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Indian Journal of Obstetrics and Gynecology Research


Urinary tract infection and its effect on outcome of pregnancy


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Author Details: Esha Michael, Rekha Wadhwani

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 108

Article End Page : 111


Abstract

Background: Urinary tract infection in pregnancy has been found to be a very common health problem, specially in country like India. The total incidence is 5-10% in pregnancy. This study aims to determine the incidence of UTI in pregnancy, most common micro-organism responsible for UTI, most sensitive antibiotics and maternal and fetal outcome.
Methods: We randomly select 600 pregnant women, 200 in each trimester, attending outpatient department of Sultania Zanana Hospital, Bhopal, India from the period of October 2013 to September 2014. All pregnant women between 18-35 yrs of age without any medical disorders or previous adverse pregnancy outcomes were in inclusion criteria. Urine culture sensitivity was done as a screening test for UTI. They were followed up till delivery in relation to any pregnancy complication and perinatal outcome.
Results: It was found that incidence of UTI was highest in second trimester(15%) and total incidence was 9.8%. The most common maternal morbidity was preterm labour (6.6%) and fetal morbidity was LBW (3.6%).
Pregnant women with UTI are susceptible for adverse maternal and fetal outcomes like recurrent infection, chorioamnionitis, PROM, preterm labour, cystitis, pyelonephritis, prematurity, IUGR, LBW, GBS which could be prevented by antimicrobial treatment.
Conclusions: From this study, we concluded that every pregnant women should be screened for UTI and urine culture sensitvity should be a part of routine antenatal care. Public educational programmmes on the importance of personal hygiene and good environmental sanitation habits should be carried out frequently.

Keywords:
UTI, Preterm labour, LBW