How is urolithiasis managed during pregnancy?

Updated: Aug 17, 2021
  • Author: Raisa O Platte, MD, PhD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Urolithiasis presents a unique problem in pregnant women. Kidney stones should initially be treated conservatively because 50-67% of stones diagnosed during pregnancy pass spontaneously. Conservative therapy includes appropriate antibiotic coverage, adequate hydration, and systemic analgesics (usually narcotics, which are class C agents in pregnancy). Anti-inflammatory medications may cause oligohydramnios, premature closure of the patent ductus arteriosus, or both and should therefore be avoided if possible.


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