Urinary tract infections complicating pregnancy and its impact on gestational outcomes – our institutional experience

Objective: To study the impact of urinary tract infections complicating pregnancy and outcomes of gestations Urinary tract infections
Methods: This is a prospective study of 121 pregnant women diagnosed with gestational urinary tract infections during the period of June 2018 – May 2019 ( 12 months) in the Department of Urology and Department of Obstetrics & Gynecology, Government Kilpauk Medical College, Chennai. Patients were thoroughly evaluated clinically and all relevant investigations including urinalysis, Urine culture and sensitivity, USG KUB were done. Patients with at least two positive culture (> 100, 00 cfu/ml) were included in this study. Any gestational complications, uropathogens causing UTI that necessitate hospitalization and outcomes of gestational UTIs were analyzed.
Results: In our study, Escherichia coli is the most predominant microorganism causing gestational UTIs. In this study the mean gestational week at birth was 36 weeks 6 days (24-40 weeks range). Mean birth weight was 2.6 kg ( 700 – 3200 gm). 27 cases required hospitalisation for treating UTIs. Cesarean section rate was 57.3%
Conclusions: Preterm labour was noted as the most common and important complication in gestational UTIs. Diagnosing gestational UTIs and better planning with medical management helps to prevent the complications associated with it and results in a better outcome.