Cystitis during pregnancy

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

Statistics show that 10% of the total number of pregnant women face this problem at different stages of bearing a child. Most often in this group of "risk" are women who previously had been ill with this disease or who have so-called. Chronic form of cystitis, which contributes to exacerbation of the disease against a background of decreased immunity, violation of the microflora of the vagina (bacterial vaginosis), as well as changes in the hormonal background of the female body when carrying the child. Infectious cystitis develops as a result of active reproduction of opportunistic flora and various pathogens (E. Coli, mycoplasmas, staphylococci, vaginal trichomonads, chlamydia, streptococci, etc.). Cystitis during pregnancy is due to the characteristics of the structure of the urinary system of the female body, in particular, the proximity of the urinary tract to the uterus. Naturally, the symptoms of cystitis (lower abdominal pain, severe pain during urination, frequent urge to go to the toilet, etc.) cause anxiety, panic and fears about the health of the baby in pregnant women. In this case, only a medical specialist will help, who will perform the diagnosis and prescribe an effective course of treatment.

[1], [2], [3]

Cystitis as the first sign of pregnancy

Cystitis during pregnancy should not be confused with frequent urination, which often indicates a pregnancy that has occurred. Cystitis is an inflammatory disease of the bladder, not a sign that the woman has become pregnant. However, many see the rapid urge to go to the toilet in the first weeks of pregnancy (from 7-8 weeks) just like cystitis. The fact that after conception in the genital organs of a woman increases blood flow, and the uterus in response to implantation of the embryo becomes more excitable. Since it is associated with the innervation of the bladder, even a small amount of urine in it causes a urge to urinate. Thus, there is a mechanical compression of the bladder with an enlarged uterus. However, a pregnant woman does not experience any discomfort or painful pain that accompanies a real cystitis. By the end of the I trimester, the hormonal background of the woman comes back to normal, and the uterus occupies a position higher than the level of the womb, ceasing to press on the bladder. As a result, frequent urge to go to the toilet stops.

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

[4], [5], [6]

Symptoms of cystitis during pregnancy

Cystitis during pregnancy is accompanied by such basic symptoms as:

• frequent urge to urinate (including false), accompanied by the allocation of a small amount of urine and a feeling of insufficient emptying of the bladder; 
• a burning sensation when urinating; 
• the release of turbid urine with a pungent odor; 
• presence of impurities of blood and pus in urine; 
• a feeling of depression in the lower abdomen, pain and discomfort in the pelvis; 
• fever.

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 onset of pregnancy, hormonal "restructuring" in the body of a woman, hypothermia, infection in the body of a pregnant woman. One should also 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 hidden, without manifestation of any severe 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 when there is a slightest suspicion of the development of cystitis, it is urgent to see a doctor for a thorough examination and accurate diagnosis. The general analysis of urine and blood will help to identify the disease in the initial stages and as soon as possible to cope with this problem in order to avoid the development of a dangerous complication in the form of pyelonephritis (inflammation of the kidneys). An experienced specialist will prescribe optimal treatment taking into account all risks related to the health of the mother and the future child.

Cystitis in early pregnancy

Cystitis during pregnancy is considered one of the most common diseases, which can have very dangerous complications if it is not treated on time or run. 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 the doctors, this is due to the peculiarities of the structure of the woman's body, as well as the pronounced changes at the physiological and hormonal level, which against the background of the development of pregnancy are observed in every woman.

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

Cystitis in early pregnancy can manifest itself in both acute and chronic form. With chronic cystitis, the symptoms of the disease are usually mild, the acute form of the disease is accompanied by a number of symptoms, the main one of which is a strong pulling pain of debilitating nature with urination. In this case, urine can acquire a murky shade and contain impurities of blood, which indicates an inflammatory process. To determine the exact diagnosis of "cystitis" of a pregnant woman, you must immediately go to a medical institution in order to undergo a medical examination: to make a urinalysis (general, "according to Nechiporenko", bacteriological); pass DNA diagnosis of infections and ultrasound examination of the urogenital system; To be surveyed on revealing of a possible or probable dysbacteriosis of a microflora of a vagina. If the diagnosis of "cystitis" is confirmed, the doctor must prescribe an effective treatment for a pregnant woman, given her condition and possible risks to the fetus. Despite the fact that during pregnancy is strictly prohibited the intake of many medications, modern advances in medicine allow you to quickly cope with the disease without risks for the baby. For this purpose, special preparations are used, as well as antibiotics of "vegetable" origin, which have a gentle effect on the health of the future 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. Pregnant women may need several such manipulations to achieve complete elimination of painful symptoms of cystitis, removal of inflammation and prevention of possible relapses.

For successful recovery, a pregnant woman should consult a medical specialist in time to avoid the development of serious complications, in particular, such as pyelonephritis (inflammation of the kidney), the birth of a child with low weight, and premature birth. Self-medication and taking medications of alternative medicine without first consulting a doctor can lead to unfortunate consequences, so it is better to ignore the "smart" advice of "smart" girlfriends, grandmothers and moms and rely solely on the medical specialist.

Cystitis in early pregnancy

Cystitis during pregnancy can be caused by a number of reasons, among which one can distinguish 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 the inflammatory process, which is usually caused by the active multiplication of various microorganisms, bacterial infection, or Escherichia coli (E. Coli). This is due to the special structure of the urogenital system of women (their urethra is much shorter than that of men and is located near the anus).

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

In the early stages of pregnancy, doctors are particularly cautious about making decisions about the patient's treatment, as the influence 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 future mother and her baby. The danger of this disease lies in its negative impact on the fetus: a child can be born prematurely, or with a deficiency of body weight.

[7]

Cystitis in late pregnancy

Cystitis during pregnancy can manifest itself both at the beginning of the period of bearing the child, and at the end. Regardless of this, the treatment of this disease should be handled by an experienced doctor who will prescribe the most sparing drugs to the patient.

Cystitis in late pregnancy can be caused by infection, or by physiological changes in the body of a woman. The fact is that at the end of pregnancy the uterus, which is considerably enlarged in size, squeezes the organs of the small pelvis, including the bladder. Thus, the outflow of urine becomes difficult, which, in turn, leads to its stagnation in the bladder. This causes increased multiplication of various pathogenic flora.

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

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

Given the symptoms of the disease, a urologist should conduct a diagnosis of the pregnant woman for the identification of infection routes, pathogen, stage of cystitis (chronic or acute). Thus, therapy should be selected with extreme caution, with the help of drugs that are absolutely safe for the future mother and developing fetus. Cystitis in late pregnancy, which is accompanied by severe pain, burning with urination and the presence of blood in the urine, is usually treated with an antibacterial agent that is excreted more in the urine and has a minimum of side effects for the pregnant woman and her baby.

Acute cystitis in pregnancy

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

Acute cystitis in pregnancy is always accompanied by a sharp inflammatory process and manifests itself in the form of the following symptoms: 

• increased urge to urinate with the subsequent allocation of a small portion of urine; 
• strong painful sensations and a burning sensation at an emiction, sometimes having constant character; 
• false urge to empty the bladder; 
• soreness in the lower abdomen; 
• marked intoxication; 
• turbidity of urine, in which impurities of blood and pus can be observed; 
• a sharp increase 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 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. Pronounced urge to urinate sometimes leads to urinary incontinence.

Acute cystitis during pregnancy is dangerous for the health of the future 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, triggering the development of a dangerous complication - pyelonephritis. With an easier course of the disease, a pregnant woman can feel only pulling pains in the lower abdomen and a moderately expressed pollakiuria (frequent urination). In this case, burning and pain usually occur at the very end of the process of urination. 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 degree of severity, as well as the presence in the female body of a concomitant disease, which increases the inflammatory process. In this case, an additional medical examination is required.

With regard to the treatment of acute forms of cystitis, it is almost always accompanied by the appointment of pregnant women with medications that have antispasmodic, anti-inflammatory and antibacterial effects, taking into account all risks to the fetus. Treatment can last about 3-5 days, usually not more than a week. Effective methods of treatment help to significantly reduce the symptoms of acute manifestations of the disease. If a relapse occurs after the treatment, the pregnant woman needs to visit a specialist again and undergo a second examination.

[8], [9]

Chronic cystitis and pregnancy

Cystitis during pregnancy is usually manifested in an acute form, but cases where the symptoms of the disease are poorly expressed are often not uncommon, and a "blurred" picture of the development of the disease is observed. In this case, we can talk about the manifestation of cystitis in a chronic form.

Chronic cystitis and pregnancy: how do these two concepts combine? 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 an anamnesis of a pregnant woman. In fact, chronic cystitis has a recurring course, or it proceeds as a continuous process with mild signs of the disease. If we talk about a season in which chronic cystitis usually recurs, then the acute condition of this disease is most often 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 is manifested when physiological changes occur in the female body, in particular, the increase in the uterus, which presses on other pelvic organs, including the bladder.

Chronic cystitis can be considered in the form of decompensation of the protective forces of the urinary system. His main symptoms are painful sensations, pollakiuria (frequent urination) and pyuria (excretion of pus with urine). The intensity of pain depends on the frequency of urge to urinate. Pains of a traumatic character are usually located in the perineal region along the path of the urethra. At the first symptoms, indicating the manifestation of chronic cystitis, a pregnant woman should consult a doctor. After an accurate diagnosis of the disease on the basis of the results of tests and medical studies, the doctor will appoint the most gentle mother to the most sparing treatment with the use of physiotherapeutic procedures and medicines that do not pose a threat to the health of the pregnant woman and her baby.

[10], [11]

Exacerbation of cystitis in pregnancy

Cystitis during pregnancy occurs against the background of the weakened immunity of a future mother and hormonal changes in her body, because of which there is a violation of the natural vaginal microflora. As a result, the risk of developing various infections increases. Many women who are in an "interesting situation", suffer from this ailment throughout pregnancy. The causes of the exacerbation of cystitis largely depend on the physiological changes in the body of the pregnant woman: when the baby is born, 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 in pregnancy is most often associated with a relapse of the chronic form of cystitis, which manifests itself after hypothermia of the body or when the work of the immune system decreases. If a woman has already faced the problem of cystitis before pregnancy, then most likely she will be susceptible to the probability of exacerbation of this disease in the period of bearing a child is much stronger than other women. If to speak about terms, most often the cystitis reminds of itself in the beginning of pregnancy. Naturally, timely preventive measures reduce the risk of developing the disease.

Symptoms of exacerbation of cystitis are the same as those that are accompanying symptoms of this disease: frequent urination with a slight discharge of urine, cutting pain in the lower abdomen and burning sensation when urinating, impurities of blood and pus in the urine. If the exacerbation of the disease is acute, all of these symptoms are accompanied by an increase in temperature.

Diagnosis of cystitis in pregnant women, in the first place, provides a gynecological examination, as well as an examination of the body for the presence of sexual infections and violations of the vaginal microflora. With the exacerbation of cystitis, it is necessary to exclude the possibility of the existence of other sources of infection, which could provoke a relapse of the disease. Among such sources it is possible to distinguish various diseases of teeth and gastrointestinal tract, dysbacteriosis, ENT diseases, chronic tonsillitis. With reduced immunity against pregnancy, even banal caries can lead to an exacerbation of cystitis.

Cystitis during pregnancy creates a lot of problems for future mothers, in particular, and for treatment. To cope with the disease quickly, only complex therapy will help, including the use of immune medications, effective antibacterial drugs, as well as drugs that restore the natural microflora of the female body, but only in view of possible risks to the health of the future mother and her baby.

[12], [13]

Is cystitis dangerous during pregnancy?

Cystitis during pregnancy, like other infectious diseases, can be a woman's health hazard and a potential threat to the fetus. Therefore, the question "Is cystitis dangerous during pregnancy?" Can be unequivocally answered: "Yes, it is dangerous!". Especially it concerns cases when women try to engage in self-medication or are delayed with a visit to the doctor, hoping that the disease will pass by itself. Such actions are fraught with dangerous consequences, as the infection can reach the kidneys and provoke the development of pyelonephritis - inflammation of the kidney 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 represents a real threat to life. If a pregnant woman has signs of pyelonephritis, she should immediately be hospitalized and prescribe a powerful therapy taking into account possible risks for the child.

The cause of manifestation of cystitis almost always lies in the violation of the microflora of the vagina or its inflammation (colpitis). Exacerbation of cystitis against the background of immunocompromised immunity can be caused by hypothermia in the pelvic region, resulting in the active development of infection, which unhindered from the female genital tract directly into the bladder. In this case, the first symptom arises, signaling the development of acute cystitis, - severe pain during urination. The amount of urge in the toilet increases, in the urine may appear purulent and blood clots, which is a symptom of a dangerous course of the disease, especially if it concerns 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 the cystitis is treated incorrectly or not cured, then the disease will go to a chronic stage, and this is fraught with its periodic manifestations throughout life. Symptoms of chronic cystitis are the same, only less pronounced. Especially dangerous so-called. "Interstitial" cystitis, which is an inflammation of not only the mucosa, but also the muscular walls of the bladder. This kind of disease is practically incurable, and with its long flow it is necessary to resort to surgical intervention and completely remove the bladder. That is why it is so important at the slightest symptoms of cystitis to immediately go to the hospital, and to pregnant women - in the first place. In no case should one engage in self-medication or throw the situation on its own accord. This can not only lead to a deterioration of the health of the future mother, but also harm the future child. It should be taken into account that with cystitis pregnant women can not always take the same medicines that are non-pregnant, this again indicates the need to appeal to an experienced medical specialist (first of all, to the gynecologist who watches the course of pregnancy) at the first symptoms 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. Also, use as much liquid as possible, preferably in the form of juices.

Consequences of cystitis in pregnancy

Cystitis during pregnancy poses a threat to the health of the future mother and a threat to her child, because improper treatment or untimely contact with a doctor aggravates the situation with the possible consequences of this disease. First and foremost, it is necessary to note the development of pyelonephritis, - causative agents of cystitis can penetrate the ureters into the kidneys, causing their inflammation (most often in pregnant women, the right kidney is affected). Acute pyelonephritis, in medicine called "gestational pyelonephritis" (ie infectious inflammatory process in the kidneys, developing during pregnancy) threatens a pregnant woman with urgent hospitalization. Usually, to the gestational pyelonephritis are women who had previously been ill with this disease, or cystitis. In addition, provoking factors are sedentary lifestyle of the future mother, reduced immunity or seasonal hypothermia.

The consequences of cystitis in pregnancy can be different: for example, if the infection is not treated for a long time, the bearing of the child may result for a pregnant woman with difficult premature birth or a deficit in the weight of the newborn.

To prevent the development of a dangerous disease, a pregnant woman should be protected from cold, possible hypothermia, as well as follow the slightest changes and malfunctions in the body and consult with a doctor more often on health issues. It should be taken into account that timely diagnosis of cystitis will help prevent dangerous complications and help cope with the disease even at the initial stage of its development.

[14], [15]

Diagnosis of cystitis during pregnancy

Cystitis during pregnancy requires urgent treatment of the future mother to the doctor, when the first symptoms of the disease occur. This is important for the timely diagnosis and designation of optimal treatment methods.

Diagnosis of cystitis during pregnancy includes the collection of necessary tests. First and foremost, this is a urinalysis, which allows to detect pathogens in the liquid, as well as the presence of impurities of blood and pus. Usually, when cystitis is prescribed, a general urine test is given, a urine test is done according to Nechiporenko, which is aimed at revealing the latent inflammation in the urinary system, as well as bacteriological culture of urine. In modern medicine, PCR analysis is also used, which is a highly accurate method of diagnosing various infections based on the study of genetic material.

In special cases, the doctor can prescribe a pregnant cystoscopy, which is carried out with the help of a special medical device (cystoscope) and allows to identify the inflammatory processes of the bladder. The device, which has a light source at the end of the 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 sufficient for an accurate diagnosis of the disease and the root causes of its development. Sometimes, for a more thorough diagnosis of cystitis, a pregnant woman can be assigned an ultrasound examination of the small pelvis, which will help to recreate the most clear picture of the disease.

Cystitis during pregnancy can often not manifest until a certain time. That is why during pregnancy it is important to regularly take urine tests and not neglect other examinations.

Treatment of cystitis during pregnancy

Cystitis during pregnancy can not be ignored, and even more so self-medicate. A timely visit to the doctor and the right treatment will protect the future mother from dangerous complications that can adversely affect both the health of the pregnant woman and the fetus in her womb.

Treatment of cystitis during pregnancy, first of all, is to take antibacterial drugs, the action of which is aimed at the destruction of pathogenic microbes and pathogenic microorganisms. For example, such drugs 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, the "Monural" is absolutely harmless and easy to use: pregnant enough to just drink the contents of the sachet.

During the treatment of cystitis all pregnant women are recommended to observe absolute peace and strict bed rest. In addition, every future mother should exclude from her diet sharp, fried and salty dishes, and also if possible do not limit herself to drinking. In the absence of predisposition to edema and medical contraindications, a pregnant woman should drink about 2 liters of fluid per day. For this purpose, cranberry juice, ordinary and "kidney" tea, as well as cranberry leaf, will perfectly suit. In addition to the antibacterial drugs prescribed by the doctor, herbal infusions and doses are used in the treatment of cystitis, as well as synthetic drugs, which should be prescribed only by the doctor.

An alternative method of treating cystitis in pregnant women today is instillation. This procedure consists in the introduction of various drug formulations of antibacterial action by means of a catheter directly into the bladder. Naturally, instillation procedures are carried out under the strict supervision of a doctor, exclusively in the conditions of 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 manipulations is uncomfortable sensations with the introduction of the catheter and frequent urge to urinate for some time after the procedure. After pregnancy, a woman is recommended to treat cystitis more carefully in order to eliminate the possibility of repeated manifestations of it, and also always remember preventive measures.

Alternative remedies for cystitis in pregnancy

Cystitis during pregnancy is treated with the help of many alternative means: picking from a cowberry leaf and berries rowan with honey, infusion of fennel seeds and birch leaves, black radish juice with the addition of honey, tea from the leaves of black currant. Usually, such alternative medicine is used after medical treatment of cystitis, appointed by a doctor, in the form of a rehabilitation course.

Alternative means for cystitis in pregnancy are mostly infusions and herbal 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 the use of herbal medicines, perhaps, is the oldest way from diseases. It is important only to strictly adhere to prescriptions and take into account all contraindications.

Below are the recipes from alternative medicine, which are absolutely safe for health and will help future mothers get rid of cystitis faster.

• The root of the dog rose (2-3 tablespoons) should be finely chopped, and then pour 1 tbsp. Boiled water, then boil in a water bath and insist. Filtered broth to drink half a cup 3-4 times a day for half an hour before meals. 
• Grass of dill (1 tbsp.) Is required to pour a half cup of boiling water, and then insist 30 minutes. Drink the broth 1/3 cup several times a day for half an hour before meals. 
• A mixture of berries of mountain ash of red (3/4) and leaves of cowberry (1/4) should be brewed 1 tbsp. Boiling water, then several hours to insist on the stove and strain. Take infusion recommended for 0.5 cup for half an hour before meals three times a day, pre-adding a glass of 1 teaspoon of honey. This infusion is a very effective alternative, which is used to treat inflammatory diseases of the bladder, and is also used as a diuretic for chronic pyelonephritis. 
• Birch leaves are an alternative remedy for inflammation of the bladder. To prepare curative infusion of 6-8 grams of birch leaves, pour half a liter of hot water, then boil and properly insist. Infusion is recommended to take three times a day for 50 ml with meals. In addition, that this drug prevents the formation of "kidney" stones, it also has an effective diuretic effect. 
• Black currant is a rather 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. In the ready-made broth, you can add honey or sugar (at your discretion) to improve the taste. Take a decoction often, - 1 tbsp. 5-6 times a day. 
• Oat grain in the volume of 1 tbsp. Should pour 2 tbsp. Hot water, and then boil in a water bath until 1/2 of the broth is evaporated. In the finished broth, add 1 tbsp. L. Honey and take half a cup three times a day. 
• Juice turnips should be boiled for 5 minutes and use 1-2 tablespoons. Spoon several times a day. You can also mix turnip juice half with the juice of black radish. Take this mixture is recommended after meals - three times a day for 1 tbsp. Spoon for a month. Thus, the full course of treatment will be completed.

Alternative means for cystitis in pregnancy were widely used by our great-grandparents, and this method of treatment of inflammation of the bladder is proved 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 organism to this or that component from the above recipes.

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Medications for cystitis in pregnancy

Cystitis during pregnancy should be treated only by means that do not pose any threat to the health of the future mother and her baby. With regard to antibacterial drugs should be particularly careful. With cystitis, tetracyclines and sulfanilamide preparations are contraindicated in pregnancy, they can cause irreparable harm to the developing organism of the child.

Medicines for cystitis during pregnancy should be chosen exclusively by the attending physician. Usually, treatment of this disease in pregnant women includes antibiotic therapy, phytotherapy and physiotherapy. Among the drugs used to treat cystitis in pregnant women in our time, the most effective and safe are the antibiotics "Monural" and "Amoxiclav." The drug "Monural" is convenient in application: in uncomplicated conditions, only one sachet of this remedy can help. Antibacterial drug "Amoxiclav" is a combined medicine and for the whole medical practice proved its high effectiveness in the treatment of infections of the genitourinary system. The effect of both drugs allows to achieve the greatest concentration of medicinal substances directly in the bladder. Thus, "conquering" the disease is much easier.

With the help of instillations (introduction through the catheter of antibacterial compounds directly into the bladder), a more rapid effect can be achieved in the treatment of cystitis in pregnant women. Among medicines and auxiliary substances that are used for installations, it is possible to isolate boric acid, rivanol, nitric silver, therapeutic oils, etc.

Treatment of cystitis with herbs also produces a positive effect. The most effective in this regard are special complex collections of medicinal plants (grain of oats, cowberry, rowan, dill, dog rose and other medicinal plants). There are also modern tableted forms of herbal medicines, for example, "Kanefron" - a drug that has spasmolytic, as well as antimicrobial and diuretic action. In addition, this drug has no contraindications, except for cases of individual intolerance of its components.

As for the use of physiotherapy, it is very limited in pregnancy. In the treatment of cystitis, only electrophoresis and warm compresses are allowed, which are placed on the area of the bladder.

Cystitis during pregnancy can not be treated independently, all medicines and their dosages for a pregnant woman should be prescribed exclusively by a doctor. Thus, treatment will be correct and most effective.

Treatment of cystitis with herbs during pregnancy

Cystitis during pregnancy is successfully treated with herbs, especially the collections consisting of several medicinal plants. In this case, it should be borne in mind that the treatment should be long: courses for 1-2 months with breaks of 1-2 weeks. Naturally, alternative methods of treating cystitis should be combined with taking medication, which the doctor should appoint.

Treatment of cystitis with herbs during pregnancy should always be agreed with the attending physician, since many herbs have contraindications that need to be considered during pregnancy. In general, herbal medicine includes the intake of herbal decoctions, which have an antispasmodic and diuretic effect. Usually, for the preparation of herbal preparations, bearberry, chamomile, psyllium, marsh fever, St. John's wort, horsetail are used, etc. In combination with salt-free diet and physiotherapy procedures of warming up, phytotherapy is an effective method of treatment of acute cystitis, as well as a preventive method aimed at avoiding exacerbations in chronic course of the disease. Improvement of well-being usually comes after 2 weeks of regular intake of medicinal herbs.

In uncomplicated cases, inflammation of the bladder helps to reduce tea from the vulgaris vulgaris or chamomile medicinal. Strong antiseptic is bearberry bear. In the treatment of cystitis also used seeds of celery, marshmallow medicinal, ordinary crochet. These plants have a complex action (astringent, tonic, softening) on the inflamed organ and help to get rid of the unpleasant sensations provoked by the course of cystitis.

Effective is the herb collection, consisting of a hog uterus, leaves of horseradish and cowberry, winter ham, goose eye patch, fiber and saber, which should be taken 3-4 weeks, until all symptoms disappear completely. This collection has not only an anti-inflammatory and diuretic, but also an analgesic effect. At the same time, all its plant components are absolutely safe in pregnancy. For the preparation of herbal medicines, 30-35 grams of salt should be poured into 1 liter of water and boiled, after which it should be cooled. Apply 0.5 glasses each time after going to the toilet. When soreness subsides, the collection can be "eased": one week to drink cranberries, the second - wintering, the third - cranberries. It is recommended to make herbs 1 teaspoon per glass of water. The total volume of the drunk medicinal liquid should be not less than 1 liter per day.

Treatment of cystitis with herbs during pregnancy takes longer than antibiotic treatment, but the future mother will be less prone to negative consequences from taking antibacterial drugs, in particular, dysbiosis.

Dill with cystitis in pregnancy

Cystitis during pregnancy should be treated in a comprehensive manner, combining various methods of treatment: taking antibiotics with gentle action with physiotherapy and phytotherapy. One of the medicinal plants that have a beneficial effect on the body and is actively used in the treatment of cystitis is dill. This plant has a whole set of useful substances: it contains carotene, vitamins and C, nicotinic and folic acid, as well as a whole complex 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 the causative agents of the inflammatory process.

Dill in cystitis during pregnancy is used as an effective diuretic in the form of a decoction. For its preparation 3 tbsp. Spoons of the crushed plant should be poured with 1 glass of boiling water, then poured into a separate container, put on fire and stand for 15 minutes in a water bath. Ready broth should be insisted for about an hour, then gently strain. Take infusion of dill is recommended 3 times a day before eating 1/3 cup. Before use, a healing drink is recommended to be slightly heated.

It is necessary to understand that such therapy can not replace the main therapy in the treatment of cystitis, it is only its complement. In the acute course of the disease, the most effective is still the use of antibiotics, whose action is directed to the death of the bulk of harmful microorganisms. The use of herbs, including decoction, is, in fact, considered the second stage in the treatment of cystitis, the purpose of which is to maintain the therapeutic result achieved.

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Cowberry leaf with cystitis during pregnancy

Cystitis during pregnancy can be treated with the help of 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 cowberry.

Cowberry leaf with cystitis during pregnancy is able to cure for 3-4 weeks, in addition, it provides the body of the future mother with useful minerals (sodium, iron, calcium, potassium) and necessary to strengthen immunity with vitamins. The leaves of cowberry contain biologically active components, which play an important role in the work of the organism and ensure its harmonious vital activity. It should be noted that even berries cranberries are endowed with medicinal properties. They have a laxative, antipyretic and antispasmodic effect, and are also capable of perfectly quenching thirst.

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

To prepare a healing broth 2 tbsp. Tablespoons of cranberry leaves should be poured a glass of slightly cooled boiled water, after which the mixture is poured into an enameled container and held in a water bath for half an hour. After that, the broth should be cooled for 10-15 minutes at room temperature, gently strain and squeeze well from the leaves. Ready medicinal drink should be diluted with water to a volume of 200 ml and stored in the refrigerator for no more than 2 days. Pregnant should take a decoction of 0,5 glasses after meals three times a day. With the goal of preventing cystitis and kidney diseases, the drug should be drunk about ¼ cup 1 time per day. Before use, decoction of cranberry leaves is recommended to shake and slightly warm up - to a warm state. Warm drink more favorably affects the stomach. To improve the taste, the decoction can be mixed with the broth of the dog rose, and also with green tea.

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Kanefron from cystitis in pregnancy

Cystitis during pregnancy should be treated only with those medicines that are absolutely safe for the health of the future mother and her baby. One of the most popular drugs used in modern medicine for the treatment of diseases of the urinary system in pregnant women is Kanefron, a highly effective product with a natural composition and excellent tolerance from the German company BIONORIKA. This drug has virtually no contraindications, and also received high praise and positive feedback from women who experienced an exacerbation of cystitis during the period of gestation.

Kanefron from cystitis during pregnancy is used as a natural remedy, which has a plant base and contains such active substances as rosemary, centenarians, dogrose hides and lovage. As auxiliary components in the preparation are used: 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, tk. Drops contain a small percentage of alcohol.

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

• activate the work of the bladder and kidneys - organs that are under high stress during pregnancy; 
• intensify the action of antibiotics and prevent the development of various infections; 
• promote the relaxation of blood vessels and capillaries of the urinary tract, as well as the removal of the pregnant woman from excess fluid, thereby preventing the development of puffiness;
• improve the blood supply of the kidney cortex; 
• have an effective antispasmodic effect.

Kanefron from cystitis during pregnancy after a few treatments facilitates 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 preventive effect in the treatment of urolithiasis. It is combined with other medications, without causing any side effects, except for cases with individual intolerance to the components of the drug, as a result of which allergic reactions may occur.

Before receiving "Kanefron", the expectant mother should carefully study the instructions and consult with her doctor, since the dosage and frequency of use of this medication is determined depending on the degree of complexity and specific features of the disease. The standard dosage of the drug "Kanefron" during pregnancy is three times a day on 2 tablets. The duration of treatment for pregnant women is determined 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 its pure form, cause the tone of the uterus - a reaction very undesirable in pregnancy.

Summarizing the above information, it can be concluded 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 compromising the health of her baby. It is important only to observe the correct dosage of the drug, set by an experienced doctor.

Antibiotics for cystitis in pregnancy

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

Antibiotics from cystitis in pregnancy should have an effective effect and not have contraindications, and this is not an easy task. The choice of the optimal medication is due to the general condition of the pregnant woman, the course of pregnancy and the degree of difficulty of the disease. In this case, one should remember about the possible consequences of self-medication cystitis, which can become very deplorable if the future mother does not know the dosage of a drug and trusts the "smart" advice of inexperienced girlfriends. That's why, with the slightest suspicion of the development of cystitis, a pregnant woman should contact the doctor as soon as possible to confirm the diagnosis and prescribe the optimal course of drug treatment for a dangerous illness.

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. Proceeding from this, it is necessary to choose the tablet preparation reaching its maximum concentration in the bladder. In this case, the choice of medicines is rather limited: for today the most effective and safe antibacterial drugs for pregnant women are "Amoxiclav" and "Monural".

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

Antibacterial agent "Monural" (powder) is also very effective in the treatment of cystitis and is absolutely safe for both the future mother and the bearable fetus. The active ingredient of the drug is phosphomycin trometamol. Usually one sachet of this medicine is enough to defeat the cystitis, which has an uncomplicated nature. In more severe cases, it is necessary to take 2 packets of the drug.

Antibiotics from cystitis in pregnancy can cope with urinary system infection quickly and efficiently. However, in any case, before treatment with antibacterial agents it is necessary to consult an experienced doctor who will determine the frequency of taking and dosage of the medicine.

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Treatment of acute cystitis in pregnancy

Cystitis during pregnancy can manifest itself in acute and chronic form. 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 in the urine. This condition is dangerous because acute cystitis can provoke inflammation of the kidneys (pyelonephritis). In addition, neglected forms of inflammation can cause premature birth. To quickly eliminate the infection and remove inflammation, it is necessary to apply effective medication. In this case, antibacterial means, which simultaneously have the effectiveness and safety for the future mother and fetus, can not be dispensed with.

Treatment of acute cystitis in pregnancy is usually carried out with drugs such as Amoxicillin, Amoxiclav, Monural, Cefuroxime, Cephalexin, Ceftibuten, Josamycin and Nitrofurantoin. All these antimicrobial drugs are included in the number of penicillins, cephalosporins and macrolides - antibiotics, the taking of which is permitted during the period of gestation. For maintenance therapy, plant uroseptics and phytopreparations are used: "Kanefron", "Phytolysin", broths of diuretic herbs (dog rose, cowberry, etc.). In parallel, the treatment of STI and bacterial vaginosis, depending on the case.

In the treatment of acute cystitis in pregnancy, local therapy is also used, which consists of 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 environment under the strict supervision of a doctor.

Preventive maintenance of a cystitis during pregnancy

Cystitis during pregnancy is easier to prevent than treat. Therefore, it is important for future mothers to follow preventive measures for the timely prevention of this dangerous disease. First of all, when planning pregnancy, a woman needs to undergo a full medical examination in order to identify possible chronic infections and cure them before pregnancy. For example, neglected caries or tonsillitis are sources of chronic infection and can provoke manifestations of inflammation in various organs, including the bladder. We need to take care of the treatment of possible bacterial vaginosis, as well as STI.

Preventive maintenance of a cystitis during pregnancy, first of all, means observance by the woman of elementary hygienic rules: daily washing under warm water with use of pH neutral detergents. The future mother is not recommended to take a bath, for the purpose of bathing, it is better to use a shower, so you can avoid getting detergents into the genitals.

Pregnant women should pay special attention to the choice of underwear.

According to doctors, regular wearing of open panties in the form of thongs 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 flax.

Cystitis during pregnancy is often due to a strong hypothermia against a weakened immune system. For this reason, pregnant women should be more attentive to their health, excluding a long stay in the cold and wearing out-of-season clothes. In addition, a woman waiting for a baby should be more often in the open air, arrange walking tours, perform physical exercises for pregnant women. An important point is the reception of a complex of vitamins, which the gynecologist should appoint taking into account the condition of the pregnant woman.

Future 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 eliminated much faster. And, on the contrary, with stagnation of urine, pathogenic microorganisms begin to multiply intensively. It is also necessary to monitor the regularity of the stool. Constipation often causes a violation of blood circulation in the organs of the small pelvis, thereby predisposing to cyst.

Preventive maintenance of a cystitis during pregnancy concerns or touches and a choice of a correct delivery. It is important that in the diet of the pregnant woman there are always natural products and clean water. From the menu it is necessary to exclude completely fried, salty, pickled and spicy dishes, as well as spices and smoked products. Alcohol, citrus juices, coffee, and also soft drinks containing caffeine are forbidden from drinks. With a view to prevention, it is recommended to take cranberry-cranberry mors, decoctions of herbs (dog rose, chamomile, dill, etc.). Such medicinal drinks have an active diuretic effect and promote the rapid washout from the bladder of products of inflammation and harmful bacteria.

To the inflammatory process in the bladder can lead sedentary work in the office. To avoid the development of cystitis, women "in position" are strongly encouraged to get up from their workplace every 20-30 minutes and perform an easy warm-up.

Cystitis during pregnancy can be easily prevented, following the above recommendations and treating with special attention to one's own health. After all, the main task of a pregnant woman is to protect her child from dangers and give him a healthy birth!