Frequency of Asymptomatic Bacteriuria at Term Pregnancy and its Relation to Maternal and Neonatal Outcome

Ibrahim, Ahmed Mohamed; Abdelfattah, Ahmed Taha; Radwan, Mohamed Saad Elden; Mohamed, Mohamed Ibrahim

doi:10.21608/ijma.2023.178755.1565

	Frequency of Asymptomatic Bacteriuria at Term Pregnancy and its Relation to Maternal and Neonatal Outcome
International Journal of Medical Arts
Article 13, Volume 7, Issue 6, June 2025, Page 5818-5823 PDF (1.36 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2023.178755.1565
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Authors
Ahmed Mohamed Ibrahim ¹; Ahmed Taha Abdelfattah¹; Mohamed Saad Elden Radwan²; Mohamed Ibrahim Mohamed¹
¹Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
²Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abstract
Background: When there is considerable bacteriuria present but no signs of a urinary tract infection [UTI], this condition is known as asymptomatic bacteriuria [ASB]. In 2-10% of pregnant women, ASB occurs, which may be associated with adverse maternal and neonatal outcomes. The current work aimed to study the association between asymptomatic bacteriuria at term pregnancy and the various maternal and neonatal outcomes Patients and Methods: A prospective observational study included 100 pregnant women at gestational age between 37 to 40 weeks. Urine culture was analyzed for all women, followed by follow-up for reporting adverse maternal and neonatal outcomes. Results: The frequency of cases with ASB was 24%. ASB was significantly associated with preterm labor [33.3% and 19.7% among positive culture and negative culture groups, respectively; P=0.021]. The percentage of PROM among the mothers with positive culture was higher as compared with the negative culture group [20.8% and 15.8%, respectively], but, no statistically considerable value was reached [p=0.280]. Neonates born to mothers with ASB had significantly lower birth weights [P=<0.001] and 5-min Apgar scores [P=0.024]. Conclusion: Asymptomatic bacteriuria was frequent among women at term pregnancy in the current study. It was associated with preterm labour, low birth weight and decreased 5-min Apgar score at birth, Further studies are needed.
Keywords
Asymptomatic Bacteriuria; Urine Culture; Preterm Labor; Pyelonephritis; Birth Weight


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