Complications
It is important to realize that UTIs during pregnancy
may affect not only the mother but also the neonate.
Jolley et al. [26&&] described hospitalization
rates for pyelonephritis during pregnancy using
US data from the Nationwide Inpatient Sample
2006. Cases of pyelonephritis were selected using
ICD-9 codes, identifying 28 923 women with pyelonephritis
(0.6% of all pregnant women). Concomitant
diagnoses in women with pyelonephritis
were septicaemia (1.95%), acute respiratory failure
(0.77%), preterm labour or premature rupture of
membranes (PROM) (3.77%), anaemia (22.4%) or
diabetesmellitus (3.7%).Somepregnantwomenwith
pyelonephritis died during their hospital admission,
underscoring the danger of this condition; however,
no actual number was provided [26&&].
A retrospective study from Jamaica found
an incidence of 0.7% (102 in 14 651 deliveries)
of confirmed pyelonephritis cases in pregnant
women. Most cases (58.8%) were diagnosed in
the second trimester. In only 59 of the 102 cases
was a positive urine culture present; in other cases,
the urine culture negative, contaminated or missing
[27&]. In a retrospective cohort study [28&], no
differences were found in maternal morbidity
(defined as days of admission) between pyelonephritis
diagnosis antepartum and up to 6 weeks
postpartum.
ComplicationsIt is important to realize that UTIs during pregnancymay affect not only the mother but also the neonate.Jolley et al. [26&&] described hospitalizationrates for pyelonephritis during pregnancy usingUS data from the Nationwide Inpatient Sample2006. Cases of pyelonephritis were selected usingICD-9 codes, identifying 28 923 women with pyelonephritis(0.6% of all pregnant women). Concomitantdiagnoses in women with pyelonephritiswere septicaemia (1.95%), acute respiratory failure(0.77%), preterm labour or premature rupture ofmembranes (PROM) (3.77%), anaemia (22.4%) ordiabetesmellitus (3.7%).Somepregnantwomenwithpyelonephritis died during their hospital admission,underscoring the danger of this condition; however,no actual number was provided [26&&].A retrospective study from Jamaica foundan incidence of 0.7% (102 in 14 651 deliveries)of confirmed pyelonephritis cases in pregnantwomen. Most cases (58.8%) were diagnosed inthe second trimester. In only 59 of the 102 caseswas a positive urine culture present; in other cases,the urine culture negative, contaminated or missing[27&]. In a retrospective cohort study [28&], nodifferences were found in maternal morbidity(defined as days of admission) between pyelonephritisdiagnosis antepartum and up to 6 weekspostpartum.
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