Assessment of maternal and perinatal outcome in preterm labour associated with asymptomatic bacteriuria

Abstract

Background: Asymptomatic bacteriuria is a bacterial infection of the urine without any of the typical symptoms that are associated with a urinary infection, and occurs in 2% to 15% of pregnancies. The present study was conducted to assess maternal and perinatal outcome in preterm labour associated with asymptomatic bacteriuria.Materials and Methods: 104 preterm labor patients were divided in two groups as follows- group I patients with age nineteen years and above, who are <37 weeks period of gestation ending up in preterm labor not associated with bacteriuria. Group II patients with age nineteen years and above, undergoing preterm labor associated with bacteriuria. Parameters such as parity, BMI, comorbidity, preeclamptic toxaemia, preterm premature rupture of membrane, intrauterine growth restriction and low birth weight (LBW) was recorded.Results: Parity was nulliparous in 15 and 17, multiparous in 32 and 28, grand multi in 5 and 7, BMI was obese in 34 and 26 and non- obese in 18 and 26 in group I and II respectively. Comorbidity was anaemia in 5 and 2, GDM in 7 and 2, hypertension in 3 and 1 and hypothyroidism in 8 and 2 in group I and II respectively. The difference was significant (p<0.05). Preeclamptic toxaemia was seen in 4 and 1, preterm premature rupture of membrane in 6, intrauterine growth restriction in 3 and 1 and low birth weight (LBW) in 8 and 2 in group I and group II, NICU admission was seen in 4 in group I and 1 in group II, perinatal deaths were recorded 5 in group I and 1 in group II respectively. The difference was significant (p<0.05).Conclusion: Pre-eclamptic toxaemia, preterm premature rupture of membrane, intrauterine growth restriction and low birth weight (LBW), NICU admission and perinatal deaths was higher in pre- term labour patients with bacteriuria as compared to those without it.