Document Detail


[Renal colic in pregnancy and lactation: diagnostic and therapeutic approaches].
MedLine Citation:
PMID:  21780032     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sataa Sallami; Sami Ben Rhouma; Nawfel Ben Rais; Ali Horchani
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  La Tunisie médicale     Volume:  89     ISSN:  0041-4131     ISO Abbreviation:  Tunis Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-22     Completed Date:  2012-03-01     Revised Date:  2012-11-07    
Medline Journal Info:
Nlm Unique ID:  0413766     Medline TA:  Tunis Med     Country:  Tunisia    
Other Details:
Languages:  fre     Pagination:  593-7     Citation Subset:  IM    
Affiliation:
Service d'Urologie, Centre hospitalo-universitaire La Rabta, Tunis, Tunisie.
Vernacular Title:
La colique néphrétique chez la femme enceinte ou allaitante: problèmes diagnostiques et thérapeutiques.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Lactation*
Pregnancy
Pregnancy Complications / diagnosis*,  drug therapy*
Renal Colic / diagnosis*,  drug therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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