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%nonbacteruric 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%non-bacteriuric 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
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