may prescribe such drugs in some situations.

How to avoid relapses?

To prevent the onset of exacerbations of cystitis, you can use drugs such as Uro-Vaxom and Kanefron N.

Uro-Vaxom is an immunostimulating extract of 18 strains of Escherichia coli that can cause cystitis. The drug increases humoral and cellular immunity, it is used from the first day of taking antibiotics, one capsule per day, usually for 3 months, after which a break is taken.

Kanephron N is a herbal preparation with a diuretic, antispasmodic and anti-inflammatory effect. It enhances the effect of antibiotics and is used to prevent recurrence of cystitis. The recommended dosage is usually 2 tablets three times a day.

The issue of treating cystitis during pregnancy requires a mandatory visit to a doctor. It is not necessary to reduce the recommended doses of antibiotics or the duration of treatment, so as not to "harm the child", this only leads to the growth of new aggressive strains of bacteria. A doctor will also help you choose the right means of preventing infection.

Which doctor to contact

If a pregnant woman has symptoms of cystitis, it is best to consult a urologist, since during this period of life, inflammation of the bladder requires special attention in treatment. However, an antenatal clinic therapist can also help a woman. During treatment, it is advisable to visit your obstetrician-gynecologist and inform him about your disease.

Cystitis during pregnancy is very common. In fact, this is an inflammatory process that covers the mucous membrane of the bladder, resulting in a violation of its functions.

Statistics say that 10% of the total number of pregnant women face this problem at different stages of childbearing. Most often, such a "risk" group includes women who have previously had this disease or have so-called. a chronic form of cystitis, which contributes to an exacerbation of the disease against the background of a decrease in immunity, a violation of the microflora of the vagina (bacterial vaginosis), as well as changes in the hormonal background of the female body when carrying a child. Infectious cystitis develops as a result of active reproduction of opportunistic flora and various pathogens (Escherichia coli, mycoplasmas, staphylococci, vaginal Trichomonas, chlamydia, streptococci, etc.). Cystitis during pregnancy occurs due to the structural features of the urinary system of the female body, in particular, the close location of the urinary tract to the uterus. Naturally, the symptoms of cystitis (cramps in the lower abdomen, severe pain during urination, frequent urge to use the toilet, etc.) cause anxiety, panic and fears about the baby's health in pregnant women. In this case, only a medical specialist will help, who will diagnose and prescribe an effective course of treatment.

ICD-10 code

N30 Cystitis

Cystitis as the first sign of pregnancy

Cystitis during pregnancy should not be confused with frequent urination, which often indicates pregnancy. Cystitis is an inflammatory condition of the bladder, not a sign that a woman is pregnant. However, many regard the increased urge to use the toilet in the first weeks of pregnancy (from 7-8 weeks) as cystitis. The fact is that after conception, blood flow increases in a woman's genitals, and the uterus becomes more excitable in response to embryo implantation. Since it is connected with the bladder by its innervation, even a small amount of urine in it causes a woman to urinate. Thus, there is a mechanical compression of the bladder by the enlarging uterus. At the same time, a pregnant woman does not experience any discomfort or excruciating pains that accompany real cystitis. By the end of the 1st trimester, the woman's hormonal background returns to normal, and the uterus takes a position above the womb, ceasing to press on the bladder. As a result, the frequent urge to go to the toilet stops.

Cystitis as the first sign of pregnancy should not be taken seriously, however, frequent urination in combination with other signs should alert a woman. For example, if the urge to go to the toilet is accompanied by pain, fever and a worsening of the general condition, there is reason to assume that a pregnant woman has cystitis against the background of a weakened immune system and infection. In any case, a visit to the doctor will dispel all doubts and help establish a true diagnosis.

Symptoms of cystitis during pregnancy

Cystitis during pregnancy is accompanied by such basic symptoms as:

  • frequent urge to urinate (including false ones), accompanied by the release of a small amount of urine and a feeling of insufficient emptying of the bladder;
  • a strong burning sensation when urinating;
  • discharge of cloudy urine with a pungent odor;
  • the presence of impurities of blood and pus in the urine;
  • a feeling of tightness in the lower abdomen, pain and discomfort in the pelvic region;
  • increased body temperature.

Symptoms of cystitis during pregnancy are provoked by a number of factors that cause the development of the disease: a decrease in immunity against the background of the onset of pregnancy, hormonal "restructuring" in a woman's body, hypothermia, infection in a pregnant woman's body. It is necessary to take into account the fact that pregnancy often causes the growth of yeast fungi in the vagina, and vaginal dysbiosis is one of the factors contributing to the development of cystitis. The course of this disease during pregnancy can be latent, without any pronounced symptoms. In severe cases, in addition to the main symptoms of cystitis, a pregnant woman may be disturbed by nausea, and even vomiting. That is why, if the slightest suspicion of the development of cystitis appears, it is necessary to urgently consult a doctor for a thorough examination and an accurate diagnosis. A general analysis of urine and blood will help identify the disease in the initial stages and cope with this problem as soon as possible in order to avoid the development of a dangerous complication in the form of pyelonephritis (inflammation of the kidneys). An experienced specialist will prescribe the optimal treatment, taking into account all the risks related to the health of the mother and the unborn child.

Cystitis early in pregnancy

Cystitis during pregnancy is considered one of the most common diseases, which can have very dangerous complications if not treated on time or started. As a result of this disease, the mucous membrane of the bladder becomes inflamed. Most often, the occurrence of cystitis is associated with the onset of pregnancy, when various pathogens and infections attack the organs of the female genitourinary system. According to doctors, this is due to the structural features of the woman's body, as well as pronounced changes at the physiological and hormonal levels, which, against the background of the development of pregnancy, are observed in every woman.

Cystitis at the beginning of pregnancy by its origin can manifest itself in an infectious or non-infectious form. Among the main reasons for the development of non-infectious cystitis can be called a weakening of the immunity of a pregnant woman, severe fatigue, hypothermia, intestinal dysbiosis, colpitis (vaginal dysbiosis), as well as irritation or damage to the bladder mucosa due to medical manipulations. It should be borne in mind that if the future mother already has a chronic form of cystitis in the anamnesis, then this guarantees recurrent manifestations of the disease. Changes in the hormonal system against the background of ongoing pregnancy, as well as suppression of immunity, become prerequisites for the intensive multiplication of pathogenic microflora and various infections that can cause inflammation of an organ such as the bladder. The infectious form of cystitis is usually caused by the so-called. "Opportunistic microflora" and harmful pathogens (Escherichia coli, vaginal Trichomonas, staphylococci or streptococci, chlamydia, ureaplasma, mycoplasma, etc.).

Cystitis at the beginning of pregnancy can manifest itself in both acute and chronic forms. In chronic cystitis, the symptoms of the disease are usually mild, while the acute form of the disease is accompanied by a number of symptoms, the main of which is a strong pulling pain of a debilitating nature when urinating. In this case, urine may acquire a cloudy hue and contain blood impurities, which indicates an inflammatory process. For an accurate diagnosis of cystitis, a pregnant woman must immediately contact a medical institution in order to undergo a medical examination: make a urine test (general, Nechiporenko analysis, bacteriological); undergo DNA diagnostics of infections and ultrasound examination of the organs of the genitourinary system; be examined for possible dysbiosis of the vaginal microflora. If the diagnosis of cystitis is confirmed, the doctor is obliged to prescribe effective treatment for the pregnant woman, taking into account her condition and possible risks to the fetus. Despite the fact that many medications are strictly prohibited during pregnancy, modern advances in medicine make it possible to quickly cope with the disease without risks for the baby. For this purpose, special preparations are used, as well as antibiotics of "herbal" origin, which have a sparing effect on the health of the expectant mother and her baby. One of the most effective methods of treating cystitis at the initial stage of pregnancy is the so-called. "Instillation of the bladder" - the introduction of drugs directly into the diseased organ. A pregnant woman may need several such manipulations in order to achieve a complete elimination of the painful symptoms of cystitis, relieve inflammation and prevent possible relapse.

For a successful recovery, a pregnant woman should consult a medical specialist in a timely manner to avoid the development of serious complications, in particular, such as pyelonephritis (inflammation of the kidneys), low birth weight, and premature birth. Self-medication and taking traditional medicine without first consulting a doctor can lead to sad consequences, so it is better to ignore the "smart" advice of "smart" girlfriends, grandmothers and mothers and trust only a medical specialist.

Cystitis in early pregnancy

Cystitis during pregnancy can be caused by a number of reasons, among which are immunosuppression (suppression of immunity) and changes in the hormonal background of the body of a pregnant woman. Often there is an infectious form of cystitis in pregnant women, which is associated with an inflammatory process, which is usually caused by the active multiplication of various microorganisms, a bacterial infection, or Escherichia coli (Escherichia coli). This is due to the special structure of the urogenital system of women (their urethra is much shorter than that of men, and it is located close to the anus).

Cystitis in early pregnancy can be of non-infectious origin and can be caused, for example, by allergens in the form of hygiene sprays, bath foam, spermicidal creams, as well as foods (nuts, legumes, cabbage, etc.). The disease (especially its chronic form) provokes hypothermia of the body, as well as frequent overwork against the background of a suppressed immune system of a pregnant woman. It is chronic cystitis that manifests its relapse at the beginning of pregnancy, when the body of the expectant mother becomes defenseless against many infections due to weakened immunity. Regardless of the period of bearing a baby, a woman is strictly forbidden to self-medicate due to dangerous complications of the disease. It is especially important to take into account the fact that many medications (for example, antibiotics of a number of tetracycline and sulfonamides) are categorically contraindicated for pregnant women. Therefore, the treatment of cystitis should be prescribed only by a doctor, taking into account the condition of the expectant mother and the development of the fetus. With a timely visit to a medical specialist, a pregnant woman will be able to avoid many dangerous problems, in particular, kidney infection.

In the early stages of pregnancy, doctors are especially careful in making decisions about the patient's treatment, since the effect of certain medications can become a serious threat to the fetus. This also applies to cystitis, which requires a special approach to treatment, taking into account all possible risks, both for the expectant mother and her baby. The danger of this disease lies in its negative impact on the fetus: the child can be born prematurely, or with a lack of body weight.

Cystitis in late pregnancy

Cystitis during pregnancy can manifest itself both at the beginning of the gestation period and at the end. Regardless of this, an experienced doctor should be involved in the treatment of this disease, who will prescribe the most gentle drugs to the patient.

Cystitis in late pregnancy can be caused by an infection or physiological changes in a woman's body. The fact is that at the end of pregnancy, the significantly enlarged uterus compresses the pelvic organs, including the bladder. Thus, the outflow of urine is hampered, which, in turn, leads to its stagnation in the bladder. This causes an increased multiplication of various pathogenic flora.

Examination of a pregnant woman, as well as passing the necessary medical tests and tests, will help the doctor establish a final diagnosis in order to prescribe the optimal treatment for cystitis. It should be noted that in the second half of pregnancy, the use of many drugs (including antibiotics of a number of penicillins and cephalosporins) is less likely to endanger the fetus, because it is reliably protected by the placenta. In addition, modern medicine allows you to cope with the disease in other ways. For example, instillation is an alternative treatment for cystitis. This method involves injecting drugs through the urethra directly into the bladder.

It is not recommended to prescribe antibiotics of a number of tetracyclines, aminoglycosides, sulfonamides or sulfonamides to pregnant women. If the doctor ascribes such antibacterial drugs to the expectant mother, it is necessary to refuse treatment and contact another specialist, since these drugs are strictly prohibited during pregnancy. They can lead to fetal jaundice as well as irreversible damage to the cranial nerves.

Taking into account the symptoms of the disease, the urologist must diagnose the pregnant woman in order to identify the pathways of infection, the pathogen, the stage of cystitis (chronic or acute). Thus, therapy should be selected with extreme care, using drugs that are absolutely safe for the expectant mother and the developing fetus. Cystitis in late pregnancy, which is accompanied by severe pain, burning sensation during urination and the presence of blood in the urine, is usually treated with an antibacterial agent that is excreted mostly in the urine and has a minimum of side effects for a pregnant woman and her baby.

Acute cystitis during pregnancy

Cystitis during pregnancy can manifest itself in both chronic and acute forms. The acute form of cystitis has a sudden character and most often occurs after hypothermia, or as a result of exposure to some other factor, in particular, infection of the bladder.

Acute cystitis during pregnancy is always accompanied by an acute inflammatory process and manifests itself in the form of the following symptoms:

  • increased urge to urinate, followed by the release of a small portion of urine;
  • severe painful sensations and burning sensation when urinating, sometimes of a permanent nature;
  • false urge to empty the bladder;
  • soreness in the lower abdomen;
  • severe intoxication;
  • turbidity of urine, in which impurities of blood and pus can be observed;
  • a sharp rise in temperature.

It should be noted that the last two symptoms signal a severe stage of cystitis. The acute course of the disease is characterized by a gradually increasing intensity of pain experienced during urination. In this case, pain can be permanent, but in most cases it is directly related to the act of urination. Expressed urge to use the toilet sometimes leads to urinary incontinence.

Acute cystitis during pregnancy is dangerous for the health of the expectant mother and poses a threat to the fetus, because the inflammatory process can cover not only the bladder of a pregnant woman, but also the kidneys, causing the development of a dangerous complication - pyelonephritis. With a milder course of the disease, a pregnant woman may feel only pulling pains in the lower abdomen and moderately pronounced pollakiuria (frequent urination). In this case, burning and pain usually occurs at the very end of the urination process. It happens that these symptoms disappear after a couple of days on their own, without special treatment. But most often, acute cystitis lasts 6-8, and sometimes 10-15 days, depending on the severity, as well as the presence of a concomitant disease in the female body, due to which the inflammatory process intensifies. In this case, an additional medical examination is required.

As for the treatment of acute cystitis, it is almost always accompanied by the appointment of medications to pregnant women that have antispasmodic, anti-inflammatory and antibacterial effects, taking into account all the risks to the fetus. Treatment can last about 3-5 days, usually no more than a week. Effective treatment methods can significantly reduce the symptoms of acute manifestations of the disease. If, after treatment measures, a relapse is observed, the pregnant woman needs to visit a specialist again and undergo a second examination.

Chronic cystitis and pregnancy

Cystitis during pregnancy usually manifests itself in an acute form, however, there are often cases when the symptoms of the disease are mild, and there is a "blurred" picture of the development of the disease. In this case, we can talk about the manifestation of cystitis in a chronic form.

Chronic cystitis and pregnancy: how do these two concepts fit together? It should be noted that the chronic form of cystitis occurs against the background of improper treatment or untreated acute cystitis, which is observed in the history of a pregnant woman. In fact, chronic cystitis has a recurrent course, or proceeds as a continuous process with mild signs of the disease. If we talk about the season in which chronic cystitis usually recurs, then the exacerbation of this disease most often occurs in the autumn-spring period, when there is a risk of hypothermia due to unstable weather. However, during pregnancy, the season does not play a big role. Usually, the chronic form of cystitis in expectant mothers manifests itself when physiological changes occur in the female body, in particular, an enlargement of the uterus, which presses on other organs of the small pelvis, including the bladder.

Chronic cystitis can be considered as a decompensation of the defenses of the urinary system. Its main symptoms are pain, pollakiuria (increased urination) and pyuria (discharge of pus in urine). The intensity of pain depends on the frequency of the urge to urinate. Pulling pains are usually located in the perineal region along the path of the urethra. At the first symptoms that indicate the manifestation of chronic cystitis, a pregnant woman should consult a doctor. After an accurate diagnosis of the disease based on the results of analyzes and medical research, the doctor will prescribe the most gentle treatment for the expectant mother using physiotherapy procedures and medications that do not pose a threat to the health of the pregnant woman and her baby.

Exacerbation of cystitis during pregnancy

Cystitis during pregnancy occurs against the background of the weakened immunity of the expectant mother and hormonal changes in her body, due to which the natural vaginal microflora is disrupted. As a result, the risk of developing various infections increases. Many women who are in an "interesting position" suffer from this ailment throughout their pregnancy. The reasons for the exacerbation of cystitis largely depend on the physiological changes in the body of a pregnant woman: when carrying a child, the tone of the organs of the genitourinary system is much reduced. This factor, in turn, leads to stagnation of urine, partial emptying of the bladder and, accordingly, the development of infection.

Exacerbation of cystitis during pregnancy is most often associated with a recurrence of the chronic form of cystitis, which manifests itself after hypothermia or with a decrease in the immune system. If a woman has already faced the problem of cystitis before pregnancy, then, most likely, she will be susceptible to the likelihood of an exacerbation of this disease during the period of bearing a child much stronger than other women. If we talk about the timing, then most often cystitis reminds of itself at the beginning of pregnancy. Naturally, timely preventive measures reduce the risks of developing the disease.

Symptoms of exacerbation of cystitis are the same as those that are concomitant symptoms of this disease: frequent urination with little urine output, cutting pain in the lower abdomen and burning sensation when urinating, blood and pus in the urine. If the exacerbation of the disease has an acute form, then all of the listed symptoms are accompanied by an increase in temperature.

Diagnosis of cystitis in pregnant women, first of all, provides for a gynecological examination, as well as an examination of the body for the presence of genital infections and disorders of the vaginal microflora. With an exacerbation of cystitis, it is necessary to exclude the possibility of the existence of other sources of infection that could provoke a relapse of the disease. Among such sources, various diseases of the teeth and gastrointestinal tract, dysbiosis, ENT diseases, and chronic tonsillitis can be distinguished. With reduced immunity during pregnancy, even banal caries can lead to an exacerbation of cystitis.

Cystitis during pregnancy creates many problems for expectant mothers, in particular, regarding treatment. Only complex therapy will help to quickly cope with the disease, including the intake of immune drugs, effective antibacterial agents, as well as drugs that restore the natural microflora of the female body, but only taking into account the possible risks to the health of the expectant mother and her baby.

Is cystitis dangerous during pregnancy?

Cystitis during pregnancy, like other infectious diseases, can pose a risk to a woman's health and a potential threat to the fetus. Therefore, to the question "Is cystitis dangerous during pregnancy?" you can unambiguously answer: "Yes, it is dangerous!". This is especially true when women try to self-medicate or delay a visit to the doctor, hoping that the disease will go away on its own. Such actions are fraught with dangerous consequences, since the infection can reach the kidneys and provoke the development of pyelonephritis - inflammation of the renal tissues. This disease is accompanied by an increase in body temperature and pain in the lower back (most often on the one hand). Bilateral pyelonephritis is even more dangerous and poses a real threat to life. If a pregnant woman has signs of pyelonephritis, she should be hospitalized immediately and powerful therapy should be prescribed, taking into account the possible risks to the child.

The reason for the manifestation of cystitis almost always lies in the violation of the microflora of the vagina or its inflammation (colpitis). An exacerbation of cystitis against a background of immunity weakened by pregnancy can be caused by hypothermia in the pelvic region, which results in the active development of an infection that easily gets from the female genital tract directly into the bladder. In this case, the first symptom appears, signaling the development of acute cystitis - sharp pains during urination. The number of urges to use the toilet increases, purulent and blood clots may appear in the urine, which is a symptom of a dangerous course of the disease, especially when it comes to the period of pregnancy.

Cystitis during pregnancy can be accompanied by an increase in temperature, which indicates a complication of the disease and inflammation of the kidneys. If cystitis is treated incorrectly or not cured, then the disease will go into a chronic stage, and this is fraught with its periodic manifestations throughout life. The symptoms of chronic cystitis are the same, only less pronounced. Particularly dangerous is the so-called. "Interstitial" cystitis, which is an inflammation of not only the mucous membrane, but also the muscular walls of the bladder. This type of disease is practically incurable, and with its prolonged course, you have to resort to surgical intervention and completely remove the bladder. That is why it is so important to immediately go to the hospital for the slightest symptoms of cystitis, and for pregnant women in the first place. In no case should you self-medicate or leave the situation to chance. This can not only lead to a deterioration in the health of the expectant mother, but also harm the unborn child. It should be borne in mind that with cystitis, pregnant women cannot always take the same medications as non-pregnant women - this once again indicates the need to contact an experienced medical specialist (first of all, to a gynecologist who observes the course of pregnancy) at the first symptoms of the development of the disease. In any case, a pregnant woman should take care that the infection does not cause inflammation in the organs of the genitourinary system. For this purpose, it is recommended to empty the bladder in time to prevent stagnation of urine, which can provoke the development of pathogenic bacteria. You should also consume as much liquid as possible, preferably in the form of juices.

Consequences of cystitis during pregnancy

Cystitis during pregnancy poses a danger to the health of the expectant mother and a threat to her child, since improper treatment or untimely access to a doctor aggravates the situation with the possible consequences of this disease. First of all, it is necessary to note the development of pyelonephritis - the causative agents of cystitis can penetrate through the ureters into the kidneys, causing their inflammation (most often in pregnant women, damage to the right kidney is observed). Acute pyelonephritis, in medicine called "gestational pyelonephritis" (ie, an infectious and inflammatory process in the kidneys that develops during pregnancy) threatens a pregnant woman with urgent hospitalization. Usually, women who have previously had this disease or cystitis are located for gestational pyelonephritis. In addition, the provoking factors are the sedentary lifestyle of the expectant mother, lowered immunity or seasonal hypothermia.

The consequences of cystitis during pregnancy can be different: for example, if the infection is not treated for a long time, the bearing of a child can end for a pregnant woman with a difficult preterm birth or underweight of a newborn.

In order to prevent the development of a dangerous disease, a pregnant woman needs to protect herself from the cold, possible hypothermia, as well as monitor the slightest changes and malfunctions in the body and often consult a doctor on health issues. It should be borne in mind that timely diagnosis of cystitis will help prevent dangerous complications and help cope with the disease even at the initial stage of its development.

Diagnosis of cystitis during pregnancy

Cystitis during pregnancy requires the expectant mother to immediately consult a doctor when the first symptoms of the disease appear. This is important for timely diagnosis and prescription of optimal treatment methods.

Diagnosis of cystitis during pregnancy includes the collection of the necessary tests. First of all, this is a urinalysis, which makes it possible to identify pathogens in the liquid, as well as the presence of impurities of blood and pus. Usually, with cystitis, a general urine test is prescribed, a urine test according to Nechiporenko, which is aimed at detecting latent inflammation in the urinary system, as well as bacteriological urine culture. In modern medicine, PCR analysis is also used, which is a high-precision method for diagnosing various infections based on the study of genetic material.

In special cases, the doctor may prescribe a cystoscopy for a pregnant woman, which is carried out with the help of a special medical device (cystoscope) and allows detecting inflammatory processes of the bladder. The device, which has a light source at the end of an elastic tube, is inserted through the urethra directly into the bladder, which allows the doctor to carefully examine the diseased organ along with the urethra.

In general, these analyzes are enough for an accurate diagnosis of the disease and finding out the main reasons for its development. Sometimes, for a more thorough diagnosis of cystitis, an ultrasound examination of the pelvis may be prescribed for a pregnant woman, which will help to recreate the most clear picture of the disease.

Cystitis during pregnancy often does not appear until a certain time. This is why it is so important to have regular urine tests during pregnancy and not neglect other tests.

Treatment of cystitis during pregnancy

Cystitis during pregnancy cannot be ignored, much less self-medicating. A timely visit to the doctor and correctly selected treatment will protect the expectant mother from dangerous complications that can negatively affect both the health of the pregnant woman and the fetus in her womb.

Treatment of cystitis during pregnancy, first of all, consists in taking antibacterial drugs, the action of which is aimed at destroying pathogens and pathogenic microorganisms. For example, drugs such as "Monural" and "Amoxiclav" are very effective antibacterial agents and are widely used in medical practice for the treatment of cystitis in the first months of pregnancy. In addition, "Monural" is absolutely harmless and easy to use: a pregnant woman just needs to drink the contents of the sachet.

During the period of treatment of cystitis, all pregnant women are advised to observe absolute rest and strict bed rest. In addition, every expectant mother should exclude spicy, fried and salty foods from her diet, and, if possible, not limit herself to drinking. In the absence of a predisposition to edema and medical contraindications, a pregnant woman needs to drink about 2 liters of fluid per day. For this purpose, cranberry juice, regular and "kidney" tea, as well as lingonberry leaves are perfect. In addition to antibacterial drugs prescribed by a doctor, herbal infusions and preparations are used in the treatment of cystitis, as well as synthetic drugs, which should only be prescribed by a doctor.

An alternative method of treating cystitis in pregnant women today is instillation. This procedure consists in the introduction of various medicinal compositions of antibacterial action using a catheter directly into the bladder. Naturally, instillation procedures are carried out under the strict supervision of a physician, exclusively in a medical institution. This method of treatment is very effective and allows you to cure cystitis in the shortest possible time. Just a few such procedures - and the expected effect will be achieved. The only "minus" in carrying out the manipulations is the discomfort when the catheter is inserted and the frequent urge to urinate for some time after the procedure. After pregnancy, a woman is advised to deal with the treatment of cystitis more thoroughly in order to eliminate the possibility of its repeated manifestations, and also always remember about preventive measures.

Folk remedies for cystitis during pregnancy

Cystitis during pregnancy is treated with the help of many folk remedies: collection of lingonberry leaves and rowan berries with honey, infusion of dill seeds and birch leaves, black radish juice with the addition of honey, tea from black currant leaves. Typically, such traditional medicines are used after drug treatment of cystitis, prescribed by a doctor, in the form of a rehabilitation course.

Folk remedies for cystitis during pregnancy are mainly infusions and decoctions of medicinal herbs, which not only have anti-pain and anti-inflammatory effects, but also contribute to the elimination of bacteria from the body. Treatment with herbal teas is perhaps the oldest method for treating diseases. It is only important to strictly adhere to the appointments and take into account all contraindications.

Below are recipes from traditional medicine that are absolutely safe for health and will help expectant mothers get rid of cystitis faster.

  • Rosehip root (2-3 tbsp. L.) Should be finely chopped, and then pour 1 tbsp. boiled water, then boil in a water bath and insist. Use the strained broth for half a glass 3-4 times a day for half an hour before meals.
  • Dill herb (1 tbsp. L.) Is required to pour one and a half cups of boiling water, and then leave for 30 minutes. Drink a decoction of 1/3 cup several times a day half an hour before meals.
  • A mixture of red rowan berries (3/4) and lingonberry leaves (1/4) should be brewed with 1 tbsp. boiling water, then insist on the stove for several hours and strain. It is recommended to take the infusion 0.5 cups half an hour before meals three times a day, after adding 1 teaspoon of honey to the glass. This infusion is a very effective folk remedy that is used to treat inflammatory diseases of the bladder, and is also used as a diuretic for chronic pyelonephritis.
  • Birch leaves are a folk remedy used for inflammation of the bladder. To prepare a healing infusion, 6-8 grams of birch leaves must be poured with half a liter of hot water, then boiled and insisted well. The infusion is recommended to be taken three times a day, 50 ml with meals. Besides the fact that this remedy prevents the formation of "kidney" stones, it also has an effective diuretic effect.
  • Black currant is a fairly effective diuretic with a pronounced anti-inflammatory effect. To prepare the recipe, the leaves of this plant (6 tablespoons) should be thoroughly chopped, pour 1 liter of boiling water, and then insist in a warm place for at least 1 hour. You can add honey or sugar (at your discretion) to the finished broth to improve the taste. You need to take the broth often, - 1 tbsp. 5-6 times a day.
  • Oat grains in the amount of 1 tbsp. pour 2 tbsp. hot water, and then boil in a water bath until 1/2 the volume of the broth has evaporated. In the finished broth, add 1 tbsp. l. honey and take half a glass three times a day.
  • Turnip juice should be boiled for 5 minutes and consumed in 1-2 tbsp. spoons several times a day. You can also mix turnip juice halfway with black radish juice. It is recommended to take such a mixture after meals - three times a day, 1 tbsp. spoon for a month. Thus, the full course of treatment will be completed.

Folk remedies for cystitis during pregnancy were also widely used by our great-grandmothers and grandmothers, therefore this method of treating inflammation of the bladder has been proven by time and takes place if a pregnant woman has a chronic form of the disease, and there are no contraindications in the form of allergic reactions of the body to one or another component from the recipes above.

Medicines for cystitis during pregnancy

Cystitis during pregnancy must be treated only with those means that do not pose any threat to the health of the expectant mother and her baby. With regard to antibacterial drugs, you should be especially careful. In case of cystitis, tetracyclines and sulfa drugs are contraindicated in pregnant women. they can cause irreparable harm to the developing body of the child.

Medicines for cystitis during pregnancy should be chosen exclusively by the attending physician. Typically, treatment for this condition in pregnant women includes antibiotic therapy, herbal medicine, and physical therapy. Among the drugs used to treat cystitis in pregnant women in our time, the most effective and safe are antibiotics "Monural" and "Amoxiclav". The drug "Monural" is easy to use: in uncomplicated conditions, only one sachet of this drug can help. The antibacterial drug "Amoxiclav" is a combined drug and has proven its high efficiency in the treatment of infections of the genitourinary system over the entire practice of its use in medicine. The action of both drugs allows you to achieve the highest concentration of drugs directly in the bladder. Thus, it is much easier to "defeat" the disease.

With the help of instillations (introduction through a catheter of antibacterial compounds directly into the bladder), a faster effect can be achieved in the treatment of cystitis in pregnant women. Among the drugs and auxiliary substances that are used for installations, boric acid, rivanol, silver nitrate, medicinal oils, etc. can be distinguished.

Treatment of cystitis with herbs also has a positive effect. The most effective in this regard are special complex collections from medicinal plants (grains of oats, lingonberry, mountain ash, dill, wild rose and other medicinal plants). There are also modern tablet forms of herbal medicines, for example, "Kanefron" - a drug that has antispasmodic, as well as antimicrobial and diuretic effects. In addition, this remedy has no contraindications, with the exception of cases of individual intolerance to its components.

With regard to the use of physiotherapy, it is very limited during pregnancy. In the treatment of cystitis, only electrophoresis and warm compresses, which are placed on the bladder area, are permissible.

Cystitis during pregnancy cannot be treated on its own; all medications and their dosages for a pregnant woman should be prescribed exclusively by a doctor. Thus, the treatment will be correct and as effective as possible.

Treatment of cystitis with herbs during pregnancy

Cystitis during pregnancy has been successfully treated with herbs, especially herbal teas. It should be borne in mind that the treatment should be long: courses of 1-2 months with intervals of 1-2 weeks. Naturally, traditional methods of treating cystitis must be combined with taking medications, which the doctor must prescribe.

Treatment of cystitis with herbs during pregnancy must be agreed with the attending physician, since many herbs have contraindications that must be taken into account during pregnancy. Basically, herbal medicine includes the intake of herbal decoctions, which have an antispasmodic and diuretic effect. Usually, for the preparation of herbal preparations, they use bearberry, chamomile, plantain, calamus, St. John's wort, horsetail, etc. In combination with a salt-free diet and physiotherapeutic procedures with a warming effect, phytotherapy is an effective method of treating acute cystitis, as well as a preventive method aimed at avoiding exacerbations in the chronic course of the disease. Improvement in well-being usually occurs after 2 weeks of regular herbal intake.

In uncomplicated cases, inflammation of the bladder helps to reduce tea from meadowsweet or chamomile. Bearberry is a strong antiseptic. In the treatment of cystitis, seeds of celery, marshmallow, and common agaric are also used. These plants have a complex effect (astringent, tonic, softening) on ​​the inflamed organ and help to quickly get rid of the unpleasant sensations provoked by the course of cystitis.

An effective herbal collection, consisting of borax uterus, leaves of badan and lingonberry, winter-lover, cinquefoil goose, buckwheat and cinquefoil, which must be taken 3-4 weeks, until all symptoms disappear completely. This collection has not only anti-inflammatory and diuretic, but also analgesic effects. Moreover, all of its plant components are absolutely safe during pregnancy. To prepare a herbal medicine, it is necessary to pour 30-35 grams of collection into 1 liter of water and boil, then cool. Apply 0.5 cups each time after using the toilet. When the pain subsides, the collection can be "lightened": one week to drink lingonberries, the second - winter-loving, the third - lingonberries. It is recommended to brew herbs in 1 teaspoon per glass of water. The total volume of medicinal liquid drunk should be at least 1 liter per day.

Treatment of cystitis with herbs during pregnancy takes longer in duration than treatment with antibiotics, but the expectant mother will be less susceptible to the negative consequences of taking antibacterial agents, in particular, dysbiosis.

Dill for cystitis during pregnancy

Cystitis during pregnancy must be treated in a comprehensive manner, combining various methods of treatment: taking gentle antibiotics with physiotherapy and herbal medicine. One of the medicinal plants that have a beneficial effect on the body and are actively used in the treatment of cystitis is dill. This plant has a whole range of useful substances: it contains carotene, vitamins and C, nicotinic and folic acid, as well as a whole range of trace elements (iron, potassium, magnesium, etc.). Dill improves metabolic processes in damaged cells, has a pronounced anti-inflammatory effect, has an active bactericidal effect, thereby causing the death of pathogens that are causative agents of the inflammatory process.

Dill for cystitis during pregnancy is used as an effective diuretic in the form of a decoction. For its preparation 3 tbsp. tablespoons of the crushed plant must be poured with 1 glass of boiling water, then poured into a separate container, put on fire and kept for 15 minutes in a water bath. The finished broth should be insisted for about an hour, then gently strain. It is recommended to take dill infusion 3 times a day before meals for 1/3 cup. It is recommended to slightly warm up the healing drink before use.

It must be understood that such therapy cannot replace the main therapy in the treatment of cystitis, it is only an addition to it. In the acute course of the disease, the most effective is still the use of antibiotics, the action of which is aimed at the death of the bulk of harmful microorganisms. The use of herbs, including a decoction of dill, in fact, is considered the second stage in the treatment of cystitis, the purpose of which is to maintain the achieved therapeutic result.

Lingonberry leaf for cystitis during pregnancy

Cystitis during pregnancy can be treated with various herbal decoctions and infusions. Among the medicinal plants that have an effective effect on the organs of the urinary system, a special place is occupied by lingonberry.

Lingonberry leaf with cystitis during pregnancy is able to cure in 3-4 weeks, in addition, it provides the body of the expectant mother with useful minerals (sodium, iron, calcium, potassium) and vitamins necessary to strengthen the immune system. Lingonberry leaves contain biologically active components that play an important role in the functioning of the body and ensure its well-coordinated vital activity. It should be noted that even lingonberry berries are endowed with healing properties. They have a laxative, antipyretic and antispasmodic effect, and are also able to perfectly quench thirst.

The aerial part of lingonberry contains a special element called "arbutin glycoside", which copes well with various urological infections, including the ability to actively fight cystitis, as well as urolithiasis and kidney diseases such as nephritis, pyelitis and pyelonephritis. A decoction of lingonberry leaves is not only an effective anti-inflammatory and diuretic, but also a very good antiseptic.

For the preparation of a medicinal broth 2 tbsp. tablespoons of lingonberry leaves must be poured with a glass of slightly chilled boiled water, after which the resulting mixture is poured into an enamel container and kept in a water bath for half an hour. After that, the broth must be cooled for 10-15 minutes at room temperature, gently strain and squeeze well from the leaves. The finished medicinal drink must be diluted with water to a volume of 200 ml and stored in the refrigerator for no more than 2 days. Pregnant women should take a decoction of 0.5 cups after meals three times a day. In order to prevent cystitis and kidney disease, the drug should be drunk ¼ glass 1 time a day. Before use, it is recommended to shake the broth of lingonberry leaves and heat it up a little - until warm. Drinking warm drinks has a better effect on the stomach. To improve the taste, the broth can be mixed with rosehip broth, as well as green tea.

Canephron from cystitis during pregnancy

Cystitis during pregnancy must be treated only with those drugs that are absolutely safe for the health of the expectant mother and her baby. One of the most popular drugs used in modern medicine in the treatment of diseases of the urinary system in pregnant women is "Kanefron" - a highly effective remedy with a natural composition and excellent tolerance from the German company "BIONORICA". This drug has practically no contraindications, and also received a high assessment and positive feedback from women who are faced with an exacerbation of cystitis during the period of bearing a child.

Canephron for cystitis during pregnancy is used as a natural remedy that has a vegetable base and contains active substances such as rosemary, centaury, rosehip and lovage peel. The following are used as auxiliary components in the preparation: riboflavin, castor oil, silicon dioxide, dextrose, sucrose, lactose monohydrate, iron oxide, calcium carbonate, mountain wax, etc.

The drug is available in two versions: drops and tablets. Usually, pregnant women are prescribed a tablet form of the drug, because drops contain a small percentage of alcohol.

Extracts from medicinal plants, which are part of "Kanefron", have a complex effect:

  • activate the work of the bladder and kidneys - organs that are under great stress during pregnancy;
  • enhance the effect of antibiotics and prevent the development of various infections;
  • help to relax the vessels and capillaries of the urinary tract, as well as to remove excess fluid from the body of a pregnant woman, thereby preventing the development of puffiness;
  • improve blood supply to the kidney cortex;
  • have an effective antispasmodic effect.

Kanephron from cystitis during pregnancy, after several doses, relieves the condition of the pregnant woman and reduces the symptoms of cystitis, as well as other infectious and inflammatory processes of the urinary system. This drug has a prophylactic effect in the treatment of urolithiasis. It is combined with other drugs without causing any side effects, except for cases with individual intolerance to the components of the drug, which may result in allergic reactions.

Before taking "Kanefron", the expectant mother should carefully study the instructions, and also consult with her doctor, since the dosage and frequency of use of this drug are determined depending on the degree of complexity and characteristics of the development of the disease. The standard dosage of the drug "Kanefron" during pregnancy is three times a day of 2 tablets. The duration of treatment for pregnant women is established by the doctor on an individual basis, taking into account the specific case. This is a very important condition, since the lovage and rosemary contained in the medicine, if taken in pure form, cause uterine tone - a reaction that is very undesirable during pregnancy.

Summarizing the above information, we can conclude that "Kanefron" is an absolutely safe and effective drug that can help a pregnant woman cope with cystitis, infections and various diseases of the urinary system without harming the health of her baby. It is only important to observe the correct dosage of the drug, established by an experienced doctor.

Antibiotics for cystitis during pregnancy

Cystitis during pregnancy requires a special approach to treatment, since the use of many antibacterial drugs that help to cope with the infection is strictly prohibited during the period of gestation. The danger of the inflammatory process in cystitis lies in the fact that pathogenic microorganisms can reach the kidneys, thereby provoking the development of pyelonephritis - the strongest inflammation of these organs, which will seriously complicate pregnancy.

Antibiotics for cystitis during pregnancy should be effective and have no contraindications, and this is not an easy task. The choice of the optimal drug is due to the general condition of the pregnant woman, the course of pregnancy and the degree of complexity of the disease. At the same time, one should remember about the possible consequences of self-medication of cystitis, which can become very deplorable if the expectant mother does not know the dosages of this or that drug and trusts the "smart" advice of inexperienced girlfriends. That is why, at the slightest suspicion of the development of cystitis, a pregnant woman should consult a doctor as soon as possible to confirm the diagnosis and prescribe the optimal course of drug treatment for a dangerous ailment.

To quickly defeat cystitis, you need to use an antibiotic that has a strictly directed action - the destruction of pathogenic microorganisms. Therefore, its concentration should reach the maximum level in the diseased organ - the bladder. Based on this, you should choose a tablet preparation that reaches its maximum concentration in the bladder. In this case, the choice of drugs is rather limited: today the most effective and safe antibacterial drugs for pregnant women are "Amoxiclav" and "Monural".

The drug "Amoxiclav" is a combined agent, which includes amoxicillin and clavulanic acid. The combination of these substances has a detrimental effect on the causative agents of various urinary tract infections. The safety of this drug for pregnant women lies in the absence of side effects and contraindications, except for hypersensitivity to the components of the drug.

The antibacterial agent "Monural" (powder) is also very effective in the treatment of cystitis and is absolutely safe for both the expectant mother and the pregnant fetus. The active ingredient of the drug is fosfomycin trometamol. Usually, one sachet of this medicine is enough to defeat cystitis, which is uncomplicated. In more severe cases, you need to take 2 sachets of the drug.

Antibiotics for cystitis during pregnancy allow you to cope with an infection of the urinary system quickly and effectively. However, in any case, before treatment with antibacterial agents, it is necessary to consult with an experienced doctor who will determine the frequency of administration and dosage of the medication.

Treatment of acute cystitis during pregnancy

Cystitis during pregnancy can be acute or chronic. The acute course of the disease is accompanied by severe pain in the lower abdomen, frequent painful urge to urinate, fever, and the presence of blood impurities in the urine. This condition is dangerous because acute cystitis can provoke inflammation of the kidneys (pyelonephritis). In addition, advanced forms of inflammation can cause premature birth. To quickly eliminate the infection and relieve inflammation, it is necessary to apply effective medication. In this case, one cannot do without antibacterial agents, which are both effective and safe for the expectant mother and fetus.

Treatment of acute cystitis during pregnancy is usually carried out with drugs such as "Amoxicillin", "Amoxiclav", "Monural", "Cefuroxime", "Cephalexin", "Ceftibuten", "Josamycin" and "Nitrofurantoin". All of these antimicrobial drugs are among the penicillins, cephalosporins and macrolides - antibiotics that are allowed during the period of gestation. For supportive therapy, herbal uroseptics and phytopreparations are used: "Kanefron", "Fitolizin", decoctions of diuretic herbs (rose hips, lingonberries, etc.). In parallel, the treatment of STIs and bacterial vaginosis is carried out, depending on the specific case.

In the treatment of acute cystitis during pregnancy, local therapy is also used, which consists in instillation procedures: the introduction of antimicrobial substances through a catheter into the diseased organ - the bladder. Naturally, such medical manipulations are carried out in a hospital under the strict supervision of a physician.

Prevention of cystitis during pregnancy, first of all, implies a woman's observance of basic hygiene rules: daily washing with warm water using pH-neutral detergents. It is not recommended for the expectant mother to take a bath, for the purpose of bathing it is better to use a shower - this way, it is possible to avoid the ingress of detergents into the genitals.

Pregnant women should be careful with their choice of underwear.

According to doctors, the regular wearing of open panties in the form of a thong can provoke the development of inflammation, in particular cystitis, especially in the first months of pregnancy. Therefore, it is preferable for women "in position" to use underwear made of natural materials: cotton or linen.

Cystitis during pregnancy often occurs due to severe hypothermia of the body against a background of weakened immunity. For this reason, pregnant women should be more attentive to their health, excluding prolonged exposure to the cold and wearing out of season clothes. In addition, a woman expecting a baby should often stay outdoors, take walks, and exercise for pregnant women. An important point is the intake of a complex of vitamins, which should be prescribed by the gynecologist, taking into account the condition of the pregnant woman.

Expectant mothers are advised to visit the toilet much more often - every 2-3 hours, even if there is no urge. The fact is that with frequent urination, bacteria that enter the bladder are removed from the body much faster. And, conversely, with stagnant urine, pathogens begin to multiply vigorously. It is also necessary to monitor the regularity of the stool. Constipation often causes poor circulation in the pelvic organs, thereby predisposing to cystitis.

Prevention of cystitis during pregnancy also concerns the choice of proper nutrition. It is important that a pregnant woman's diet always contains natural products and clean water. Fried, salty, pickled and spicy dishes, as well as spices and smoked meats, should be completely excluded from the menu. Alcohol, citrus juices, coffee, and non-alcoholic drinks containing caffeine are prohibited from drinks. For prevention purposes, it is recommended to take cranberry-lingonberry juice, decoctions of herbs (rose hips, chamomile, dill, etc.). Such healing drinks have an active diuretic effect and contribute to the rapid flushing of inflammation products and harmful bacteria from the bladder.

Sedentary work in the office can lead to an inflammatory process in the bladder. To avoid the development of cystitis, women "in position" are strongly advised to get up from the workplace every 20-30 minutes and do a light warm-up.

Cystitis during pregnancy can be easily prevented by following the above guidelines and taking special care of your own health. After all, the main task of a pregnant woman is to protect her child from dangers and give him a healthy birth!