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No increased risk of adverse pregnancy outcomes in women with urinary tract infections: a nationwide population-based study.
Acta Obstet Gynecol Scand. 2010 Jul; 89(7):882-8.AO

Abstract

OBJECTIVE

To examine the risk of adverse pregnancy outcomes (low birthweight (LBW), preterm birth, and small-for-gestational age (SGA)) in pregnant women with urinary tract infections (UTIs) using a 3-year nationwide population-based database, simultaneously taking characteristics of infant and mother into consideration. Design. Retrospective cross-sectional study.

SETTING

Taiwan.

SAMPLE

In total, 42,742 mothers with UTIs and 42,742 randomly selected mothers were included.

METHODS

Conditional logistic regression analyses to investigate the risk of LBW, preterm birth, and SGA, comparing these two cohorts.

MAIN OUTCOME MEASURES

LBW, preterm birth, and SGA.

RESULTS

Pearson chi(2) tests show that there were significant differences in the prevalence of preterm births (<37 weeks) (7.2%, 7.7 vs. 8.3%, p = 0.006) and SGA infants (<10th percentile) (16.1%, 16.5 vs. 18.9%, p = 0.003) among pregnant women who were not exposed to UTIs, those exposed to antepartum non-pyelonephritic UTIs and those exposed to pyelonephritis. However, after adjusting for potential confounding factors, the odd ratios (ORs) for LBW were not statistically significant for mothers exposed to antepartum non-pyelonephritic UTIs, compared to women who were not diagnosed with UTIs; neither for <34 or <37 weeks nor SGA <10th percentile and <2 SDs. Similarly, compared to women who were not exposed to UTIs, the adjusted ORs for LBW, <34 weeks, <37 weeks, SGA <10th centile, and <2 SD did not reach a significant level for mothers exposed to pyelonephritis.

CONCLUSIONS

Women exposed to antepartum pyelonephritis or non-pyelonephritic UTIs were not at increased risk of having LBW, preterm, and SGA babies, compared to mothers who did not experience UTIs.

Authors+Show Affiliations

Department of Urology, Taipei County Hospital, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20583933

Citation

Chen, Yi-Kuang, et al. "No Increased Risk of Adverse Pregnancy Outcomes in Women With Urinary Tract Infections: a Nationwide Population-based Study." Acta Obstetricia Et Gynecologica Scandinavica, vol. 89, no. 7, 2010, pp. 882-8.
Chen YK, Chen SF, Li HC, et al. No increased risk of adverse pregnancy outcomes in women with urinary tract infections: a nationwide population-based study. Acta Obstet Gynecol Scand. 2010;89(7):882-8.
Chen, Y. K., Chen, S. F., Li, H. C., & Lin, H. C. (2010). No increased risk of adverse pregnancy outcomes in women with urinary tract infections: a nationwide population-based study. Acta Obstetricia Et Gynecologica Scandinavica, 89(7), 882-8. https://doi.org/10.3109/00016349.2010.486826
Chen YK, et al. No Increased Risk of Adverse Pregnancy Outcomes in Women With Urinary Tract Infections: a Nationwide Population-based Study. Acta Obstet Gynecol Scand. 2010;89(7):882-8. PubMed PMID: 20583933.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - No increased risk of adverse pregnancy outcomes in women with urinary tract infections: a nationwide population-based study. AU - Chen,Yi-Kuang, AU - Chen,Shu-Fen, AU - Li,Hsien-Chang, AU - Lin,Herng-Ching, PY - 2010/6/30/entrez PY - 2010/6/30/pubmed PY - 2010/7/21/medline SP - 882 EP - 8 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 89 IS - 7 N2 - OBJECTIVE: To examine the risk of adverse pregnancy outcomes (low birthweight (LBW), preterm birth, and small-for-gestational age (SGA)) in pregnant women with urinary tract infections (UTIs) using a 3-year nationwide population-based database, simultaneously taking characteristics of infant and mother into consideration. Design. Retrospective cross-sectional study. SETTING: Taiwan. SAMPLE: In total, 42,742 mothers with UTIs and 42,742 randomly selected mothers were included. METHODS: Conditional logistic regression analyses to investigate the risk of LBW, preterm birth, and SGA, comparing these two cohorts. MAIN OUTCOME MEASURES: LBW, preterm birth, and SGA. RESULTS: Pearson chi(2) tests show that there were significant differences in the prevalence of preterm births (<37 weeks) (7.2%, 7.7 vs. 8.3%, p = 0.006) and SGA infants (<10th percentile) (16.1%, 16.5 vs. 18.9%, p = 0.003) among pregnant women who were not exposed to UTIs, those exposed to antepartum non-pyelonephritic UTIs and those exposed to pyelonephritis. However, after adjusting for potential confounding factors, the odd ratios (ORs) for LBW were not statistically significant for mothers exposed to antepartum non-pyelonephritic UTIs, compared to women who were not diagnosed with UTIs; neither for <34 or <37 weeks nor SGA <10th percentile and <2 SDs. Similarly, compared to women who were not exposed to UTIs, the adjusted ORs for LBW, <34 weeks, <37 weeks, SGA <10th centile, and <2 SD did not reach a significant level for mothers exposed to pyelonephritis. CONCLUSIONS: Women exposed to antepartum pyelonephritis or non-pyelonephritic UTIs were not at increased risk of having LBW, preterm, and SGA babies, compared to mothers who did not experience UTIs. SN - 1600-0412 UR - https://www.unboundmedicine.com/medline/citation/20583933/No_increased_risk_of_adverse_pregnancy_outcomes_in_women_with_urinary_tract_infections:_a_nationwide_population_based_study_ L2 - https://doi.org/10.3109/00016349.2010.486826 DB - PRIME DP - Unbound Medicine ER -