Acute Pyelonephritis in Pregnancy : A Retrospective Descriptive Hospital Based-Study
Joint Authors
Fletcher, H. M.
Rattray, C. A.
Gordon-Strachan, G.
Reid, M.
Dawkins, J. C.
Source
ISRN Obstetrics and Gynecology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Pyelonephritis is a common complication of pregnancy.
It is also exacerbated by immunocompromised states and also the sickle cell gene.
We reviewed this condition in Jamaican women.
Method.
We did a six year hospital database docket review.
We found 102 confirmed cases.
Results.
Pyelonephritis was found in 0.7% of deliveries.
The mean maternal age was 24±5.83 years with 51% primiparity.
Most (58.8%) occurred in the second trimester.
The main symptoms were loin pain (96.2%) and abdominal pain (84.6%).
It was more common on the right side in 67% of cases.
On urinalysis, 81.4% had pyuria.
The commonest organism was Escherichia coli, in 61% of cases.
Patients given Antibiotics prior to admission had quicker resolution, P<0.02.
Haemoglobin S was found in 16% cases (general population 10%; P=0.002).
However diabetes was only found in 1.3% cases (1.5% expected).
61.3% had positive urine culture after treatment showed that 61.3% and 25% had recurrent pyelonephritis.
Complications included 32% threatened preterm labour and 17% preterm delivery.
About 6% of neonates had intrauterine growth restriction.
There were no ICU admissions and no deaths.
Conclusion.
Early recognition and treatment of pyelonephritis result in good outcome.
The condition is more prevalent in patients with the sickle cell gene and recurrence is high.
American Psychological Association (APA)
Dawkins, J. C.& Fletcher, H. M.& Rattray, C. A.& Reid, M.& Gordon-Strachan, G.. 2012. Acute Pyelonephritis in Pregnancy : A Retrospective Descriptive Hospital Based-Study. ISRN Obstetrics and Gynecology،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-478154
Modern Language Association (MLA)
Dawkins, J. C.…[et al.]. Acute Pyelonephritis in Pregnancy : A Retrospective Descriptive Hospital Based-Study. ISRN Obstetrics and Gynecology No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-478154
American Medical Association (AMA)
Dawkins, J. C.& Fletcher, H. M.& Rattray, C. A.& Reid, M.& Gordon-Strachan, G.. Acute Pyelonephritis in Pregnancy : A Retrospective Descriptive Hospital Based-Study. ISRN Obstetrics and Gynecology. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-478154
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478154