Prevalence of Urinary Tract Infections and their Associated Risk Factors in Antenatal Women Attending OPD.: Original Article

Mehwish Syed; Sumayya; Javeria Saleem; Saeeda Safi; Shah Nawaz

doi:10.64911/ahnc2q42

Authors

Mehwish Syed Assistant Professor, Department of Obstetrics and Gynecology, MTI Nowshera Medical College (NMC), Nowshera, KP – Pakistan. Author
Sumayya Associate Professor, Department of Obstetrics and Gynecology, MTI Nowshera Medical College (NMC), Nowshera, , KP – Pakistan. Author
Javeria Saleem Assistant Professor, Department of Obstetrics and Gynecology, MTI Nowshera Medical College (NMC), Nowshera, , KP – Pakistan Author
Saeeda Safi Assistant professor Department of Obstetrics and Gynecology, MTI Nowshera Medical College (NMC), Nowshera, KP – Pakistan Author
Shah Nawaz Professor , Deparment of Biochemistry, Nowshera Medical college,Nowshera Author

DOI:

https://doi.org/10.64911/ahnc2q42

Keywords:

Urinary tract infection; Pregnancy; Antenatal women; asymptomatic bacteriuria; Risk factors.

Abstract

Objective: To determine the prevalence of UTI and identify associated risk factors among antenatal women attending outpatient services.

Methodology: This Cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Qazi Hussain Ahmad Medical Complex, Nowshera, Pakistan, from March 2025 to September 2025. We enrolled 220 pregnant women using non-probability consecutive sampling. We collected sociodemographic, obstetric, and clinical data through a structured questionnaire. We analyzed midstream urine samples using standard microbiological methods. We analyzed data using SPSS version 27. We performed chi-square and binary logistic regression analyses, with p < 0.05 considered statistically significant.

Results: The overall UTI prevalence was 31.8% (n = 70). Among infected women, 64.3% had symptomatic UTI and 28.6% had asymptomatic bacteriuria. Escherichia coli was the predominant pathogen (60.0%). Significant associations were observed with educational status (p = 0.008), rural residence (p = 0.009), low socioeconomic status (p = 0.001), multigravidity (p = 0.015), previous UTI history (p < 0.001), diabetes mellitus (p = 0.002), and anemia (p = 0.009). Logistic regression identified previous UTI and diabetes mellitus as independent risk factors.

Conclusion: UTI is highly prevalent during pregnancy and is associated with several sociodemographic and clinical factors. Routine antenatal screening and targeted preventive measures are essential to improve maternal and fetal outcomes.