1Associate Professor, LLRM Medical College Meerut
2Resident Post Graduate, Deptt of Obst & Gynae, LLRM Medical College, Meerut
3Professor & Head, Deptt. Of S.P.M., SIMS Medical College, Hapur
Online published on 13 February, 2013.
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 year2009-2010.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%nonbacteriuric women have LBW babies(p<0.049).
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
