First Trimester - A Prevalence of UTI Through Urine Culture Study; A Prospective Study

Urinary tract infections (UTIs) are common among pregnant women, particularly during the first and third trimesters, with Escherichia coli being the most frequently identified pathogen. This study, conducted at HI - TECH Medical College & Hospital, Bhubaneswar, from January to December 2024, examined 212 pregnant women attending antenatal checkups. Urine routine and culture tests were performed to diagnose UTIs, and data were analyzed using SPSS version 27. The study found a UTI incidence of 19%, with asymptomatic cases accounting for 64%. The presence of pus cells (6 - 10 cells/hpf) was observed in 52% of cases. Asymptomatic bacteriuria, if left untreated, can lead to symptomatic infections, pyelonephritis, and adverse pregnancy outcomes such as preterm birth and low birth weight. Poor hygiene and fecal contamination were identified as major risk factors. The study highlights the need for routine screening, early diagnosis, and appropriate antibiotic treatment to prevent complications. Awareness regarding hygiene and hydration is essential to reduce the prevalence of UTIs during pregnancy.