title: [Renal colic in pregnancy and lactation: diagnostic and therapeutic approaches].
abstract: BACKGROUND
  Renal colics due to urinary stones are also common in women of childbearing age whether pregnant or not.
  
  
  OBJECTIVE
  Through a review of literature, we evaluated diagnostic and therapeutic approaches in renal colic in pregnancy and lactation.
  
  
  METHODS
  Review of literature.
  
  
  RESULTS
  The clinical diagnosis is sometimes difficult requiring additional medical imaging based on ultrasound. Other radiological investigations using X-rays are formally forbidden. The prescription of analgesic treatment during pregnancy and lactation must take into account mainly the teratogenic risk in addition to maternal risk by altering drug pharmacokinetics during pregnancy.
  
  
  CONCLUSIONS
  During pregnancy, NSAIDs are prohibited because of their teratogenicity effect. Salicylates and opiates should be used with care, especially in cases of threat of confinement. Paracetamol remains the treatment of choice. Salicylates and corticosteroids should be used with caution during lactation.
authors.affiliation: Service d'Urologie, Centre hospitalo-universitaire La Rabta, Tunis, Tunisie.
authors.forename: Sataa
authors.initials: S
authors.lastname: Sallami
authors.forename: Sami
authors.initials: S
authors.lastname: Ben Rhouma
authors.forename: Nawfel
authors.initials: N
authors.lastname: Ben Rais
authors.forename: Ali
authors.initials: A
authors.lastname: Horchani
mesh_terms: D005260:Female; D006801:Humans; D007774:Lactation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy*; D056844:Renal Colic / Q000175:diagnosis* / Q000188:drug therapy*