Often she has shaking chills and reports nausea and vomiting. Flank pain and tenderness are common. Signs of urinary tract infections also include foul-smelling urine that appears cloudy.(6,7) During pregnancy, urinary tract infections UTIs are more common in women who are older, of higher parity, of lower socioeconomic status, have a past history of UTI, have an anatomical or functional urinary tract abnormality, and/or have the sickle cell trait or diabetes. Screen all pregnant women for bacteriuria at early prenatal care and again at 28 weeks gestation treat as indicted. Some patients who suffer from recurring UTIs during pregnancy may be placed on a low-dose course of antibiotics to prevent reinfection.