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Prevalence of Asymptomatic Bacteriuria among Pregnant Women and its Association with Pregnancy Outcome
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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
- Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin N Amer 1997; 11(3): 647-662.
- Begum N. Clinical profile of urinary tract infection in pregnancy. Mymensingh Med J. 1992; 1: 6-10.
- Bailey RR Urinary tract infection. Can Ded Assoc. 1972; 107: 315-330.
- Tugrul S, Oral O, Kumru P, Köse D, Alkan A, Yildirim G: Evaluation and importance of asymptomatic bacteriuria in pregnancy. Clin Exp Obstet Gynecol. 2005; 32: 237-40.
- Joseph KS, Brahmadathan KN, Abraham S, Joseph A.Detecting bacteriuria ia a primary maternal and child health care program. Bri Med J. 1988; 296: 906-907.
- Roony C. Antenatal care and maternal health: How effective is it? Maternal Health and Safe Motherhood Programme, Division of Family Health, World Health Organization, 1992
- Kass, E. H. :Ann. Int. Med. 56: 46, 1962
- Whalley P. Bacteriuria of pregnancy. Am J Obstet Gynecol 1967;97:723–738
- Fatima N, Ishrat S. Frequency and risk factors of asymptomatic bacteriuria during pregnancy. J Coll Physicians Surg Pak 2006; 16:273-275.
- Henderson, M, and Reinke, W.C.: In Kass, E.H., editor . Progress in Pyelonephritis, Philadelphia, 1965. F A Davis Company,p 27.
- Brumfitt W. The effects of bacteriuria of pregnancy on maternal and fetal health. Kidney Int. 1975; 8(suppl.):113-119.
- Kincaid-Smith P. Bacteriuria and urinary infection in pregnancy.Clin Obstet Gynecol 1968;11:533–49
- Hoja, W. A. Hefner, J. D. and Smith, M.R,:Obst.& Gynae. 24: 458, 1964.
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