International Journal of Clinical Obstetrics and Gynaecology
2020, Vol. 4, Issue 1, Part D
Asymptomatic bacteriuria among 12 to 16 weeks of gestation and their perinatal outcome
Author(s): A Sisodia and A Khanapure
Abstract: Urinary tract infections (UTIs) is an infection caused by the presence and growth of microorganism anywhere in urinary tract. The prevalence of asymptomatic bacteriuria during pregnancy is 2% to 14% in India. Adverse maternal outcomes include symptomatic cystitis and development of pyelonephritis (in up to 30%) and preterm labor and delivery. Asymptomatic bacteriuria (ASB) is an entity with possibly serious consequences in the form of fetal and maternal morbidity. 200 randomly selected pregnant women, attending outpatient or inpatient department of D Y Patil Hospital kadamwadi, were included in study. Prevalence of asymptomatic bacteriuria in the study population was 19.5%. Common pathogen was E.coli occuring in 48.7%. The most sensitive antibiotic was nitrofurantoin. Maternal morbidity was higher in those with asymptomatic bacteriuria 76.9%.Those without asymptomatic bacteriuria had lesser morbidity 31.7%. Maternal morbidity spontaneous were miscarriage 7.7%, preterm labour 13.9%, premature rupture of membrane 13.9%. Fetal morbidity was higher in those whose mothers had asymptomatic bacteriuria. Fetal morbidity were prematurity 11.1%, low birth weight 8.3% were significantly increased. If unrecognized and un-treated, ASB leads to adverse perinatal outcome. We conclude that, all pregnant women are to be screened for ASB, preferably in the pre-conceptional period or at-least in the 1st trimester
A Sisodia, A Khanapure. Asymptomatic bacteriuria among 12 to 16 weeks of gestation and their perinatal outcome. Int J Clin Obstet Gynaecol 2020;4(1):233-236. DOI: 10.33545/gynae.2020.v4.i1d.468