Urine Infection in Pregnancy - Treatment

What is the treatment for a urine infection when you are pregnant?

Antibiotic medicines

There are several different types of antibiotic that can help. Your doctor will choose the type most likely to help you. A seven-day course of an antibiotic is the usual treatment. Any symptoms will usually improve within a few days. However, it is very important that you complete the course of antibiotics. The choice of antibiotic used may be different when you are pregnant. The antibiotics used to treat urine infections in pregnant women are safe to take in pregnancy. They will not harm your baby.

You should see a doctor if your symptoms do not go, or if you feel worse after a few days. Some germs (bacteria) are resistant to some antibiotics. This can be identified from tests done on the urine sample. A change of antibiotic is needed if the bacterium is found to be resistant to the first antibiotic.

Note: this is a little different to the treatment of bladder infection (cystitis) in non-pregnant women. Not having any treatment is an option in non-pregnant women, as cystitis often goes without treatment. However, if you are pregnant, treatment with an antibiotic is usually advised.

You should do a further sample of urine when you have finished your antibiotics. This will check the infection has been treated properly.

Painkillers

Paracetamol will usually ease any pain, discomfort, or high temperature (fever).

Drinking fluids

If you have cystitis then having plenty to drink is traditional advice to flush out the bladder. However, there is no proof that this is helpful when you have cystitis. Some doctors feel that it does not help, and drinking lots may just cause more (painful) toilet trips. Therefore, it is difficult to give confident advice on whether to drink lots or just to drink normally when you have mild symptoms of cystitis. However, if you have a fever and/or feel unwell, having plenty to drink helps to prevent lack of fluid in the body (dehydration).

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Author:
Dr Mary Harding
Peer Reviewer:
Dr Laurence Knott
Document ID:
4613 (v42)
Last Checked:
24 March 2016
Next Review:
24 March 2019

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.