GESTATIONAL PYELONEPHRITIS: COMPLICATIONS, IMMUNE ALTERATIONS, AND MATERNAL-FETAL OUTCOMES

Fifty pregnant women aged 18 to 36 years diagnosed with gestational pyelonephritis were enrolled in the study. Of these, 20 patients presented with acute primary pyelonephritis in either the serous or purulent inflammatory stages, while 30 were diagnosed with chronic pyelonephritis, either in remission or experiencing disease exacerbation. In cases of acute pyelonephritis, urinary tract obstruction and impaired urine drainage were common complications, which required a range of medical interventions. Specifically, ureteral catheterization was carried out in 21 cases, ureteral stents were placed in 6 patients, percutaneous nephrostomy was performed in 3, one patient underwent nephrostomy with infection source decontamination, and another required nephrectomy.