Association of Maternal Lower Urinary Tract Infection with Adverse Fetal Outcome in Terms of Preterm Labor and Low Birth Weight
Objective: Urinary tract infection (UTI) is a common clinical problem, often seen in late pregnancy. The infection and its management may have adverse effects on the pregnancy outcome. This study is design to determine the effects of lower urinary tract infection in late pregnancy on fetal outcome in terms of birth weight and gestational age. Methods: A total of 155 women with lower UTI in late pregnancy were included in this study. Basic demographics, physical examination, and clinical history were taken. Patients were followed up further, in their index pregnancy to identify the prevalence of fetal complications like reduced fetal weight or chances of going into preterm delivery. At the time of delivery, birth weight and gestational age were recorded. Results: The mean age of the patients was 28.55±3.86 years. The frequency of preterm birth and low birth were 30.3% (47/155) and 24.5% (38/155) respectively. The frequency of preterm babies and low birth weight were not significant statistically among different age groups (P>0.05). Prevalence of preterm deliveries and low birth weight were not significant with a number of UTI episodes (P>0.05). Conclusion: It is concluded that UTI during pregnancy has a significant impact on pregnancy outcome, mainly premature labor and low birth weight. The unwanted sufferings of the pregnant mothers and their offspring could easily be prevented by early screening and prompt treatment of UTI in pregnancy.