CHRONIC PYELONEPHRITIS IN PREGNANCY

Chronic Pyelonephritis in Pregnancy



Chronic Pyelonephritis in Pregnancy

Introduction

The main purpose of this paper is to make an analysis on the case of Mary. Mary was a pregnant woman and she was suffering from renal disorders conditions. She needs treatment for the renal disorder she is suffering. The paper makes discussion on the role of midwife in the treatment of Mary. The disorder with which Mary is suffering is chronic pylonephritis in pregnancy.

Discussion

Pyelonephritis (APN) is one of the most frequent causes of hospitalization during pregnancy and occurs in about 1-3% of pregnancies. It is the most common and severe complication of infectious medical conditions that occur during the gestational period. The PNA can cause complications for both mother and fetus. Approximately 15 to 20% of patients have bacteremia, and some of them develop complications such as more severe septic shock, disseminated intravascular coagulation (DIC) syndrome, respiratory failure or adult respiratory distress; (ARDS) the latter has an incidence of 1 to 8%. Asymptomatic bacteriuria precedes acute pyelonephritis in approximately 20-40% of patients (Albers, 1999, p. 114).

The role of midwives during the pregnancy is ongoing evaluation of women in labor provides the necessary information for determining maternal and fetal well-being during labour. The range of progress during labour that is within the range of normal varies widely. The midwife plays a crucial role in providing maternal support and reassurance, while at the same time remaining vigilant for subtle variations in maternal or fetal condition that may indicate developing, or the potential problems (Stewart, 2001, p. 279).

Early identification of actual or potential problems allows problem solving measures and treatments, to be initiated proactively, with a goal of the best outcome possible for mother and baby in the given circumstances. Midwifes used the MNC when starting a labour preparation course, the midwife sees the woman in a group of newly diagnosed pregnant women also midwives see the couple individually. The midwife strives to give the highest standard of care at all times. She also makes sure that all the information she imparts is accurate. She ensures confidentiality. She also listens to the concerns and problems of women and their partners and gives appropriate care and advice (Neal, 2010, p. 308).

The midwife, where possible, make contact with the doctor or specialist concerned in order to keep lines of communication open, so as to ensure continuity of care. She also has a good relationship with all the hospitals or clinics in her area and, where possible, gives support before and during the delivery. The midwives are flexible and use initiative to evaluate and implement a programme that works for those particular women with whom she is working (Fraser, 2003, p. 134).

It is very important for the mid wives that they should properly understand the causes and of chronic pylonephritis in pregnancy and communicates it to Mary. Following are the main symptoms and causes of chronic pylonephritis in pregnancy.

Symptoms of pyelonephritis

Pyelonephritis can occur in acute or chronic ...