scholarly journals PREMATURE DELIVERY WORK: ASSOCIATED CONDITIONS

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Isabela Soares Gomes Alves ◽  
Amuzza Aylla Pereira dos Santos ◽  
Maria Elisângela Torres de Lima Sanches ◽  
Maraysa Jéssyca De Oliveira Maraysa Jéssyca de Oliveira Vieira ◽  
Larissa De Morais Texeira ◽  
...  

Objective: to identify which risk factors / clinical conditions are frequently associated with premature labor in a reference maternity for high risk. Method: this is a quantitative, descriptive, documentary study. In the population studied, it was understood that pregnant women diagnosed with premature labor admitted to the maternity ward of a public hospital from June to September 2018. Results: it was identified that, of the 40 pregnant women, 21 (52.5% ) were 20 to 34 years old and, in relation to parity, 24 (60%) were multigravid; of the cases that presented some clinical condition associated with the diagnosis of premature labor, Urinary Tract Infection was the most incident complication, corresponding to 27 (65%) of the cases. Conclusion: it appears that the most incident risk factors for the development of premature labor were: maternal age, parity and complications such as Urinary Tract Infection. It was seen that it is up to the professionals involved in prenatal care to provide adequate support for mothers and family members, based on solidarity and welcome, also combining technical and scientific knowledge in order to reduce morbidity and mortality.

2018 ◽  
Vol 1 (3) ◽  
pp. 26-38
Author(s):  
Abdulghani Mohamed Alsamarai ◽  
Shler Ali Khorshed

Background: Urinary tract infection is common with health impact in women and characterised by failure to treatment and recurrent episodes. Aim: This study was conducted to determine the risk factors for the development of urinary tract infection in diabetic and pregnant women in comparison to student female. Materials and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425 were outpatients, and 138 were inpatients. Their age range between 18 and 80 years, with a mean age of 33.59±15.29 years. Urine samples collected and cultured on blood agar and MacConkey agar by spread plate technique. Bacterial colonies with different morphology were selected, purified and identified according to their biochemical characteristics using conventional standard methods. Results: In diabetic women, there were no significant difference in mean age and BMI values between culture positive and culture negative groups. However, pus cell mean scale was significantly higher [P=0.000] in women with urinary tract infection [1.76±1.25] than in those with negative culture [0.69±1.00]. In pregnant women, BMI mean value was significantly [P=0.013] lower in pregnant women with UTI [26.14] as compared to those without infection [26.99]. Pus cell scale mean value was significantly [P=0.000] higher in pregnant women with UTI [1.55] than women with negative UTI [0.85]. While there was no significant difference in mean age between UTI positive and negative pregnant women. In female student, there was a significant difference between UTI infected and non-infected in mean age [P=0.041] and pus cell scale [P=0.000]. However, BMI was not significantly different between infected and non-infected female student. Other risk factors association are variables in the 3 groups when analysed using X2, while AUC and OR show different trends of association between risk factors and UTI. Conclusion: BMI, pus cell scale, child number, delivery method, operation history and hospital setting were significantly associated with culture positivity in the 3 studied groups as determined by AUC. While OR confirmed association with pus sale scale in the 3 groups.


2021 ◽  
Vol 8 (03) ◽  
pp. 5275-5281
Author(s):  
Faith Diorgu ◽  
Maynard Ehianu ◽  
Anacletus Francis

Associated Risk Factors for Bacterial Urinary Tract Infection among Internally Displaced Pregnant Women in Niger Delta Camps, Nigeria   Abstract This study investigated associated risk factors for bacterial urinary tract infection among internally displaced pregnant women in Niger Delta camps. The objectives of the study were to determine the association between age, parity, trimester of pregnancy, religion and the incidence of bacterial urinary tract infection among internally displaced pregnant women. The population of the study comprised 108 internally displaced pregnant women who also formed the study sample as no sampling method was adopted due to the limited number of study participants. The tools for data collection was midstream urine samples collected using sterile screw-capped universal containers, the instruments used in isolating the bacterial uropathogens, include Cysteine-Lactose Deficient (CLED) agar, MacConkey and Nutrient agar plates as well as a structured checklist in socio-demographic characteristics of the pregnant women. Descriptive statistics of frequency and percentage were used for data analysis and the Statistical Package for Social Sciences (SPSS) software was employed in the analytical process. Results from the study showed there was no significant association between age, parity, trimester of pregnancy, and the incidence of bacterial urinary tract infection among internally displaced pregnant women (P>0.05). However, religion was significantly associated with the incidence of bacterial urinary tract infection among internally displaced pregnant women (P<0.05).  The study concluded that there is an increasing incidence of bacterial urinary tract infections among internally displaced pregnant women linked to religious beliefs.  Based on the study findings, early routine screening of all internally pregnant women presenting or not presenting with clinical symptoms of urinary tract infection is recommended. The need for good personal and environmental hygiene to be encouraged in internally displaced persons’ camps. Keywords: Associated risk factors, Bacterial urinary tract infection, Internally Displaced Women, Camps, Niger Delta    


2018 ◽  
Vol 11 (1) ◽  
pp. 19
Author(s):  
Edy Fakhrizal

To obtain a prevalence of urinary tract infection in pregnancy andits influential risk factors.This is a cross sectionalstudy. The subjects were all pregnant women who came to Obstetric & Gynecology clinic of Arifin Achmad Pekanbaru– Riau Hospital, between June 1st and October 31st 2016. Subjects with appropriate inclusion and exclusion criteriaand agreed to join this study were asked to fill out questionnaire and urinalysis test was done.The data was analyzedwith Stata 12. The distribution of data was analyzed with descriptive univariate and presented in (n) and(%). Bivariateanalysis was done to see any influential risk factors to urinary tract infection in pregnancy. From recruited 74 subjects,27subjects (36,5%) were with urinary tract infection and 4 subject of its (14,8%) was asymptomatic bacteriuria. Theprevalence of urinary tract infection in pregnancy in this study was 36,5% and the influential risk factors wereeducation, occupation, total water consumpted a day, and cleaning vagina before coitus.


Author(s):  
Srinath M. P. ◽  
Shajina M. ◽  
Fasalu Rahiman O. M.

Background: Infectious disease such as urinary tract infection was found very commonly during all pregnancies. Chronic renal failure, pyelonephritis, preeclampsia, anemia, fetal mortality and premature delivery are the common complication associated with UTI in pregnancy. Hence the management and prevention of UTI in pregnancy is the crucial factor for the sustained pregnant period. It is more important for a clinician to recognize the pathogenic factor for UTI and its sensitivity profile for planning an effective treatment for infected patients. Hence the present study was designed to identify the pathogenic agents of UTI among pregnant women and to find out the drug susceptibility patterns of the isolated organism against commonly prescribed antibioticsMethods: A prospective analysis was carried out by collecting urine from the 210 patients, the sample was also processed for antimicrobial drug susceptibility testing.Results: A positive report was seen in 26 cases with 13.4% of incident rate. Escherichia coli 14 (53.8%), Klebsiella species 23.07%, Enterococcus species 7.69%, Staphylococcus aureus 3.84%, Proteus 3.84%, Pseudomonas aeroginosa 3.84%, Streptococcus pyogenes 3.84% were the most common isolate found in the present population. The isolated pathogens were sensitive to Ceftazidime, Cefotaxime, Ciprofloxacin, Gentamicin, and Amikacin.Conclusions: It is there for recommended that routine microbiological analysis and antibiotic sensitivity test of urine samples of pregnant women must be carried out before the administration of drugs for better treatments and managements of urinary tract infection.


2019 ◽  
Vol 12 (04) ◽  
pp. 2003-2010
Author(s):  
Mirfat Mohamed Labib Al-Kashif

Urinary tract infection is widespread among pregnant women and is accompanying adverse maternal, fetal, and neonatal outcomes. Even so, no data exist regarding this problem in Wadi Addawser to guide specific management and thus to avert the adverse consequences. The study aimed to assess the urinary tract infection among pregnant women and its associated risk factors and to investigate the most common antibacterial agent used by infected pregnant women. A total of 303 pregnant women who attend the obstetrics and gynecology clinic with the inclusion criteria were included. The sample was collected using a structured interview. The study results showed, 53.5 % of the studied women had positive pathogens in the urine culture. E. coli (37%) followed by Klebsiella pneumonia (27%) had the highest percentage of the isolated pathogens. Amoxicillin and cefoxitin (40.1% &21.6%, respectively) are the most antibiotics used by infected women, while the lowest used antibiotics are fusidic acid (5.6%). The clinical symptoms such as frequency of micturition, dysuria, lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were e most common among infected women. Since the symptoms are a good predictor for urinary tract infection during pregnancy, so early screening for pathogens and proper treatment for infected cases should be applied.


2020 ◽  
Vol 3 (9) ◽  
pp. 454-458
Author(s):  
Shikha Thakur ◽  
Dr. Komal Lata Nagpal

Background: Urinary tract infections “UTIs” are one of the frequently encountered problems during pregnancy. Untreated UTI can be associated with serious obstetric complications.  Hence the management and prevention of UTI in pregnancy is the crucial factor for the sustained pregnant period. Hence the present study was designed to identify the pathogenic agents of UTI and its associated risk factors in antenatal mothers in two private hospitals at Kathmandu city. Aim: The main objective of the study was to identify the etiological agent and associated risk factor in Urinary tract infection among pregnant women attending the antenatal care service visit in a selected hospital. Study Design: Cross-sectional descriptive study. Place and Time of Study: The study was carried out under the supervision of University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019. Methods: The cross-sectional study was performed at the Norvic Hospital and Baidya and Banskota hospital from March 2019 to October 2019. In this cross-sectional study, a total of 510, clean catch midstream urine (MSU) samples were collected aseptically and analyzed using standard microbiology methods. Data for the factors associated with UTI were obtained by use of questionnaires and standard laboratory tests for selected underlying conditions concerning associated risk factors were collected using structured questionnaires and the sample was also processed for antimicrobial drug susceptibility testing. Results: The study revealed 193/510(37.84%) UTI prevalence among patients attending two hospitals in Kathmandu valley. Escherichia coli was the most prevalent bacterial uropathogen with 119/193(61.6%) followed by Klebsiella pneumoniae 35/193(18.13%), Staphylococcus aureus 22/193 (11.39%), Proteus mirabilis 7/193 (3.6%), Enterococcus faecalis 2/193 (1.0%), Enterobacter aerogenes2/193(1.0%) Serratia odorifera 3/193(1.5%), Streptococcus species3/193(1.5%). Conclusions: The high prevalence of urinary tract infection in pregnant women warrant the need to screen all pregnant women and treat those infected with appropriate antimicrobial regimens in order to reduce its complications. Urinary Tract Infection screening is essential in pregnant women.


2020 ◽  
pp. 35-37
Author(s):  
Achala sahai Sharma ◽  
Udit Mishra ◽  
Rajkishori Dandotiya ◽  
Paribhashita Mishra

Background Urinary tract infection (UTI) is an infection caused by presence and growth of microorganism anywhere in the urinary tract. Urinary tract infection in pregnancy may also lead to unfavorable pregnancy outcomes and complication such as pyelonephritis, hypertensive disease of pregnancy, anaemia, chronic renal failure, premature delivery, low birth weight and foetal mortality. Aims and objectives: To determine the overall prevalence of UTI among pregnant women and to identify bacterial uropathogen associated with UTI in pregnant women and determine their antibiotic susceptibility to select antimicrobial agents. Materials and methods: It is a cross sectional study conducted in the department of obstetrics and Gynaecology, Kamla Raja Hospital, Gwalior (MP), for one year (February 2016-January 2017) on 300 pregnant patients with symptoms of UTI. Result and observations: Our study showed that pregnant women in their second trimester were more infected (80%) than those in comparisons to first trimester (7.5%) and 3rd trimester (12.5%) respectively which was statistically significant (p˂0.05). Prevalence of UTI is higher in pregnant women with hemoglobin level (<10gm %) as compare to pregnant women with hemoglobin (>10gm %) which was statistically significant (p<0.05). The most common pathogen isolated is E.coli. Conclusion: Antenatal women and their families should be made aware about the need for early diagnosis and efficient treatment of UTI during pregnancy. Good personal hygiene and nutrition of all antenatal women should be ensured. Need of strict aseptic and antiseptic precaution for urethral catheterization and effective management of recurrent UTI should be reinforced among health personnel.


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