Document Type : Original Article

Authors

Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran

Abstract

Background and Objectives: Pregnancy is one of the most important and risky periods in
mothers and the fetus life, which plays a key role in health and social activity of the person,
family and community. This study is trying to see if there is a relation between increasing
weight and urinary tract infection (UTI) in pregnancy by using the open nested case‑control
study in the city of Shahrekord. Materials and Methods: In a nested case‑control study,
one cohort including 832 patients was examined until week 26 to 30 of pregnancy and their
UTIs were studied. The required information was collected by examining the health records
of pregnant women and completion of the data registration forms. Data collection was
controlled by using SPSS and analyzed by using an independent t‑test, Chi‑square test,
Pearson correlation and logistic regression. Results: According to the results of the cohort
study with 832 individuals, average weight gain of the group with a UTI was 11.13 ± 3.9 kg
and it was 10.63 ± 3.9 kg in the group without UTI, showing no statistically significant
difference (P = 0.245). According to the results, genitourinary problems had the highest
predictive value for UTIs and the numbers of infertility and the childbirth variables were in
the second and third positions, respectively. Conclusion: According to the results study
we can conclude that screening and treatment of UTIs have been on time and appropriate
in health systems of the city of Shahrekord which have lead to the reduction of infant and
maternal diseases even with the condition in having no UTI, and continuing this process for
screening and treatment is recommended.

Keywords

1. Safari M, Saadatmand N, Azarman M. Food Intake Pattern and
Related Factors in Women Referred to Medical and Health Centers
of Yasouj. Dena Q J Yasuj Fac Nurs Midwifery 2007;2:27‑37.
2. Albers L. “Evidence” and midwifery practice. J Midwifery Womens
Health 2001;46:130‑6.
3. Maclean AB. Urinary Tract Infection in Pregnancy. Int J Antimicrob
Agents 2001;17:273‑6.
4. Pereira EV, Figueiro EA, Oliveira MV, Fernandes AC, Moura Fe CS,
Coelho LR, et al. Urinary tract infection in high risk pregnant women.
Revista DePartologia Tropic 2013;42:21‑9.
5. Lee M, Bozzo P, Einarson A, Koren G. Urinarytract infections in
pregnancy. Can Fam Physician 2008;54:853‑4.
6. Blomberg B, Olsen BE, Hinderaker SG, Langeland N, Gasheka P,
Jureen R, et al. Antimicrobial resistance in urinary bacterial isolates
from pregnant women in rural Tanzania: Implications for public
health. Scand J Infect Dis 2005;37:262‑8.
7. Mittal P, Wing DA. Urinary tract infections in pregnancy. Clin
Perinatol 2005;32:749‑64.
8. Mashfeghi Z. Analysis of relationship of urinarybacteria without
early sign in pregnant mothers referred to the well‑known hospitals
in Shiraz. [dissertation]. Tehran: Tehran University of Medical
Sciences; 2002.
9. Ebadi M, Rahmanian P. The relationship between weight gain during
pregnancy urinary tract infections in pregnant women larestan city.
World Journal of Microbiology 2009;2:177‑82.
10. Cunningham FG, Leveno KJ, Hauth JC. Bloom, Rouse, Spong.
Williams Obstetrics. 23th Edition Translation: Valadan M, Razaghi S,
FaghaniJadidi N, Ghorbani M. Tehran: Arjmand Medical Publisher
2010;3:489‑91.
11. Cleves M, Malik S, Yang S, Carter TC, Hobbs CA. Maternal urinary
tract infections and selected cardiovascular malformations. Birth
defect research: Clin Mol Teratol 2008;82:464‑73.
12. Mazor‑Dray E, Levy A, Schlaeffer F, Sheiner E. Maternal urinary tract
infection: Is it independently associated with adverse pregnancy
outcome. J Matern Fetal Neonatal Med 2009;22:124‑8.
13. Solimanizadeh L, Solimanizadeh A, Naseri N. Mother BMI
and Pregnancy Outcomes. Payesh, J Iran Inst Health Sci Res
2006;4:243‑8.
14. Cunningham FG, Leveno KJ, Hauth JC. Williams Obstetrics. 23th ed.
New York: McGraw‑Hill Professional; 2009. p. 489‑91.
15. Gilstrap LC 3rd, Ramin SM. Urinary tract infections during pregnancy.
Obstet Gynecol Clin North Am 2001;28:581‑91.
16. Al‑Haddad AM. Urinary tract infection among pregnant women in
Al‑Mukalla district, Yemen. East Mediterr Health J 2005;11:505‑10.
17. Hooton TM, Scholes D, Hughes JP, Winter C, Roberts PL,
Stapleton AE, et al. A prospective study of risk factors for
symptomatic urinary tract infection in young women. N Engl J Med
1996;335:468‑74.
18. Cronise K, Kelly SJ. Maternal urinary tract infection alters
water maze performance in the offspring. Neurotoxicol Teratol
2001;23:374‑9.
19. Langholz B. Case‑Control Study, Nested In: Arbitrage P, Colton T,
editors. Encyclopedia of Biostatistics. Chichester, UK: John Wiley
and Sons; 2005. p. 646‑65.
20. Nasseri K. Thesaurus epidemiology (Epidemiology) publications,
chat, 1st ed. Tehran: Gap; 2010. p. 209.
21. Panahandeh Z, Pour Ghasemi M, AsgharNia M. Body Mass Index
and Prenatal Weight Gain. J Gilan Univ Med Sci 2006;57:15‑20.
22. Wong W, Tang NL, Lau TK, Wong TW. A new recommendation
for maternal weight gain in Chinese women. J Am Diet Assoc
2000;100:791‑6.
23. Dawes MG, Gross T. Perinatal problem of the obese mother and
her infant. Obs Gyn 1995;66:299‑305.
24. Vessey MP, Metcalfe MA, McPherson K, Yeates D. Urinary tract
infection in relation to diaphragm use and obesity. Int J Epidemiol
1987;16:441‑84.
25. Sheikh M, Khan M, Khatoon A, Arain G. Incidence of urinary tract
infection during pregnancy. East Mediterr Health J 2000;6:265‑71.
26. Okonko IO, Ijandipe LA, Ilusanya OA, Donbraye‑Emmanuel OB,
Ejembi J, Udeze AO, et al. Incidence of urinary tract infection (UTI)
among Pregnant women in Ibadan, South‑Western Nigeria. Afr J
Biotechnol 2009;6:6649‑57.
27. Sweet RL. Bacteriuria and pyelonephritis during pregnancy. Semin
Perinatol 1977;1:25‑40.
28. Allijahan R, Purfarzy F, Salimi S, T Tahmasby P, Moradi S, Hazrati S.
Incidence and risk factors associated with urinary tract infection
in pregnant women in Ardabil city. South Medical Journal,
Environmental Research Institute‑Medical Persian Gulf. Iran: Shiraz
University of Medical Sciences; 1391.
29. Sheiner E, Mazor‑Drey E, Levy A. Asymptomaticbateriuria during
pregnancy. J Matern Fetal Neonatal Med 2009;22:423‑7.
30. Benhidy F, Acs N, Puho EH, Czeizel AE. Pregnancy complications
and birth outcomes of pregnant women with urinary tract infections
and related drug treatments. Scand J Infect Dis 2007;39:390‑7.
31. Mazor‑Dray E, Levy A, Schlaeffer F, Sheiner E. Maternal urinary
tract infection: Is independently associated with advers pregnancy
outcome? J Matern Fetal Neonatal Med 2009;22:124‑8.
32. Berad A, Santos F, Ferreia E, Perreault S. Urinary tract infection
during pregnancy. Int J Antimicrob Agents 2002;19:522‑38.
33. Beetz R. Mild dehydration: A risk factor of urinary tract infection.
Eur J Clin Nutr 2003;57:52‑8.
34. Sescon NIC, Garingalao‑Molina FD, Ycasiano CEJ, Saniel MC,
Manalastas RM.Prevalence of Asymptomatic Bacteriuria and
Associated Risk Factors in Pregnant Women. Phil J Microbial Infect
Dis 2003;32:63‑9.
35. Cram LF, Zapata MI, Toy EC, Baker B 3rd. Genitourinary infections
and their association with preterm labor. Am Fam Physician
2002;6:241‑8.
36. Nandy P, Thakur AR, Ray CS. Characterization of bacterial strains
isolated through microbial profiling of urine samples. On Line J Biol
Sci 2007;6:44‑51.
37. Hamdan HZ, Zaid AH, Ali SK. Epidemiology of urinary tract infections
and antibiotic sensitivity among pregnant women at Khartoum North
Hospital. Ann Clin Microbiol Antimicrob 2011;6:1‑5.
38. Masinde A, Gumodoha B, Kilonzo A, Mshana SE.Prevalence of
urinary tract infection among women at Bugando Medical Center,
Mwanza, Tanzania. Tanzania J Health Res 2009;6:154‑9.
39. Turpin C, Minkah B, Danso K, Frimpong E. Asymptomatic Bacteriuria
in pregnant women attending antenatal clinic at KomfoAnokye
teaching hospital, Kumasi, Ghana. Ghana Med J 2007;6:26‑9. 40. Hazhir S. Asymptomatic bacteriuria in pregnant women. Urol
J (Tehran) 2007;6:24‑7.
41. Enayat K, Fariba F, Bahram N. Asymptomatic bacteriuria among
pregnant women referred to outpatient clinics in Sanandaj, Iran.
Int Braz J Urol 2008;6:699‑707.
42. Haider G, Zehra N, Munir AA, Haider A. Risk factors of urinary tract
infection in pregnancy. J Pak Med Assoc 2010;6:213‑6.
43. Klerman LV, Cliver SP, Goldenberg RL. The impact of short
interpregnancy intervals on pregnancy outcomes in a low income
population. Am J Public Health 1998;88:1182‑5.