Urinary Symptoms & Urinary Tract Infections During Pregnancy

Abstract

Objectives: To find out the frequency of urinary complaints and actual percentage of urinary tract infection (UTI), and to identify the type of microorganisms causing UTI among pregnant women attending antenatal clinic ofNishtar hospital Multan, Study Deign: Cross-sectional, descriptive study. Place & duration: Department of Pathology, Nishtar Medical College, Multan in collaboration with the antenatal clinic of Nishtar Hospital, Muttan, during month of March 2014. Material & Methods: 150 consecutive pregnant women attending the antenatal clinic, falling in the inclusion criteria, were included, All data were entered on a self designed profonrna, A clean-catch, midstream urine sample was collected from each woman in to a sterile screw-capped container containing few crystals of boric acid 'as preservative. The specimen was mixed, labeled and stored for further processing, the centrifuged deposit was checked under microscope for the detection of pus cells. All the samples were cultured and the microorganisms were identified with the help ofcultural characteristics, Gram's staining, and biochemical reactions. Result: Out of 150 pregnant women, 82 (54.7%) had urinary symptoms while 68 (45.3%) did not have these symptoms, only 13.3% (n-20) showed positive urine microscopy and positive culture results while in 86.7% (n=130) of participants, both of these tests were negative, from these 20 cases 18(90%) have urinary complains and 2(10%) cases have positive culture but no urinary complains. From these 20 cases, 14 (70%) showed growth of Escherichia Coli (E Coli), 04 (20%) showed growth of S. A ureus and each 01(5%) showed growth of Proteus and Klebsiella. Regarding age of these 20 cases 12 (60%) were between the age range of 21-30 years and 8 (40%) were between 31-40 years of age. 90% (n=18) were illiterate and 10% (n=2) were literate. 80% (n=16) were from the lower income group and 20% (n=04) were from high income group. Conclusion: The frequency of urinary complains was 54.7%, but the urinary tract infection was diagnosed in 13.3% of cases. Escherichia Coli was detected the commonest organism causing infection.