1Deptt. of Obst & Gynae, LLRM Medical College, Meerut
2Deptt. of Obst & Gynae, LLRM Medical College, Meerut
3Deptt. of S.P.M., SIMS Medical College, Hapur
Online published on 23 January, 2012.
To study the prevalence of asymptomatic bacteriuria(ABU) in pregnant women & its association with pregnancy outcome.
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.
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%non-bacteruric 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.
Asymptomatic Bacteriuria, CFU-Colony Forming Unit, E.Coli, Urinary Tract Infection, Preterm Labour
