The Assessment of Association Between Urinary Tract Infection and Premature Rupture of Membrane

Abstract

Background: PREM and PPROM are linked to poor maternal and perinatal outcomes. Risk factors include UTI. Lower (cystitis and silent bacteriuria) and higher (pyelonephritis) urinary tract infections are frequent in pregnancy. Due to anatomical and hormonal changes, pregnant women may have glucoseuria, which increases bacterial growth in the urine. Pregnant women are more susceptible to UTIs than non-pregnant women. Aim of study: To ascertain the frequency and pattern of urinary symptoms as well as the risk factors for urinary tract infection in premature rupture of membranes. Patients and methods: This study was a prospective cross sectional study conducted in labor word of Obstetrical department of Basra Maternity and Children Hospital in Basra city /Iraq during the period from 1^st of January till 1^st of September, 2022 on sample of eighty-five pregnant women with premature ruptured membranes. The diagnosis of premature rupture of membranes was made when the rupture of fetal membranes occurred before and after 37 weeks. Urinary tract infection was detected through general urine examination. Results: Sixty percent of pregnant women with premature rupture of membranes had urinary tract infection. The pregnant women with premature rupture of membranes and urinary tract infection were significantly related to symptomatic presentation (p<0.01). Low birth weight is the common adverse neonatal outcome of pregnant women with premature rupture of membranes and urinary tract infection, while high rate of cesarean sections is the common adverse maternal outcome. Conclusions: The prevalence of urinary tract infection in pregnant women with premature rupture of membranes is high.