Background: Renal colics due to urinary stones are also common in women of childbearing age whether pregnant or not.
Aim: Through a review of literature, we evaluated diagnostic and therapeutic approaches in renal colic in pregnancy and lactation.
Methods: Review of literature.
Results: The clinical diagnosis is sometimes difficult requiring additional medical imaging based on ultrasound. Other radiological investigations using X-rays are formally forbidden. The prescription of analgesic treatment during pregnancy and lactation must take into account mainly the teratogenic risk in addition to maternal risk by altering drug pharmacokinetics during pregnancy.
Conclusion: During pregnancy, NSAIDs are prohibited because of their teratogenicity effect. Salicylates and opiates should be used with care, especially in cases of threat of confinement. Paracetamol remains the treatment of choice. Salicylates and corticosteroids should be used with caution during lactation.
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Heliyon
December 2024
Grupo de Investigaciones Básicas y Aplicadas en Inmunología y Bioactivos (GIBAIB), Instituto de Ecología y Desarrollo Sustentable (INEDES), (Universidad Nacional de Luján - CONICET), Luján, Buenos Aires, Argentina.
Background And Aims: Celiac disease (CeD) affects 1-2% of the world's population. The aim of this study was to relate the incidence of CeD-related serological markers to symptoms, pathologies, and environmental exposure to wheat flour, given the number of flour mills present in the region.
Materials & Methods: Serum samples were collected from 537 inhabitants from a rural city.
J Pregnancy
November 2024
Department of Obstetrics and Gynecology, Herlev and Gentofte University Hospital DK-2730, Herlev, Denmark.
Eur J Obstet Gynecol Reprod Biol
December 2024
Cleveland Clinic Glickman Urological & Kidney Institute, United States. Electronic address:
Objective: To compare neonatal outcomes following URS, stent, or PCN in pregnant women presenting with suspected renal colic.
Methods: Women undergoing a procedure for suspected renal colic during pregnancy at a large multi-center institution between 2008 and 2022 were retrospectively reviewed and categorized by initial intervention. Neonatal outcomes were recorded and linked to maternal and obstetric data.
BMC Public Health
October 2024
Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Can Urol Assoc J
October 2024
Cleveland Clinic Foundation, Glickman Urologic and Kidney Institute, Cleveland, OH, United States.
Introduction: Anesthesia choice during the procedural management of suspected renal colic during pregnancy may vary based on available resources and patient or provider preferences, as there are no specific recommendations. Our objective was to evaluate whether preterm birth (<37 weeks) was associated with anesthesia type, anesthesia timing by trimester, or procedure type.
Methods: We retrospectively identified pregnant patients who required procedural management with ureteral stent, percutaneous nephrostomy (PCN), or ureteroscopy (URS) for suspected renal colic based on laboratory and imaging findings from 2009-2021 at our center.
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