scholarly journals Asymptomatic bacteriuria among pregnant women attending antenatal clinic at a tertiary care centre

2020 ◽  
Vol 9 (2) ◽  
pp. 528
Author(s):  
Barun K. Basumatary ◽  
Bijoy K. Dutta ◽  
Nabina Choudhury
Keyword(s):  
Pregnant Women ◽  
Bacterial Species ◽  
Tertiary Care ◽  
Asymptomatic Bacteriuria ◽  
Antibiotic Sensitivity ◽  
Antenatal Clinic ◽  
Tertiary Care Centre ◽  
Gram Negative Organisms ◽  
One Year ◽  
In Pregnancy

Background: The term asymptomatic bacteriuria is defined as the presence of > 100,000 colonies of a single bacterial species per millilitre of urine (105 cfu /mL), cultured from clean catch midstream sample in the absence of declared symptoms. The aim of this study was to know the incidence of asymptomatic bacteriuria in pregnancy and the various factors influencing it, to identify the pathogens and their antibiotic susceptibility patterns.Methods: Clean catch mid-stream urine samples were collected from 3000 pregnant women (all trimesters) aged between 18-35 years of age attending the antenatal OPD in GMCH, Guwahati for a period of one year (July 2018-June2019).  Identification of organisms and antibiotic sensitivity tests were performed as per standard methods.Results: In our study, incidence of asymptomatic bacteriuria was found to be 12.1%. Most women (52.89%) were in the age group of (20-30) years, mostly in second trimester (47.1%). Gram negative organisms were the commonest organisms isolated; among which Escherichia coli (56.75%) was the principal urinary pathogen followed by Klebsiella sp (14.33%) and Staphylococcus saprophyticus (12.67%). The isolates were most sensitive to Nitrofurantoin (87.88%).Conclusions: Asymptomatic bacteriuria is common in pregnancy. Once ASB is recognized during pregnancy, it should be appropriately treated with antibiotics and promptly followed up.

scholarly journals Prevalence of anemia in pregnancy at booking: a retrospective study at a tertiary care centre in Lucknow India

2020 ◽  
Vol 9 (11) ◽  
pp. 4585
Author(s):  
Asma Nigar ◽  
Ausaf Ahmad
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Antenatal Clinic ◽  
Age Group ◽  
Third Trimester ◽  
Tertiary Care Centre ◽  
Anemia In Pregnancy ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: Anemia in pregnancy is one of the most common nutritional deficiency disorders affecting the pregnant women in the developing countries. The aim of our study was to understand the prevalence of anemia among pregnant women, and factors associated with anemia.Methods: It was a retrospective record based study conducted in pregnant women, attending antenatal clinic and emergency in the Department of Obstetrics and Gynecology at Integral Institute of Medical Sciences and Research, Luck now, Uttar Pradesh, India. Data from 422 pregnant women regarding pregnancy were collected from 1st January 2018 to 30th June 2018 by referring the records.Results: Present study included 422 pregnant females in first, second and third trimester. In the present study, majority of the pregnant women belonged to the age group of 20-25 years (49.5%) followed by age group of 26-30 years (35.5%). The prevalence rate of anemia was found to be 57.6%, with moderate anemia being the most common (44.8%). Higher proportion of anemia was found in third trimester (75.3%) followed by second trimester (16.5%).Conclusions: High prevalence (57.6%) of anemia was observed in pregnant women. We are far away from achieving our target of Anemia Mukht Bharat by 2022. There is need to create awareness among females regarding ANC visits, birth spacing and iron and folic acid supplementation during pregnancy.

scholarly journals Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy

2021 ◽  
Vol 8 (3) ◽  
pp. 314-322
Author(s):  
Ushadevi Gopalan ◽  
Nalam Neelima ◽  
Karthika Jayakumar
Keyword(s):  
Pregnant Women ◽  
Urine Sample ◽  
Tertiary Care ◽  
Asymptomatic Bacteriuria ◽  
Antibiotic Sensitivity ◽  
Obstetrics And Gynaecology ◽  
South Indian ◽  
Sensitivity Pattern ◽  
Asymptomatic Women ◽  
In Pregnancy

Asymptomatic bacteriuria is defined as bacteriuria where colony count of same species is more than 10 colonies/ml of urine in a clean catch midstream urine sample in an asymptomatic women”. This if left untreated in pregnancy, may progress to pyelonephritis. Due to the physiological and anatomical changes in the genitourinary tract during pregnancy, urinary tract infection is more common in pregnant women. Our aim was to study the effect of asymptomatic bacteriuria on pregnancy outcome and to find the most common organism responsible for asymptomatic bacteriuria in pregnant women.This was a prospective observational hospital based study conducted in the Department of Obstetrics and Gynaecology at a tertiary care teaching hospital. A total of 85 pregnant women were included in the study. Clean catch mid stream urine sample was collected and cultured. The organism was identified and patient was treated according to the antibiotic sensitivity pattern. Patient was followed up till delivery to look for maternal and fetal outcomes.In our study, the prevalence of ASB in pregnancy was 24.7%. 61.9% were in age group of 18-25 years and 42.9% were 2 gravida. 85.7% were in 3rd trimester. Of the ASB cases 90.5% had term babies and 85.7% had babies with birth weight of >2.5 Kg. It is important to do Urine culture and sensitivity in all pregnant women irrespective of the symptoms and gestational age so as to detect ASB as early as possible and by treating this we can avoid the adverse effects in the mother and the fetus.

scholarly journals A study to determine the prevalence of urinary incontinence in antenatal women at a tertiary care centre in central India

2020 ◽  
Vol 9 (3) ◽  
pp. 956
Author(s):  
Deepa Joshi ◽  
Sheetal Achale ◽  
Nilesh Dalal ◽  
Alka Patel
Keyword(s):  
Urinary Incontinence ◽  
Pregnant Women ◽  
Indian Subcontinent ◽  
Tertiary Care ◽  
Previous History ◽  
Case Report Form ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

Background: Urinary incontinence is a common condition in pregnancy and postpartum. There are more than a thousand articles on urinary incontinence (UI) in pregnancy but very limited literature from Indian subcontinent is available. Incidence and prevalence figures of UI in association with pregnancy vary substantially. Not many reviews have focused solely on incidence and prevalence of UI in association with pregnancy. Prevalence of UI in pregnancy ranges from 32% to 64%.Methods: A cross sectional observational study was conducted in the department of obstetrics and gynecology, MGM Medical College and M.Y. Hospital, Indore over the period of 6 months on 1000 pregnant women who were following antenatal care (ANC) clinic. Pregnant women, who were severely sick, diagnosed with kidney or urinary infection and vaginal infections women were excluded from the study. The data were collected using a structured questionnaire. After the purpose of the study was explained, written consent was obtained from each voluntary participant. This study was approved by institutional ethical committee. The data was recorded in predesign coded case report form and statistical analysis was performed using the STATA 12.1.Results: In the present study the prevalence of urinary incontinence reported is 16.4% of women during pregnancy.Conclusions: In this study the prevalence of UI during current pregnancy was found to be lower compared to previous studies conducted. The previous history of surgery, constipation, obesity and respiratory problems were found to be significantly associated with UI during pregnancy.

scholarly journals Asymptomatic bacteriuria in women attending an antenatal clinic at a tertiary care centre

2014 ◽  
Vol 20 (1) ◽  
pp. 4
Author(s):  
Avantika Gupta ◽  
Anuradha Titoria ◽  
Asmita Muthal Rathore ◽  
S Krishna Prakash ◽  
Deepti Rawat ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Asymptomatic Bacteriuria ◽  
Antenatal Clinic ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals Microbiological profile of asymptomatic bacteriuria in pregnancy

2017 ◽  
Vol 6 (4) ◽  
pp. 1352 ◽  
Author(s):  
Anu Mary Bose ◽  
Sreekumary P. K. ◽  
Sobha Kurian Pulikkottil
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract ◽  
Screening Test ◽  
Asymptomatic Bacteriuria ◽  
Antibiotic Sensitivity ◽  
Microbiological Profile ◽  
Significant Bacteriuria ◽  
Set Up ◽  
One Year ◽  
In Pregnancy

Background: Asymptomatic bacteriuria is the presence of actively multiplying bacteria within the urinary tract in the absence of any symptoms. Anatomical and physiological changes make women more susceptible to UTI in pregnancy. The objective of present study was to determine the percentage of pregnant women with asymptomatic bacteriuria and its microbiological profile.Methods: A total of 555 antenatal women who had no clinical features of urinary tract infection were recruited for this study over a period of one year. Clean catch mid-stream urine sample was collected and semi quantitatively cultured immediately. Significant bacteriuria was identified and antibiotic sensitivity found out by conventional methods.Results: Significant growth was observed in 26 samples. There was no association between age, parity, gravidity, period of gestation and asymptomatic bacteriuria. Gram stain was found to be the best screening test. Escherichia coli were the commonest organism isolated. Escherichia coli and Staphylococcus saprophyticus were the most resistant organisms.Conclusions: Escherichia coli, the most common organism isolated, was resistant to most of the commonly used antibiotics. Wet film examination, the most commonly used screening test in our set up, was less sensitive and specific. So culture has to be done in all antenatal cases for screening asymptomatic bacteriuria of pregnancy.

scholarly journals Asymptomatic Bacteriuria and its Antibiotic Susceptibility Patterns among Pregnant Women in a Tertiary Care Center

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Trupthi Gowda ◽  
Rajini M
Keyword(s):  
Pregnant Women ◽  
Care Center ◽  
Tertiary Care ◽  
Asymptomatic Bacteriuria ◽  
Antibiotic Sensitivity ◽  
High Prevalence ◽  
Fetal Complications ◽  
Antibiotic Susceptibility Patterns ◽  
And Staphylococcus Aureus ◽  
Microbiological Procedures

Background: Occurrence of asymptomatic bacteriuria (ASB) in 2–11% of pregnant women is a major predisposition to the development of pyelonephritis, which is associated with significant maternal and fetal complications. Aim : The aim of this study was to determine the prevalence of ASB among pregnant women, to report the most common organisms causing ASB, along with their antibiotic sensitivity patterns. Materials and Methods A total of 250 asymptomatic pregnant women were screened for ASB by urine culture by standard microbiological procedures and the antibiotic sensitivity patterns recorded. Results Of the 250 pregnant women screened, 27 (10.8%) had ASB. The most common organism was Escherichia coli (52%) followed by Klebsiella pneumoniae and Staphylococcus aureus (19%). Majority of the uropathogens were found to be sensitive to nitrofurantoin (81%) and ciprofloxacin (63%). Conclusions: The high prevalence of ASB among pregnant women (10.8%) in our center demands the need for routine screening of the pregnant women and treat them appropriately, to reduce the risk of complications associated with ASB.

scholarly journals KNOWLEDGE & AWARENESS OF HIV TESTING IN PREGNANT WOMEN AND THEIR HUSBAND ATTENDING OBSTETRICS & GYNAECOLOGY DEPARTMENT AT A TERTIARY CARE CENTRE IN CENTRAL INDIA DURING ANTENATAL CARE

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Preeti Suhas Deshpande
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Tertiary Care ◽  
Transmitted Disease ◽  
Antiretroviral Drugs ◽  
Risk Of Infection ◽  
Tertiary Care Centre ◽  
One Year ◽  
The One

Background: 3.4 million people worldwide are estimated to be living with HIV in 2009. In 2007, only 33 percent of HIV-positive women received antiretroviral drugs to minimise the risk of infection from mother to child. Aims and Objective: To study Awareness of HIV testing in pregnant women and their husband during ANC attending in OBGY Department. Methodology: This was a cross-sectional analysis carried out over the one-year period of the ANC women attending the OBGY department. By taking the written consent included in the report, there were 108 ANC women in the one year period. By interviewing the pair, knowledge of HIV testing and HIV transmission was assessed. The responses were noted and evaluated by excel software for Windows 10 in the excel sheet. Result: In our study we have seen that the majority of the ANC women were in the age group of 26-30 were 32 %. The awareness regarding the various questions like Does HIV transmitted to foetus by mother?- 9 % were Yes, 22 %-No, 69 %-Don’t Know; Do you know tests are there for detection of HIV?- 7 %-Yes, 13 %-No, 80 %-Don’t know; Are you at a risk of Infection?- 4% were Yes, 52% -No, 44 % were Don’t know; Can the disease prevented ? 6 %- Yes, 22 % were No, 72 % were don’t know; Is HIV a Sexually transmitted disease? 33 %-Yes, 22 %-No, 45 %-Don’t know; Can HIV be transmitted by contaminated blood? 32 %-Yes, 20 %-No, 48 %-Don’t know; Can HIV be transmitted by Kissing ?-35 % say Yes, 17 % -No, 48 %-Don’t know; Can HIV be transmitted by sharing food ?- 24 % Yes , 35 %-No, 41 %-Don’t know. From our research, we found that while there is good understanding of the HIV disease, the availability of preventive services through HIV testing is very poor, so subsequent prevention administration drugs are very low, although some myths about the transmission of the disease still remain, such as transmitting through sharing food or transmitting casual hugging or shaking. Conclusion: From our research, it can be concluded that the awareness of the PPTCT services with respect to HIV testing during the ANC era was very low, so that the awareness of it should be increased so that HIV transmission from mother to foetus can be effectively carried out. Key words: HIV testing during pregnancy, PPTCT (Prevention of Parent to Child Transmission)

scholarly journals Prevalence, risk factors and causative organisms of asymptomatic bacteriuria in pregnancy

2017 ◽  
Vol 4 (5) ◽  
pp. 1348
Author(s):  
Manasi Patnaik ◽  
Kumudini Panigrahi ◽  
Banya Das ◽  
Basanti Pathi ◽  
Nirmala Poddar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Tertiary Care ◽  
Previous History ◽  
Asymptomatic Bacteriuria ◽  
Antenatal Clinic ◽  
Diffusion Method ◽  
Urine Specimen ◽  
Care Hospital ◽  
History Of

Background: Asymptomatic bacteriuria (ASB) is a relatively common condition occurring due to the morphological and physiological changes in the genitourinary tract during pregnancy. If left untreated, it may lead to acute pyelonephritis and adverse fetal and maternal outcomes. The objective was to determine prevalence, risk factors and etiological agents with susceptibility for ASB among pregnant women attending an antenatal clinic at a tertiary care hospital, Odisha, India.Methods: A prospective study with 200 pregnant women was conducted, over a period of 4 months, starting from 1st April 2017 to 31st July 2017. The mid- stream clean catch urine specimen was collected and processed in all the cases and other data were collected from the questionnaire given to them. The isolates from all the cases of ASB were identified and antimicrobial susceptibility was tested by Kirby- Bauer disc diffusion method and interpreted.Results: Prevalence of ASB in our study was 25.3%, with maximum prevalence among age group 21-30 yrs, during 3rd trimester, among multigravidae. Previous history of urinary tract infection (UTI), anaemia and diabetes have significant association with ASB. Klebsiella spp. was the predominant isolate in this study followed by Escherichia coli. Nitrofurantoin and Cefixime are safe and effective antibiotics against urinary pathogens in pregnancy.Conclusions: Undiagnosed and untreated asymptomatic bacteriuria is associated with complications during pregnancy. Hence routine screening of antenatal women for ASB during all trimesters must be considered for preventing the adverse maternal and foetal outcomes particularly with known risk factors like increasing age, multiparity and previous history of UTI.  

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