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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1532
Association of preterm delivery with urinary infection
Poster Presenter
Authors
Nosheela Javed, Shubana Tabasum, Sidra Rauf, Shirza Sharafat Ali
Affiliations
Part of Topic
Maternal medicine
Association of preterm delivery with urinary infection
INTRODUCTION
When labour begins before 37 weeks of pregnancy but after 28 weeks of pregnancy, as shown by consistent uterine contractions leading to progressive cervical changes, this is known as preterm labour.
Uterine and cervical anomalies, early membrane rupture, placenta previa or abruption, trauma, excessive uterine growth (multiple pregnancies, hydramnios), and infection are all known causes.
A urinary tract infection (UTI) is a potential cause of premature birth. Asymptomatic bacteriuria is the most common form of UTI in pregnant women, however symptomatic infections including acute cystitis and pyelonephritis are also recognised.
Preterm delivery and a baby with a low birth weight are the most obvious negative outcomes of a UTI during pregnancy
METHODOLOGY
Study design : Case control study at PIMS for period of 6 months.
Sampling Technique: Non-probability, consecutive sampling
Cases: were those females who underwent preterm delivery, that was defined as active labor (>3 contractions in 10 minutes with Bishop score >4 and cervical dilation <4cm), before completion of 37 weeks of gestation as per last menstrual periods date. Controls: were those who delivered at term (>37 weeks of gestation as per last menstrual period)
Exclusion Criteria: Multiple fetus, congenital malformation, fetal demise, antepartum hemorrhage, gestational or chronic hypertension, diabetes, uterine fibroids, anemia, abortion in previous pregnancy, h/o preterm delivery in previous pregnancy
Presence of UTI was labeled if there was presence of history persistent UTI during pregnancy i.e. presence of fever (temperature>99oF), and pathogen detected in urine sample on urine culture i.e. growth of more than 105 colony-forming units per milliliter of bacterium as per antenatal record and history.
CONCLUSION
According to the findings of our study, we came to the conclusion that there is a significant correlation between UTIs and premature labour.