Prevalence of Asymptomatic Bacteriuria in Preterm Labour and Its Maternal and Perinatal Outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Asymptomatic bacteriuria is a condition in which larger than normal numbers of bacteria are present in the urine but without any symptoms. In pregnancy the anatomical and physiological changes in the maternal urinary tract leads to stasis of urine encouraging the growth of bacteria which has an adverse effect on pregnancy. AIM This study was conducted to estimate the prevalence of asymptomatic bacteriura in preterm labour ,to find out the most common organism involved and to study the maternal and neonatal outcome. Materials and methods This was an observational study conducted on 100 pregnant women who came in preterm labour without any clinical features of Urinary tract infections. Urine samples were collected by standard methods and sent to the laboratory for microscopic and culture studies. The subjects were further observed for the maternal and neonatal outcome and the results were documented. RESULTS Among the 100 subjects studied 18 were positive for bacteria in the urine. The different organisms isolated in culture were identified. The most common organism being E.coli (55.5%) followed by klebsiella (22.2%). The prevalence was found to be highest in the third trimester between 28-33 weeks of gestation. The bacteriuric group showed an increased incidence of low birth weight (88.8%), low APGAR scores and a higher incidence of NICU admissions when compared to the non bacteriuric group. The incidence of maternal complications like anaemia was also higher in the bacteriuric group compared to the non bacteriuric group.
Authors and Affiliations
Pooli. Radhika, B. Sumalatha
Keywords
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- EP ID EP416498
- DOI 10.9790/0853-1711087983.
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