The goal of this study was to find out how common asymptomatic bacteriuria is in pregnant women and how it affects perinatal and maternal outcomes. In this prospective study, 300 pregnant women at Anil Neerukonda Hospital were examined for ASB. The standardised Kirby-Bauer disc diffusion method was used to culture urine on blood agar and Mac Conkey's agar for antibiotic sensitivity testing. The presence of ASB was discovered in 11.33 percent of the population. Eight (23.5%) of the 34 ASB positive cases were delivered with a birth weight of less than 2500 grammes, compared to 11 (4.1%) of the unexposed cases (RR 5.68, 95 percent CI; 2.46-13.15; p0.05). Preterm low birth was seen in 5 (14.7 percent) cases of ASB positive pregnant women when compared to unexposed cases (RR 1.5, 95 percent CI; 0.61-3.65, p=0.36). Preterm labour occurred in 8 (23.5%) of ASB exposed women and 22 (8.3%) of non-exposed women (RR 2.84, 95 percent CI; 1.37-5.88, p=0.004). When ASB positive and ASB negative cases were compared, a significant number of women (17.6%) developed hypertension and preeclampsia (8.8 percent ). (Respectively, 4.9 percent and 2.3 percent). ASB was reported to be present in 11.33 percent of the subjects in this study. For an integrated approach to safe motherhood and newborn health, regular and repeated trimester-wise screening should be adopted as part of standard antenatal care.
Author(S) Details
Prabhavathi V
Department of Obstetrics and Gynaecology, NRI Institute of Medical Sciences, Sangivalasa, Andhra Pradesh, India
Prasad DKV
Department of Biochemistry, NRI Institute of Medical Sciences, Sangivalasa, Andhra Pradesh, India.
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