The course of pregnancy and perinatal complications in pregnant women with newly diagnosed urinary tract infection

Abstract

Purpose. To analyze the course of pregnancy and perinatal complications in pregnant women with newly diagnosed urinary tract infection. Material and methods. Complications of pregnancy and early perinatal complications were analyzed in 97 pregnant women (main group) with newly diagnosed asymptomatic bacteriuria. The control group consisted of 50 pregnant women without clinical and laboratory signs of urinary tract infections. Results. In the main group, in most cases, a monoinfection was isolated from the urine; Enterobacteriaceae were the predominant uropathogens. In the main group, mild iron deficiency anemia was detected significantly more often than in the control group (p 0.05) – in 43 (44.3%) women, vaginitis – in 45 (46.4%), changes in the structure of the placenta according to ultrasound diagnosis – in 18 (18.5%). In the main group, there was a tendency towards a decrease in fetal adaptation according to cardiotocography, as well as a higher risk of intrauterine infection, umbilical cord entanglement and the formation of intrauterine malformations. Conclusion. Pregnant women with newly diagnosed asymptomatic bacteriuria of the tract are at risk of developing anemia, vaginitis, and also require additional diagnostics of the state of the fetoplacental system.