The association between maternal hydronephrosis and acute flank pain during pregnancy : a prospective pilot-study

PURPOSE: Maternal hydronephrosis may cause flank pain during pregnancy. We aimed to investigate the association between maternal hydronephrosis and flank pain intensity.

METHODS: From 2014 to 2015, all consecutive women with singleton pregnancies, who presented at our tertiary center due to acute flank pain, were prospectively evaluated by renal ultrasonography and pain questionnaires. A visual analogue scale was used to assess pain intensity. The study had 90% power to detect a significant correlation between hydronephrosis and flank pain (Spearman's test).

RESULTS: A total of 51 consecutive women with left-sided (13.7%), right-sided (64.7%) or bilateral (21.6%) pain were enrolled. The mean gestational age of these women, who presented due to their pain, was 27.5 ± 6.8 weeks at the time of consultation. The mean VAS score was 7.6 ± 2.2. In 43/51 (84.3%) women, hydronephrosis was found on renal sonograms. No correlation was found between the grade of hydronephrosis and pain intensity (p = 0.466; r= -0.28). Women delivered at a mean gestational age of 38.1 ± 2.4 weeks and their infants had a mean birthweight of 3138 ± 677 g.

CONCLUSIONS: Hydronephrosis is a common finding among pregnant women with acute flank pain. The grade of hydronephrosis does not affect pain intensity. This study suggests normal pregnancy outcomes in these women.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians - 30(2017), 20 vom: 02. Okt., Seite 2417-2421

Sprache:

Englisch

Beteiligte Personen:

Farr, Alex [VerfasserIn]
Ott, Johannes [VerfasserIn]
Kueronya, Verena [VerfasserIn]
Margreiter, Markus [VerfasserIn]
Javadli, Elchin [VerfasserIn]
Einig, Sabrina [VerfasserIn]
Husslein, Peter W [VerfasserIn]
Bancher-Todesca, Dagmar [VerfasserIn]

Links:

Volltext

Themen:

Hydronephrosis
Journal Article
Pain
Pregnancy
Preterm birth
Visual analogue scale

Anmerkungen:

Date Completed 25.04.2018

Date Revised 25.04.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14767058.2016.1252328

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM265867088