The Relation between Treated Maternal Urinary Tract Infection and Adverse Maternal, Prenatal Outcomes in Pregnant Women of Ardabil, Iran

Background and Objective: ­ Urinary tract infection is one of the most common bacterial infections during pregnancy and has also been implicated as a risk factor for adverse maternal and prenatal ­­outcomes. The aim of our study was to determine the relation between maternal urinary tract infection and adverse maternal, prenatal outcomes in pregnant women of Ardabil, Iran.   Material and Methods: ­ This retrospective-case-control study was conducted on­ prenatal file records of pregnant women in Ardabil (۲۰۱۱). ­ ­The pregnant women ­who had a positive urine culture in their prenatal files­ (N= ۲۱۱) ­were considered as a case ­group and ­۲۳۲­ ones without urinary tract infection as a control. Using a research- made questionnaire, the data related to present pregnancy and prenatal information was collected and analyzed by KrusKal Wallis, Chi- Square and Fisher statistical tests.   Results­: Maternal age of under ۲۵ (%۶۱.۶ vs. ۵۶.۵), body mass index of more than ۳۰ (%۱۸.۳ vs. ۱۵.۶), primigravida (%۵۵ vs. ۴۸.۸), hypertension (%۲.۴ vs. ۱.۳), hyperemesis Gravidarum (%۱۴.۸ vs. ۱۲.۶), frequency ­and dysuria ­(%۱.۹ vs. ۰.۹), low birth weight (%۹۵.۴ vs. ۹۳.۲), congenital malformation (%۳.۵ vs. ۱.۸), artificial milk feeding (%۶.۵ vs. ۲.۷), neonatal death (%۰.۹ vs. ۰.۰) are higher in urinary infection group, however the differences are not statistically significant. Other maternal and prenatal adverse outcomes such as diabetes, pre-eclampsia , hemoglobin level, prematurity, abortion and stillbirth have not significant relation with urinary infection.   Conclusion: Because of low level of adverse maternal or prenatal outcomes reported in our study, we conclude that screening and treatment of urinary tract infection in Ardabil health service is ­appropriate therefore, ­no change is needed for present ­screening­ or treatment processes.

Keywords:

Pregnancy , Urinary tract infection , Prenatal outcome , Maternal outcome , زنان باردار , عفونت ادراری , عوارض مادری , عوارض نوزادی