Risk factors and pregnancy outcomes in Libyan women with urinary tract infection
Keywords:
Urinary tract infection, risk factors, maternal complications, Neonatal complications, PregnancyAbstract
Urinary tract infection (UTI) is a common medical problem in pregnancy, it is classified as either asymptomatic or symptomatic, it may be complicated by renal failure, bacteremia and septic shock, as well as preterm birth, and low birth weight. To determine the risk factors of urinary tract infection (UTI) in pregnancy, and to estimate the maternal and fetal complications of urinary tract infections. This was a descriptive cross-sectional study, where 100 Libyan women who delivered at Tripoli medical center, and had history of UTI, during 2010 were interviewed in the post natal ward and inquired about symptom of urinary tract infection during their pregnancy. The study showed that 56% of women aged 26-35 years, 65% were multiparas, risk factors were hyperemesis gravid arum 59%, recurrent UTI during pregnancy 36%, and previous history of UTI 69%, renal stones 5%, renal congenital anomalies 2%, poor water intake where 42% consume < 1 liter, and medical problems including anemia 62%, diabetes mellitus 6%, and hypertension 12%. Maternal complications were miscarriage 14 %, preterm labor 9%, pre labor rupture of membranes 9%, intrauterine growth restriction 2%, and septicemia in 1 %. Neonatal complications include, prematurity 9%, and low birth weight 7%. Screening and optimum treatment by using 7 day regimen for asymptomatic bacteria urea is required to minimize both maternal & neonatal complications, further studies are required to establish risk factors and complications in Libya.
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