Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Pregnancy Outcomes in Patients with Urosepsis and Uncomplicated Urinary Tract Infections- a Retrospective Study

Viorel-Dragos Radu
,
Petronela Vicoveanu
* ,
Alexandru Cărăuleanu
* ,
Ana-Maria Adam
,
Alina-Sinziana Melinte-Popescu
,
Gigi Adam
ORCID logo ,
Pavel Onofrei
ORCID logo ,
Demetra Socolov
ORCID logo ,
Ingrid-Andrada Vasilache
ORCID logo ,
AnaMaria Harabor
,
Marian Melinte-Popescu
,
Ioana Sadiye Scripcariu
,
Elena Mihalceanu
,
Mariana Stuparu-Cretu
ORCID logo ,
Valeriu Harabor
Version 1 : Received: 8 November 2023 / Approved: 9 November 2023 / Online: 9 November 2023 (07:28:28 CET)

A peer-reviewed article of this Preprint also exists.

Radu, V.-D.; Vicoveanu, P.; Cărăuleanu, A.; Adam, A.-M.; Melinte-Popescu, A.-S.; Adam, G.; Onofrei, P.; Socolov, D.; Vasilache, I.-A.; Harabor, A.; Melinte-Popescu, M.; Scripcariu, I.S.; Mihalceanu, E.; Stuparu-Cretu, M.; Harabor, V. Pregnancy Outcomes in Patients with Urosepsis and Uncomplicated Urinary Tract Infections—A Retrospective Study. Medicina 2023, 59, 2129. Radu, V.-D.; Vicoveanu, P.; Cărăuleanu, A.; Adam, A.-M.; Melinte-Popescu, A.-S.; Adam, G.; Onofrei, P.; Socolov, D.; Vasilache, I.-A.; Harabor, A.; Melinte-Popescu, M.; Scripcariu, I.S.; Mihalceanu, E.; Stuparu-Cretu, M.; Harabor, V. Pregnancy Outcomes in Patients with Urosepsis and Uncomplicated Urinary Tract Infections—A Retrospective Study. Medicina 2023, 59, 2129.

Abstract

(1) Background: Urinary tract infections (UTIs) are an important cause of perinatal and maternal morbidity and mortality. The aim of this study was to describe and compare the main pregnancy outcomes among pregnant patients with complicated and uncomplicated UTIs; (2) Methods: This retrospective study included 183 pregnant patients who were evaluated for uncomplicated UTIs and urosepsis in the Urology Department of ‘C.I. Parhon’ University Hospital, and who were followed up at a tertiary maternity hospital- ‘Cuza-voda’ from Romania between January 2014 and October 2023. The control group (183 patients) was randomly selected from the patient’s cohort who gave birth in the same time frame at the maternity hospital without urinary pathology. Clinical and paraclinical data was examined. Descriptive statistics and a conditional logistic regression model were used to analyze our data. (3) Results: Our results indicated that patients with urosepsis had increased risk of premature rupture of membranes (aOR: 5.59, 95%CI: 2.02- 15.40, p< 0.001) and preterm birth (aOR: 2.47, 95%CI: 1.15- 5.33, p= 0.02). We could not demonstrate a statistically significant association between intrauterine growth restriction and preeclampsia with the studied urological pathologies. (4) Conclusions: Careful UTIs screening during pregnancy is needed for preventing maternal-fetal complications.

Keywords

urinary tract infections; urosepsis; pregnancy; preterm birth; premature rupture of membranes

Subject

Medicine and Pharmacology, Obstetrics and Gynaecology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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