Volume : X, Issue : IV, April - 2020

PREVALENCE OF ASYMPTOMATIC BACTERURIA IN PREGNANCY AND ITS RELATION TO MATERNAL AND PERINATAL OUTCOME

Dr Swati Katiyar, Dr Veena Gupta, Dr Saumya Saxena, Dr Reena Sachan

Abstract :

Introduction: Asymptomatic bacteriuria is defined as the presence of significant bacteriuria without the symptoms of an acute urinary tract infection. Pregnant women with ASB are more likely to develop acute pyelonephritis in later pregnancy, postpartum urinary tract infection, hypertensive disease of pregnancy, anaemia, chronic renal failure, prematurity, low birth weight babies and prenatal death if untreated. The incidence of these can be reduced by treating ASB during pregnancy.
 Aim: To find out the prevalence of asymptomatic bacteriuria in pregnancy and the relation of various adverse pregnancy outcomes with asymptomatic bacteriuria Method: Approximate 30 ml of clean catch midstream urine samples were obtained from 150 pregnant women attending the Obstetric Outpatient Department. Samples were processed as per standard guidelines.
 Result: Prevalence rate of Asymptomatic bacteriuria was 17.33% .Common pathogen was E.coli occurring in 61.53% of the patients ,Klebsiella in 26.92% and the other were staphaureus and enterococcus. Significant maternal outcome noted were presence of preterm pain in 23.07% and preterm labour in 19.23% patients of ASB positive group, which is statistically significant compared to ASB negative group. Maternal anemia was present in 23.07% and hypertension was seen in only 11.52% patients and not associated with asymptomatic bacteriuria. Significant neonatal outcomes were prematurity and low birth weight and IUGR. Preterm birth was present in 19.23% of the patients in ASB positive group and low birth weight in 23.07% and IUGR in 15.38%. Conclusion: The present study showed high occurrence of ASB in pregnant women. It also demonstrated that if disease was detected late in pregnancy it might lead to various maternal and neonatal complications despite treatment of infection

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

PREVALENCE OF ASYMPTOMATIC BACTERURIA IN PREGNANCY AND ITS RELATION TO MATERNAL AND PERINATAL OUTCOME, Dr Swati Katiyar, Dr Veena Gupta, Dr Saumya Saxena, Dr Reena Sachan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020


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