Indian Journal of Public Health Research & Development

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Prevalence of Asymptomatic Bacteriuria among Pregnant Women and its Association with Pregnancy Outcome


Affiliations
1 LLRM Medical College, Meerut, India
2 Deptt of Obst & Gynae, LLRM Medical College, Meerut, India
3 Deptt. Of S.P.M. SIMS Medical College, Hapur, India
     

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Objective: To study the prevalence of asymptomatic bacteriuria (ABU) in pregnant women & its association with pregnancy outcome.

Method: A Descriptive Study (Cross Section) was done in 800 antenatal women up to 28 weeks during the year 2009-2010. Urine culture was done after recording patient obstetrical, personal, past history, clinical examination. Out of which 48 (Group-A) found having ABU (>1 × 105 CFU/ml), while 752 (Group-B) were not having any bacteriuria. Both the Groups were further followed monthly up to delivery. At the time of delivery perinatal outcome recorded.

Result: Prevalence of ABU is 6% (48/752). E.coli (75%) was common pathogen followed by Staph.saprophyticus, Klebseilla. It is associated with increased risk of Symptomatic UTI as 12.5% bacteruric & 2.93% non-bacteruric women develop symptomatic UTI (p<0.001). ABU was found to be associated with Preterm Labour as 20.83% bacteruric & 4.8% non-bacteriuric women have preterm labour (p<0.044). It is also associated with Low Birth Weight babies as 16.67% in bacteriuric & 6.12%nonbacteriuric women have LBW babies (p<0.049).

Conclusion: ABU is a common infection during pregnancy & it increases the risk of Preterm birth, Low birth weight babies & Symptomatic UTI.


Keywords

Asymptomatic Bacteriuria, CFU-Colony Forming Unit, E.coli, Urinary Tract Infection, Preterm Labour
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  • Prevalence of Asymptomatic Bacteriuria among Pregnant Women and its Association with Pregnancy Outcome

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Authors

Urmila Karya
LLRM Medical College, Meerut, India
Uzma Kausar
Deptt of Obst & Gynae, LLRM Medical College, Meerut, India
Manjul Bhatnagar
Deptt. Of S.P.M. SIMS Medical College, Hapur, India

Abstract


Objective: To study the prevalence of asymptomatic bacteriuria (ABU) in pregnant women & its association with pregnancy outcome.

Method: A Descriptive Study (Cross Section) was done in 800 antenatal women up to 28 weeks during the year 2009-2010. Urine culture was done after recording patient obstetrical, personal, past history, clinical examination. Out of which 48 (Group-A) found having ABU (>1 × 105 CFU/ml), while 752 (Group-B) were not having any bacteriuria. Both the Groups were further followed monthly up to delivery. At the time of delivery perinatal outcome recorded.

Result: Prevalence of ABU is 6% (48/752). E.coli (75%) was common pathogen followed by Staph.saprophyticus, Klebseilla. It is associated with increased risk of Symptomatic UTI as 12.5% bacteruric & 2.93% non-bacteruric women develop symptomatic UTI (p<0.001). ABU was found to be associated with Preterm Labour as 20.83% bacteruric & 4.8% non-bacteriuric women have preterm labour (p<0.044). It is also associated with Low Birth Weight babies as 16.67% in bacteriuric & 6.12%nonbacteriuric women have LBW babies (p<0.049).

Conclusion: ABU is a common infection during pregnancy & it increases the risk of Preterm birth, Low birth weight babies & Symptomatic UTI.


Keywords


Asymptomatic Bacteriuria, CFU-Colony Forming Unit, E.coli, Urinary Tract Infection, Preterm Labour

References