What Treatment Options Are Available
UTIs can be safely treated with antibiotics during pregnancy. Urinary tract infections are most commonly treated by antibiotics. Doctors usually prescribe a 3-7 day course of antibiotics that is safe for you and the baby. Call your doctor if you have fever, chills, lower stomach pains, nausea, vomiting, contractions, or if after taking medicine for three days, you still have a burning feeling when you urinate.
How Does Azo Bladder Control & Weight Management Compare To Other Bladder Control Products
AZO Bladder Control®& Weight Management is a safe and drug free supplement with naturally sourced ingredients for day and night bladder support.* There are no known side effects directly attributed to the dietary ingredients in AZO Bladder Control®& Weight Management. When taken daily, AZO Bladder Control®& Weight Management helps support healthy bladder function, helps reduce occasional urgency, and helps safely manage your weight.*
Side Effects And Risks Of Cranberry Juice
Talk with your doctor if you think you have a UTI.
Its important to treat a UTI during pregnancy even if you dont have any symptoms. This is because any kind of bacterial infection in the bladder can increase the risk of a kidney infection during pregnancy.
In fact, up to 30 percent of pregnant people with bacteria in their urine develop a kidney infection in later trimesters if its not treated. This can be very serious.
Your doctor might recommend a short course of antibiotics to treat a UTI. Cranberry juice may help prevent UTIs, but it wont treat them.
Most cranberry juices also have large amounts of sugar added theyre mixed with other kinds of juice to sweeten.
Check the sugar content of your cranberry juice. Balancing how much sugar you eat is especially important during pregnancy to prevent and treat gestational diabetes.
Look for pure, unsweetened cranberry juice without added sweeteners.
If its too sour or bitter for you, sweeten with natural stevia or monk fruit sweeteners. You can also add pure, unsweetened cranberry juice to fruit and vegetable smoothies.
A small study in 2015 suggests that taking cranberry capsules may have the same effect on UTIs during pregnancy as drinking lots of cranberry juice.
Still, more research is needed and you should take precautions when taking any supplements while pregnant.
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How Much Azo Bladder Control & Weight Management Should I Take And Why Do I Take More In The First Two Weeks
It is recommended for the first two weeks to take one capsule three times a day morning, noon, and night. After two weeks, only one capsule twice a day, morning and night, is required. This recommended delivery comes from the clinical studies indicating that a larger serving of Go-Less® in the first two weeks helps promote the desired results, and these benefits can be maintained with ongoing smaller amounts.
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Which Antibiotics Are Not Safe During Pregnancy
Some antibiotics have shown an increased risk of birth defects in studies. They were assigned category C , category D , and category X .
Below are the classes of antibiotics associated with safety concerns related to use in pregnancy .
- Aminoglycosides: Streptomycin in the first trimester has been related to congenital deafness and should be avoided. Other aminoglycosides have not shown many adverse effects and may be used for the short-term under strict medical surveillance.
- Tetracyclines: These category D antibiotics have proven teratogenicity . They can bind to calcium in the developing fetus, causing permanent discoloration of bones and teeth. Large doses may also lead to maternal liver toxicity.
- Fluoroquinolones: These consist ofOfloxacin, Ciprofloxacin, and Levofloxacin. Although they are classified as pregnancy category C, they are generally contraindicated in pregnancy. Studies have associated Fluoroquinolones with renal toxicity, cardiac defects, and central nervous system toxicity in the fetus. They may be recommended when there is no alternative.
- Other antibiotics under category B should be used with caution in pregnant women due to the lack of adequate human data confirming their safety. A few examples are below.
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Treatments For A Uti During Pregnancy
When you are pregnant, staying hydrated is important to the health and development of your baby.
Beyond prenatal health benefits, drinking water consistently can also provide benefits to your urinary tract health.
Studies show that drinking water and staying hydrated can help flush out bacteria and infection from the urinary tract.
Drinking cranberry juice
Cranberry can be consumed in the form of unsweetened juice or convenient supplement pills.
Drinking unsweetened cranberry juice is a popular remedy for treating UTIs. A few studies suggest that cranberry juice may help prevent UTIs, but no research supports the idea that cranberry juice can cure or treat a UTI beyond easing some of the uncomfortable symptoms.
One study shows the ingredients in cranberry juice may help prevent infection-causing E. coli bacteria from collecting on the cells inside the walls of the bladder and urinary tract, which can reduce the risk of developing a UTI. Another study shows cranberry helps to stop bacteria from lingering in the urinary tract, which might help preventing infection, though more research is needed to confirm this holds true for people.
Research shows that cranberry juice does not put the mother and baby at risk when consumed during pregnancy. Studies suggest promising results from using cranberry juice to manage UTIs while pregnant.
Consuming ascorbic acid
What To Do If You Have Stomach Spasms During Pregnancy
If youre having stomach spasms in pregnancy, talk to your doctor before trying any home remedies. Some home treatments may not be safe during pregnancy. Heat can help to relax your stomach muscles. This is particularly helpful if muscle strain or overuse is causing your spasms. Massaging your stomach muscles can help to relax them.
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Medications For The Treatment Of Urinary Tract Infection During Pregnancy
Antibiotic medications are frequently used to treat urinary tract infections in women who are pregnant. They are typically prescribed for three to 10 days, depending on the type of medication and the severity of the infection. Common antibiotics that have been approved for the treatment of urinary tract infections during pregnancy include:
- Penicillins: Penicillins, including amoxicillin, were once the principle treatment of choice for urinary tract infections, but are ineffective against E. coli-driven UTIs in up to 30 percent of cases. They are, however, useful against urinary tract infections caused by other bacteria, such as Staphylococcus saprophyticus or Enterococcus. Stubborn, drug-resistant infections may have to be addressed with Augmentin . Penicillins are typically prescribed for 10 days and are generally well tolerated by most patients. Side effects include diarrhea, nausea, stomach pain, and vaginal itching or discharge.
- Cephalosporins: Cephalosporins include medications such as cephalexin , cefuroxime and cefadrozil . These antibiotics are currently the most widely prescribed medications for UTIs, but can only be used in the first and second trimesters. Because of their potency, cephalosporins are usually prescribed for three to seven days and are well tolerated. Side effects of these medications include upset stomach, nausea, vomiting, and diarrhea.
Physiological Changes Of Pregnancy And Its Association With Urinary Tract Infections
Pregnancy increases the risk of UTIs. At around 6th week of pregnancy, due to the physiological changes of pregnancy the ureters begin to dilate. This is also known as hydronephrosis of pregnancy, which peaks at 22-26 weeks and continues to persist until delivery. Both progesterone and estrogens levels increase during pregnancy and these will lead to decreased ureteral and bladder tone. Increased plasma volume during pregnancy leads to decrease urine concentration and increased bladder volume. The combination of all these factors lead to urinary stasis and uretero-vesical reflux. Glycosuria in pregnancy is also another well-known factor which predisposes mothers to UTI.
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Other Medications For The Treatment Of Uti During Pregnancy
Other medications may also be helpful in treating the symptoms of a urinary tract infection. In particular, phenazopyridine can be used to treat the pain and burning associated with a urinary tract infection. Although safe for use during pregnancy, it should not be taken for more than two days. Side effects include headache, stomach upset, and dark orange or red urine.
Urinary tract infectionâMedications. . University of Maryland Medical Center.
Lee, M., Bozzo, P., Einarson, A., & Koren, G. . Urinary tract infections in pregnancy. Canadian Family Physician. 54:853-854.
Delzell, J.E., & Lefevre, M.L. . Urinary Tract Infections During Pregnancy. Am Fam Physician. 61:713-720.
Changes To The Vaginal Microbiome During Pregnancy
The importance of a healthy vaginal microbiome is only magnified during pregnancy.
There are more opportunities for disturbancethe dramatic changes in hormone levels and changes in sexual activity.2
And there are more opportunities for healthy benefits. An optimal balance helps support your natural defenses to protect vaginal health. This balance is important during any point of your life but especially during pregnancy.
The importance of a healthy vaginal microbiome is only magnified during pregnancy.
Balanced vaginal flora is also important for your newborn babys microflora development. It is during childbirth that you pass along your microflora to help seed your babys microbiota, which is critical to the immune system and neurodevelopment.4
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Will Azo Urinary Tract Defense Interfere With Prescription Medications
Please consult your doctor if you are taking any other prescription medications before taking AZO Urinary Tract Defense. AZO Urinary Tract Defense should not be taken with sulfonamide drugs. Products that decrease the acidity of the urine may reduce the effectiveness of AZO Urinary Tract Defense. AZO Urinary Tract Defense should not be taken with anticoagulants, steroid drugs, or in addition to other non-steroidal anti-inflammatory drugs .
Top 4 Antibiotics For Uti When Pregnant 2017
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Antibiotics for UTI when pregnant are sometimes a necessary evil. However, some are better than others.
Recent research published in CMAJ on May 1, 2017, reveals interesting findings of taking antibiotics when expecting. Some findings were surprising, while others have confirmed the long-standing opinion about potential side-effects of taking antibiotics when pregnant.
Finding #1: Antibiotics are associated with 60% increase in the risk of miscarriage
Every pregnant woman regardless of whether she takes antibiotics or not, has about 5-6% chance of miscarriage. When you take antibiotics during early stages of pregnancy it seems to increase the risk up to 9-10%.
However, it is hard to say what increases your risk more: the underlying infection or the antibiotic treatment.
Finding # 2: Some antibiotics are better than others
According to the findings, the following antibiotic groups are associated with an increased risk of miscarriage:
- macrolides ,
The findings reveal that the following antibiotics have not been connected with an increased risk of miscarriage:
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Manufacturers Respond To The Fda
The FDA received at least three responses to its list ofphenazopyridine questions within a 6-month period. The ConsumerHealthcare Products Association asked the FDA to reviewphenazopyridine, but completely sidestepped the issue ofcarcinogenicity.11 A submission from PolymedicaPharmaceuticals asserted that urinarydiscomfort should be self-treatable, and further argued against warningpatients on product labels that they may need a concomitantantibacterial.12 Polymedica also claimed that phenazopyridinedosages of 190 to 195 mg are safe and effective, but did not submitclinical dosage studies to support its assertions. Polymedica arguedagainst including any carcinogenesis statement. In short, the submissionwas entirely laudatory about phenazopyridine, although it did notreport newly conducted clinical studies, as would have been required bythe FDA to establish safety and efficacy.
A brief submission from Johnson & Johnson made essentially the same arguments as Polymedica, denying theneed for carcinogenicity labeling.13 This submission also failed to include new clinical studies providing evidence of safety and efficacy.
What Are The Signs And Symptoms Of Utis
If you have a urinary tract infection, you may experience one or more of the following symptoms:
- Pain or burning when urinating
- The need to urinate more often than usual
- A feeling of urgency when you urinate
- Blood or mucus in the urine
- Cramps or pain in the lower abdomen
- Pain during sexual intercourse
- Chills, fever, sweats, leaking of urine
- Waking up from sleep to urinate
- Change in the amount of urine, either more or less
- Urine that looks cloudy, smells foul or unusually strong
- Pain, pressure, or tenderness in the area of the bladder
- When bacteria spreads to the kidneys you may experience back pain, chills, fever, nausea, and vomiting.
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Is Ciprofloxacin Safe In Pregnancy
While there are no controlled studies of ciprofloxacin use in pregnant women to show safety, an expert review of published data on experiences with ciprofloxacin use during pregnancy by TERIS the Teratogen Information System concluded that therapeutic doses during pregnancy are unlikely to pose a substantial
Are There Other Medications That Can Delay Or Affect Your Period
There are a few medications that can delay your period. Changing the menstruation cycle or delayed period can be very worrying for a young girl. The period is a natural process that happens every month in an adult girl. So it would be better if a girl knows the medications that cause a change in period.
Nonsteroidal anti-inflammatory drugs are used to relieve pain. Sometimes NSAIDs can change your menstruation cycle. So dont take too many NSAIDs without the prescription of a doctor. In addition to this, aspirin and other blood thinners can affect your period.
Hormone therapy and thyroid medications can delay your period. Depending on your physical condition, sometimes doctors use hormonal therapy. It can also talk to a pharmacist about the effect on the period. It would be unfair not to mention the fact that chemotherapy also causes a change in period.
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How To Safely Take Antibiotics In Pregnancy
The best way to take your antibiotics is to follow your doctors instructions. Because antibiotics have been used too much in the past, your doctor might be careful about what they give you.
Your doctor will choose the best type for you. They might think about other factors before giving you antibiotics. These might include:
- Avoiding antibiotics in the first trimester
- Testing to confirm the type of infection
- Giving the smallest dose possible
- Giving antibiotics for the shortest time possible
- Using only one type of antibiotic
- Only giving antibiotics when necessary
Antibiotics can interact with other medications or over-the-counter drugs. Your doctor might tell you not to take antibiotics with any other medicine.
Take as directed. Sometimes when you take antibiotics you start to feel better right away. Its important to take your medicine until its finished and the way your doctor says. This might help stop the bacteria from becoming resistant to the medicine.
Use other safe remedies. If you have a common cold or other minor conditions, your doctor likely wont give you antibiotics. Instead, ask about other over-the-counter medicine that is safe for you to take when you’re pregnant. Other self-care practices for the common cold might be helpful, including:
- Hot shower
- Saline nasal spray
- Warm salt water gargle
If you dont get better or you have new symptoms, make sure to talk to your doctor to rule out more serious conditions.
How Does Azo Bladder Control Compare To Other Bladder Control Products
AZO Bladder Control® is a safe and drug free supplement with naturally sourced ingredients for day and night bladder support.* There are no known side effects directly attributed to the dietary ingredients in AZO Bladder Control®. When taken daily, AZO Bladder Control® with Go-Less® helps support healthy bladder function, helps reduce occasional urgency, and supports a good nights sleep.*
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Strengths And Limitations Of Study
The strengths of this study lie mainly in the method used for data collection. The advantage of using an online forum to collect data was that it provided access to a wide range of participants across the UK. Online forum postings increase the perceived sense of anonymity in participants, which can increase disclosure compared to face-to-face interviews. Data was also immediately available for analysis and circumvented transcription errors arising from interviews.
Using an online forum, however, also contributed to the limitations of this study. Women used descriptive text and emoticons to express their feelings, but using an online forum could result in a loss of insight that facial expressions or verbal tone can offer to exploring perceptions. It was difficult to characterise the exact demographics of website users and only views of women who had access to the internet and had subscribed to the forum could be analysed. Different cultural groups in the UK may also have different norms of behaviour in pregnancy and the views of women from varying backgrounds may differ from what was captured from the forum. Therefore, the interpretation and transferability of the results should be made within this context and broad generalisations may not be appropriate.
Uti Causes During Pregnancy
Some of the risk factors for UTI in pregnancy are the same as those for non-pregnant women:
- History of urinary tract infection
- Anatomical differences
- Harmful bacteria getting into the urinary tract during sexual activity
- Bacterial imbalance caused by diet or digestive issues
And other UTI risk factors are pregnancy-specific 1,2:
- As the uterus expands, it puts pressure on the urinary tract
- Hormonal changes can disrupt fluid passing from the kidneys to the bladder, meaning that urine is stored for longer, leading to a buildup of bacteria
- Medical procedures during pregnancy which involve the insertion of a catheter or other device can also introduce bacteria to the urinary tract
The anatomical and hormonal changes that occur during pregnancy are more likely to be risk factors for cystitis between weeks 6 to 24 of pregnancy.
Another possible risk factor is the balance of different bacterial species within the microbiomes in your body. That being said, research is lacking on possible changes that may occur, so it isnt possible to make any certain conclusions about this one yet. 3
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