Monalisa Subudhi, Sudhanshu Kumar Dash, Khetrabasi Subudhi, Sitansu Kumar Satapathy, Pramoda Kumar Sahoo,Asutosh Subudhi
BACKGROUND Gestational Symptomless Bacteriuria (GSB) or Gestational Asymptomatic Bacteriuria (GASB) is one of the commonly encountered renal infections during pregnancy. The incidence of GSB varies between 2% - 13% of all pregnant women. It is a hidden, undiagnosed, unexpected bad obstetric factor which may have serious, preventable adverse effects if untreated with many debatable controversial issues. Hence, the study was undertaken. The objectives of the study were to find the incidence of GSB, maternal and foetal outcomes and different causative organisms in GSB. MATERIALS AND METHODS This study of Gestational Symptomless Bacteriuria (GSB) was undertaken in a remote rural area, Pathara in the District of Ganjam, Odisha. It included randomly selected 200 pregnant women as study group and 200 non-pregnant women as control group. After fully history taking, the cases were studies for symptomless bacteriuria by 2 consecutive urine cultures. RESULTS In our study, the following results were obtained. The incidence of GSB was 8.5%. It was mostly in less than 20 years of age (7.6%), in low socio-economic status (76.4%0, in literacy of upto 7th standard (58.8%) in primigravida (G1) (53%), in gestational age (13-28 weeks). The commonest organism isolated was Escherichia coli (64.8%). The most common maternal complication during pregnancy was anaemia (41.1%) and foetal complication was prematurity (17.6%). In control group, gestational symptomless bacteriuria was more common in married non-pregnant women (2%). The isolated Escherichia coli was found more commonly in married non-pregnant women (66.7%). CONCLUSION Since Gestational Symptomless Bacteriuria (GSB), is an important silent bad obstetric factor, having many dilemmas, associated with obstetric and neonatal complications, universal screening in early pregnancy and its management is essential to prevent unexpected preventable obstetric disorders.
