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Urinary Tract Infections in Pregnancy: a Gynecological and Urological Perspective

Vol. 3 No. 11 (2025): International Journal of Integrative and Modern Medicine:

Asmaa Jasim Thanon (1), Aseel Mahmood Khadim (2), Rawa Ismail Ibrahim (3)

(1) M.B.Ch.B., D.O.G. \ (Obstetrician and Gynecologist) Iraqi Ministry of Health, Diyala Health Directorate, Al-Batol Teaching Hospital, Diyala, Iraq, Iraq
(2) M.B.Ch.B., C.A.C.M.S. \ (Obstetrician and Gynecologist) Iraqi Ministry of Health, Anbar Health Directorate, Ramadi Teaching Hospital for Maternity and Children, Anbar, Iraq, Iraq
(3) M.B.Ch.B., F.I.B.O.G. \ (Specialist Obstetrician and Gynecologist) Iraqi Ministry of Health, Baghdad Al-Russafa Health Directorate, Al-Martyr Dhari Al-Fayad General Hospital, Baghdad, Iraq, Iraq
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Abstract:

Background: UTIs are a major health issue affecting pregnant women and may result in negative maternal and fetal outcomes. This paper set out to determine the prevalence, risk factors, clinical presentation, microbiological profile, therapeutic intervention, and outcome of UTIs in a group of pregnant women in various hospitals in Iraq.


Where involved 120 pregnant individuals. The information was obtained through structured questionnaires and clinical assessments, such as the urinalysis and urine culture to detect the etiologic agents. Statistical tests used were descriptive and inferential association analysis between demographic and clinical variables.


Findings: The researchers have found that 37.5 per cent of the participants experienced symptomatic UTIs and 25 per cent of asymptomatic bacteriuria. The significant risk factors were a history of UTIs (Odds Ratio = 3.5) and diabetes mellitus (Odds Ratio = 2.2). The most commonly isolated pathogen was Escherichia coli (50 percent), and then came Klebsiella spp. (16.7 percent). Nitrofurantoin became the most widely prescribed antibiotic, and an overall treatment success rate of 88.9% where concluded. The management of UTI requires early screening and intervention.

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