How should pregnant women deal with dysuria, incomplete urination, and pain?

Patient's question:

Medical Description: On August 12, 2010, the patient was a 23-year-old female with a healthy medical history. Current Condition: 1. Feeling the need to urinate even after finishing, with yellow urine and pain. Past Treatment and Effects: 1: Had a fetal monitoring test, which showed the fetus was normal, so pregnancy-related issues were ruled out. 2: Under the doctor's guidance, increased water intake made the urine turn white, but urination still caused pain. Two rounds of intravenous saline had no effect. 3: Urinalysis revealed severe urinary tract infection. Desired Help: Now does not want to receive intravenous saline, but how can the condition improve? Will this affect the 29-week-old fetus?

Doctor's answer:

When a woman is newly pregnant, although the size of the uterus has not changed, the pregnancy hormone HCG causes pelvic congestion, and both the bottom of the bladder and the bladder neck move upward. The length of the urethra also increases. In early pregnancy, the uterus has not yet risen into the abdominal cavity, occupying most of the space in the pelvic cavity and compressing the nearby bladder, causing frequent urination. Therefore, frequent urination is usually a sign of pregnancy, and many people discover they are pregnant when they go to the hospital for a check-up after noticing this symptom.
By the eighth month of pregnancy, the baby's head aligns with the pelvic bones. At this stage, the pregnant uterus or the baby's head presses forward on the bladder, causing the bladder to become flattened. As a result, its urine storage capacity decreases significantly compared to non-pregnant times, leading to more frequent urination—about once every 1-2 hours, or even more frequently. This is a normal physiological phenomenon. Never hold it in; you should immediately go to the bathroom.

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