Associations between comorbidities and other factors with UTis during Pregnancy

Research output: Contribution to conferencePosterpeer-review

Abstract

Background: Urinary Tract Infections (UTIs) occur in 12% of pregnant women, which may present as asymptomatic Bacteriuria (ASB) to symptomatic bladder or kidney infections (Cystitis and Pyelonephritis, respectively). Identifying risk factors for UTI may allow for improved screening techniques and help facilitate preventative medicine in at-risk populations from dangerous UTI-related sequelae.

Methods: We used the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 which surveyed postpartum women from 2016 to 2021 to assess factors related to the occurrence of UTIs during pregnancy. PRAMS has respondents self-identifying ethnoracial groups, socioeconomic status (SES), and comorbidities, which we used to identify the associated risk of developing a UTI during pregnancy.

Results: From 2016 to 2021, we found a notable overall occurrence of UTIs—going from 12.36% to 11.32%. Results also showed significant associations between depression (OR=2.18, 95% CI), intimate partner violence (OR=1.74, 95% CI), and prescription pain relievers (OR=1.38, 95% CI) in the development of UTI during pregnancy. Maternal race affects the risk of occurrence. Compared to White women, Black (OR=1.22, 95% CI), American Indian (OR=2.24, 95% CI), and mulitracial (OR=1.17, 95% CI) women UTIs occur more frequently in pregnancy. In contrast, Asian women are less likely to experience a UTI in pregnancy (OR=0.45, 95% CI) than white women.

Conclusion: Compared to reported UTIs rates from 2000-2002 of 17%, our findings show that the occurrence of UTIs during pregnancy has decreased.  Given the relevant significant findings, increased screening for depression and IPV may be warranted for those presenting with UTI. As well, increase screening for UTIs in Black, American Indian, and multiracial women to prevent development of serious sequelae.
Original languageAmerican English
Pages19
StatePublished - 13 Sep 2024
Event2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health - Oklahoma State University College of Osteopathic Medicine at the Cherokee Nation, Tahlequah, United States
Duration: 13 Sep 202413 Sep 2024

Conference

Conference2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health
Abbreviated titleSTRIDE 2024
Country/TerritoryUnited States
CityTahlequah
Period13/09/2413/09/24

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