First trimester urinary tract infection and risk of preterm labour pain

Abstract

Introduction - Preterm labour refers to the initiation of labour prior to 37 weeks and after 28 weeks of gestation, characterised by consistent uterine contractions that result in gradual cervical modifications. Urinary tract infection (UTI) is one of the several causes of preterm labour. The aim of this study is to evaluate first trimester urinary tract infection and risk of preterm labour pain.
Material and methods- The present cross-sectional hospital based study was conducted at department of obstetrics and gynecology among 100 women with preterm labour pain during the study period of one year. Midstream urine samples were collected from all and culture test was performed. Results were analyzed using SPSS version 25.0
Results- Maximum patients were in the age group of 25 to 29 years (50%). 92% of them live in rural area. 70% of patients had normal urine examination and 30% were suffering from UTI. 3% of women had pyleonephritis and 97% had no complications. Organisms isolated from urine culture and sensitivity were : E.coli (68%) , cogaulase negative staph (11%),S.aureus (10%) , Klebsiella (6%) and GBS (5%).
Conclusion – Untreated urinary tract infection (UTI) can be linked to obstetric problems and lead to preterm birth. The predominant bacterial illness that occurs during pregnancy is urinary tract infections (UTIs). It is recommended that all women undergo screening for urinary tract infections (UTIs) during their initial antenatal appointment. Upon diagnosis, it is crucial to rapidly administer an appropriate antibiotic that is both effective and safe.