4 Common Urological Concerns in Pregnancy: And What to Do About Them
Some of the changes your body goes through during pregnancy can put pressure on your urinary system. This can lead to a variety of discomforts – some of which are to be expected, while others may need medical attention.
Let’s look at four common urological concerns in pregnancy and what to do about them. We’ll also share a few best practices for preventing urinary problems. Keep in mind that this is intended to be general information only and shouldn’t be a substitute for medical advice. Please reach out to your doctor if you have questions about your health.
Concern #1 – Frequent Urination
Frequent urination can often be one of the earliest signs of pregnancy. Here’s what’s happening: your body starts producing hCG, a hormone that enhances blood flow to the pelvic region. This surge in circulation feeds the development of the growing baby and supporting organs. However, it also means that your kidneys become more efficient than usual, leading to more frequent bathroom trips.
As pregnancy progresses, additional factors come into play. The expanding uterus begins to put pressure on the bladder, contributing further to the need for frequent urination. Additionally, as you near delivery, the baby "drops" into position, intensifying this pressure.
While frequent urination may be inconvenient, it's generally considered a normal aspect of pregnancy. However, it’s important to attend your prenatal checkups to ensure nothing else is causing the frequency change.
Concern #2 – Urinary Tract Infections
During pregnancy, you’re at an increased risk for developing a urinary tract infection (UTI). There are a couple reasons for this:
Hormonal changes can affect the urinary tract function.
Urinary retention, likely due to pressure from the uterus.
UTIs can cause significant discomfort, including frequent urination and a burning sensation when you pee.
Untreated UTIs can lead to more serious infections that may harm both the mother and baby. So, it’s important to seek prompt medical care if you suspect you have one. The good news is that most UTIs are easily resolved with antibiotics.
Concern #3 – Urinary Incontinence
Pregnancy can weaken the pelvic floor muscles, leading to stress incontinence. If you have this condition, you might find you leak a small amount of urine during activities such as coughing, sneezing, or laughing.
A few things you could try to help include:
Practice pelvic floor exercises
Wear absorbent pads
Keep an extra pair of underwear with you
Limit coffee
Avoid constipation
If the incontinence persists past pregnancy, you could consider discussing incontinence treatment options with a urologist.
Concern #4 – Kidney Stones
Pregnancy increases your chances of kidney stones, most likely because of your body’s hormonal and anatomical changes. The risk is greatest the closer you get to childbirth.
And the risk may persist after delivery. Research conducted by the Mayo Clinic revealed that a woman may have heightened kidney stone risk up to a year following pregnancy. The theory is that stones may develop during pregnancy and remain asymptomatic until after childbirth.
Diagnosing and treating kidney stones during pregnancy is complicated. Radiation is often used to detect stones, and surgery is a common treatment method. Neither of these are safe options during pregnancy. Many doctors advise their patients to pass stones naturally.
Preventive Urinary Care During Pregnancy
If you’re pregnant, there are a few steps you can take to prevent or minimize some of these common urinary ailments.
Here’s what you can do:
Stay hydrated. Drinking plenty of water will support healthy urinary tract function and flush out bacteria. This can help prevent UTIs.
Urinate frequently and fully. Don’t hold your urine when you feel the urge to go. And once you’re there, relax and make sure to completely empty your bladder.
Maintain good hygiene. After using the toilet, make sure to wipe from front to back to prevent bacteria from entering the urethra.
Wear loose, breathable clothing. Tight fitting clothes can create a warm, moist environment that promotes bacterial growth, which can trigger a UTI.
Keep all prenatal care visits. Your regular prenatal checkups provide a chance for your doctor to monitor your health and for you to bring up any concerns you might have.
When to see a doctor
Body changes are part of a normal, healthy pregnancy. Some of these changes are welcome and exciting, while others – such as urinary concerns, may be uncomfortable. If you have questions about symptoms you’re experiencing, contact a urologist.
The Norman Urology team is pleased to offer compassionate care for pregnant patients. Please call us today.