A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Uzma, Kausar
- Prevalence of Asymptomatic Bacteriuria among Pregnant Women and its Association with Pregnancy Outcome
Authors
1 Deptt. of Obst & Gynae, LLRM Medical College, Meerut, IN
2 Deptt. of S.P.M. SIMS Medical College, Hapur, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 1 (2012), Pagination: 168-171Abstract
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
Asymptomatic Bacteriuria, CFU-colony Forming Unit, E.coli, Urinary Tract Infection, Preterm Labour
References
- Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin N Amer 1997; 11(3): 647-62.
- 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: 315-30.
- 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. [ Links ]
- Joseph KS, Brahmadathan KN, Abraham S, Joseph A.Detecting bacteriuria ia a primary maternal and child health care program. Bri Med J. 1988; 296: 906-7.
- 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;97:723–38
- 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.):113-19.
- 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.