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ASYMPTOMATIC BACTERIURIA IN PREGNANCY AND ADVERSE MATERNAL & PREINATAL OUTCOME: A PROSPECTIVE STUDY

Background: Asymptomatic bacteriuria (ASB) is associated with adverse maternal and perinatal outcome. Physiological changes in pregnancy increase the potentiality for the ASB. Undiagnosed and untreated ASB is a causative factor of abortion as well as preterm labour and premature rupture of membrane.

Methods: Every pregnant patient is routinely screened for asymptomatic bacteriuria to prevent adverse effect on pregnancy at early trimester.

Results: This study was conducted on total 250 outdoor patients from January, 2023 to July, 2023. Among them 25.2% were primi gravid patient, 47.2% cases were presented in 3rd trimester of pregnancy, 26% were pregestational diebetic patient and GDM was found in 33.6% cases. Anaemia was found in 54% cases. 35.2% cases presented with premature uterine contractions and among them 28.40% proceed to preterm labour.

Conclusion: Routine screening for asymptomatic bacteriuria is very much helpful to reduce adverse feto-maternal outcome.

Keywords: ASB, Pyelonephritis, Preterm Labour, Premature rupture of membrane (PROM), premature uterine contractions


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