Labor as a bacteriuric event - Assessment and risk factors

Tamar Elram*, Ayelet Livne, Avraham Oren, Ilana Gross, Mervyn Shapiro, David Mankuta

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective. Little is known regarding the prevalence of early postpartum bacteriuria. We sought to evaluate the incidence of bacteriuria following labor and to identify risk factors predisposing to this condition. Methods. Three hundred and fifty parturients were recruited, 301 were included in the analysis. Women receiving antibiotic drugs during delivery were excluded. Urine cultures were obtained from the study group before delivery and prior to discharge. Data regarding management of labor was collected prospectively. Results. Positive urine cultures were present on admission in 5.4% of women, whereas 12.9% had a positive urine culture at discharge (p < 0.003). Bacteriuria was acquired during labor in 12.7% of patients who had negative cultures on admission. Escalating number of digital vaginal examinations (p = 0.04), recurrent bladder catheterization (p = 0.05), duration of epidural anesthesia (p = 0.002), and vacuum delivery (p = 0.02) correlated significantly with an increased risk for acquiring bacteriuria. Conclusion. Labor is a bacteriuric event. Iatrogenic interventions can predispose parturients with sterile urine cultures to postpartum bacteriuria.

Original languageAmerican English
Pages (from-to)483-486
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume21
Issue number7
DOIs
StatePublished - 2008
Externally publishedYes

Bibliographical note

Funding Information:
This research was funded by the Hadassah Women’s Health grant.

Keywords

  • Bacteriuria
  • Postpartum
  • Urine cultures

Fingerprint

Dive into the research topics of 'Labor as a bacteriuric event - Assessment and risk factors'. Together they form a unique fingerprint.

Cite this