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Urinary tract infection in pregnancy
H Abduljabbar1, R A Moumena, H A Mosli
1Departments of Obstetrics/Gynecology, Microbiology, Urology, and Medicine, King Abdulaziz University, College of Medicine, Jeddah, Saudi Arabia.
Annals of Saudi Medicine
|May 1, 1991
Summary
Significant bacteriuria in pregnant patients was linked to higher rates of premature birth, anemia, hypertension, and diabetes. Early detection and treatment of urinary tract infections during pregnancy are crucial for better maternal and infant outcomes.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- Urinary tract infections (UTIs) are common in pregnancy.
- Bacteriuria, the presence of bacteria in urine, can be asymptomatic or symptomatic.
- Untreated UTIs can lead to adverse pregnancy outcomes.
Purpose of the Study:
- To determine the incidence of significant bacteriuria in pregnant patients.
- To investigate the association between bacteriuria and adverse pregnancy outcomes.
- To compare complication rates in pregnant patients with and without bacteriuria.
Main Methods:
- Prospective study of 2,642 pregnant patients during their first antenatal visit.
- Midstream urine specimens collected for microbiological analysis.
- Matched control group of 200 pregnant patients with negative urine cultures.
Main Results:
- Significant bacteriuria detected in 15.8% of pregnant patients.
- Higher incidence of premature birth in symptomatic bacteriuria group (P<0.05).
- Increased frequency of anemia, hypertension, and diabetes in both symptomatic and asymptomatic bacteriuria groups compared to controls (P<0.04).
Conclusions:
- Significant bacteriuria is associated with increased risks of premature birth, anemia, hypertension, and diabetes in pregnancy.
- Screening for bacteriuria in early pregnancy is important for identifying at-risk patients.
- Timely management of bacteriuria may help mitigate adverse pregnancy outcomes.
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