International Journal of Research in Infectious Diseases

ASSOCIATION OF ASYMPTOMATIC BACTERIURIA WITH OBSTETRIC OUTCOME IN PREGNANT WOMEN ATTENDING ANTENATAL CLINICS

Asopa Juhi*, Dadhich Y and Mathur SA

drjuhidadhich@rediffmail.com

Asymptomatic bacteriuric, Diabetes mellitus, Foetomaternal outcome low birth weight, Intra uterine death, Preterm deliveries.

With the aim to determine association of asymptomatic bacteriuria with obstetric outcome in women, present study was carried out on pregnant women between 20-24 weeks of gestational age attending antenatal clinics at Rajkiya Mahila Chikitsalya, Ajmer, Rajasthan, India during one year. All patients were subjected to complete urine examination and urine culture and were categorized as urine culture positive and urine culture negative. Patients were followed till delivery and perpeurium and foetomaternal outcome was recorded. A higher percentage of preterm deliveries in patients having positive urine culture as compared to those having negative urine culture was observed. No association between the mode of delivery and urine culture positivity was observed. There was a higher frequency of low birth weight babies in urine culture positive patients than in urine culture negative patients. None of the known morbidity factors such as gestational diabetes mellitus, previous intra uterine death, previous preterm and history of recurrent abortions had any effect on the prevalence of urinary tract infection. There was a higher frequency of complications in asymptomatic bacteriuric patients. Results implied the association of asymptomatic bacteriuria with preterm deliveries, low birth weight deliveries, preterm premature rupture of membranes and maternal complications like pyelonephritis. On the basis of upshot of the study, it can be recommended that all women attending antenatal clinics should be subjected to urine culture at 20-24 weeks of gestation so that asymptomatic bacteriuria can be detected well in time and due precautions can be taken to reduce the maternal and neonatal morbidity and mortality.