African Journal of Gender and Women Studies

ISSN 2736-1578

African Journal of Gender and Women Studies ISSN 2516-9831 Vol. 3 (6), pp. 176-180, June, 2018. © International Scholars Journals

Full Length Research Paper

Pregnancy outcomes: A comparison of women with symptomatic and asymptomatic bacteriuria in Cape Coast, Ghana

Mate Siakwa1*, Mildred E John4, Dzigbodi Kpikpitse2, Amadus Ankobil1 and E Hansen-Owoo3

1School of Nursing, University of Cape Coast, Ghana.

2School of Nursing, Garden City University College Kumasi, Ghana.

3Cape Coast Teaching Hospital, Cape Coast. Ghana.

4Department of Nursing Science, University of Calabar, Calabar. Nigeria.

*Corresponding author. E-mail: [email protected]

Accepted 19 September, 2014

Abstract

Bacteriuria, whether symptomatic or asymptomatic, has been found to be associated with adverse pregnancy outcomes for the mother and the baby. This comparative study compared the maternal and perinatal outcomes of pregnancy between mothers with symptomatic and those with asymptomatic bacteriuria in pregnancy. The results showed that maternal outcomes (presence of foul smelling liquor, premature rupture of membranes, history of pregnancy-induced hypertension and previous abortion) were comparable between the groups. These outcomes did not exclusively depend on whether the pregnant women had asymptomatic or symptomatic bacteriuria. A positive association existed between symptomatic bacteriuria and gestational age (possibility of preterm or full term birth) while women with symptomatic bacteriuria were 7.3 times more likely to have preterm birth than women who were asymptomatic. Moreover, the Apgar scores at one minute and at five minutes were significantly associated with a presence of symptoms of bacteriuria in the mother. It is concluded that bacteriuria in pregnancy causes adverse obstetric outcomes and should be screened for and adequately treated.

Key words: Symptomatic bacteriuria, asymptomatic bacteriuria, pregnant women, pregnancy outcomes.