Urinary stone disease presenting during pregnancy requires careful clinical consideration. The approach to management differs meaningfully from the non-pregnant adult, with the safety of both mother and fetus guiding treatment decisions.
This protocol applies to pregnant patients who develop urinary stone disease. The presence of pregnancy is the defining comorbidity that shapes every management decision in this setting.
Conservative approaches for symptomatic hydronephrosis, as well as for ureteric calculi, are the preferred initial management option in pregnant patients.
For uncomplicated urolithiasis arising during pregnancy, conservative management is the cornerstone of care — intervention is reserved for specific clinical indications. The full protocol defines the criteria and the structured pathway that follows.