The Assessment of Relationship between Excessive Weight Gain and Urinary Tract Infection in Pregnant Women – Larestan- 1387-88

Subject Areas : Medical Microbiology

Mehdi Ebadi ¹ , Fatemeh Rahmanian ²

1 - Department of Midwifery, Larestan Branch, Islamic Azad University, Larestan, Iran
2 - Department of Midwifery, Larestan Branch, Islamic Azad University, Larestan, Iran

Received: 2009-08-16 Accepted : 2009-10-17 Published : 2009-10-01

Keywords: UTI, Pregnancy, Obesity,

Abstract :

Background and Objectives: Obesity is one of the most important complication and risk factor for many diseases. Females at any ages except infant are at more risk for urinary tract infections than male. The aim of this study is assessment of relationship between excessive weight gain and UTI. Material and Methods: This cross sectional study was performed on 200 of all pregnant women with UTI who referred to a governmental clinic in Larestan in 2009. All of them fulfill the questionnaires and then divided according to BMI of pregnant women .During third quarter of pregnancy (36-38 weeks of pregnancy), urine culture were followed. Results: The rate of excessive weight gaining in all pregnant women was 43%.The rate of UTI  were 4%, 4%, 5%, 7% and 10%  respectively in BMI of 22, 23, 24, 25 and 26. UTI rate in excessive weight gain female were 12.5%, 11%, 16%, 12.5% and 12.5% respectively. Uti rate in BMI groups 27, 28 and 29 were 12.5%, 30% and 39% respectively. But UTI rate in BMI 30 and 31 were 50% and 60 % which is comparable with UTI rate of excessive weight gain. Also, results showed that UTI rate especially in female with higher BMI has significant relationship with increasing of pregnancy weight. Conclusion: The results showed that pregnancy weight gain can be considered as predictive.

References:

1. Albers, L. L. "Evidence" and midwifery practice. Journal of Midwifery & Women's Health, 2001; 46: 130-136
2. Hausmann-Muela, S., Muela Ribera, J. and Nyamongo, I. Health-seeking behaviour and the health system response. DCPP Working Paper No. 14. Medicine, L. S. o. H. a. T. London, UK. 2003.
3. Johnson JW, Yoncey MK. A critique of the new recommendations for weight gain in pregnancy. AJOG, 1995; 174: 254-8
4. Prentice A Goldberg G Maternal obesity increases congenital Malformations. Nutr Rev 1996; 54:146-50
5. Cnattingius S. Bergstorm R, Lipworth L, Kramer MS, prepregnancy weight and the risk of adverse plegnancy outcomes. N. Engl , J. Med, 1998; 338:147-52.
6. Salsbery PJ, Reagan PB. Dynamics of early childhood overwight. Pediatrics 2005; 116:1329-38.
7. Ehrenberg HM, Harnberger DS, Johnson IM, Deciding on route of delivery for obese women prior cesarean delivery. AJOG, 2002; 187: 1189.
8. National Research Council. Maternal nutrition and the course of pregnancy. Report of the Committee on Maternal Nutrition, Food and Nutrition Board. Washington, DC: National Academy of Sciences, 1970.
9. Akhvan-Tiab A, Klishadi R, Sadri GH, Sabet B, Toloui R, Baghai AH. Healthy heart project. Prevalence of obesity in central part of Iran. J Gazvin Univ of Med Sci, 2003; 26: 27-35.
10. Mojibian M.,Ghilian Z. prevelance of obesity among women in Yazd city in 1378-1380SSUMJ, 2002; 9(4): 36-42.
11. Viswanathan M, Siega-Riz AM, Moos MK, Deierlein A, Mumford S, Knaack J, Thieda P, Lux LJ, Lohr KN. Outcomes of maternal weight -Evid Rep technol Assess, 2008; 168: 1223.
12. Vessey M.P., Medcalfe M.A., McPherson K. Yeates D. Urinary tract infection in relation to diaphragm use and obesity. Int J Epidemiol. 1987; 16(3): 441-484.
13 Palmer JL, Jennings GE, Massey L - Development of assessment form attitude toward weight gain during pregnancy. J Am Diet Assoc 1985; 85: 946-9.
14. Olson C. M. and Strawderman M. S. The relationship between food insecurity and obesity in rural childbearing women. Journal of Rural Health, 2008; 24(1): 60-66.
15. Sharon J Herring, Oken E., Haines J., Rich-Edwards J.W. Misperceived prepregnancy body weight stutus predicts Excessive gestational weight : finalings from a us cohort study.BMC pregnancy and child brith 2008; 8: 54 (available: http:\\www.biomedcentral.com
/1471-2393/8/54).
16. Webb J. B., A. M. Siega-Riz and N. Dole. Psychosocial determinants of adequacy of gestational weight gain. Obesity (Silver Spring), 2009; 17(2): 300-309.