URINARY TRACT INFECTIONS IN PREGNANCY: TREATMENT AND MANAGEMENT

According to the literature, the incidence of gestational pyelonephritis (GP) is 5-10%, while the development of the disease increases the risk of intrauterine infection and miscarriage (Styazhkina S.N. et al., 2015). The study of the interaction between gestational pyelonephritis and pregnancy is relevant due to the high percentage of obstetric complications, negative perinatal outcomes and severe diseases in newborns, which emphasizes the medical and socio-economic significance of the problem. In chronic pyelonephritis, pregnancy is complicated by iron deficiency anemia (35-70%), premature termination of pregnancy at various stages (15-20%), chronic placental insufficiency (30-35%), preeclampsia (35-70%). 30-40% causes complications such as chronic uterine hypoxia (30-40%), fetal infection (20-30%) and growth retardation (12-15%). In chronic pyelonephritis, the ability of pregnant women to adapt to newborns is significantly impaired and the risk of early neonatal death increases.