Journal article
Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study
American journal of perinatology reports, Vol.11(1), pp.e5-e14
01/2021
DOI: 10.1055/s-0040-1721668
PMCID: PMC7813589
PMID: 33489437
Abstract
Objective
The aim of the study is to evaluate the risk of preterm birth (PTB, <37 weeks) and early term (37 and 38 weeks) birth among women with an emergency department (ED) visit or hospitalization with a urinary tract infection (UTI) by trimester of pregnancy.
Methods
The primary sample was selected from births in California between 2011 and 2017. UTIs were identified from the ED or hospital discharge records. Risk of PTB, by subtype, and early term birth were evaluated by trimester of pregnancy and by type of visit using log-linear regression. Risk ratios were adjusted for maternal factors. Antibiotic usage was examined in a population of privately insured women from Iowa.
Results
Women with a UTI during pregnancy were at elevated risk of a birth <32 weeks, 32 to 36 weeks, and 37 to 38 weeks (adjusted risk ratios [aRRs] 1.1–1.4). Of the women with a diagnostic code for multiple bacterial species, 28.8% had a PTB. A UTI diagnosis elevated risk of PTB regardless of antibiotic treatment (aRR 1.4 for treated, aRR 1.5 for untreated).
Conclusion
UTIs are associated with early birth. This association is present regardless of the trimester of pregnancy, type of PTB, and antibiotic treatment.
Details
- Title: Subtitle
- Risk of Early Birth among Women with a Urinary Tract Infection: A Retrospective Cohort Study
- Creators
- Rebecca J Baer - Department of Pediatrics, University of California San Diego, La Jolla, California Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California The California Preterm Birth Initiative, University of California San Francisco, San Francisco, CaliforniaNichole Nidey - Department of Epidemiology, University of Iowa, Iowa City, IowaGretchen Bandoli - Department of Pediatrics, University of California San Diego, La Jolla, CaliforniaBrittany D Chambers - The California Preterm Birth Initiative, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CaliforniaChristina D Chambers - Department of Pediatrics, University of California San Diego, La Jolla, CaliforniaSky Feuer - Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California The California Preterm Birth Initiative, University of California San Francisco, San Francisco, CaliforniaDeborah Karasek - Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California The California Preterm Birth Initiative, University of California San Francisco, San Francisco, CaliforniaScott P Oltman - The California Preterm Birth Initiative, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CaliforniaLarry Rand - Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California The California Preterm Birth Initiative, University of California San Francisco, San Francisco, CaliforniaKelli K Ryckman - Department of Epidemiology, University of Iowa, Iowa City, Iowa Department of Pediatrics, University of Iowa, Iowa City, IowaLaura L Jelliffe-Pawlowski - The California Preterm Birth Initiative, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California
- Resource Type
- Journal article
- Publication Details
- American journal of perinatology reports, Vol.11(1), pp.e5-e14
- DOI
- 10.1055/s-0040-1721668
- PMID
- 33489437
- PMCID
- PMC7813589
- NLM abbreviation
- AJP Rep
- ISSN
- 2157-6998
- eISSN
- 2157-7005
- Publisher
- Thieme Medical Publishers, Inc
- Language
- English
- Date published
- 01/2021
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
- Record Identifier
- 9984214667902771
Metrics
23 Record Views