Urogenital infection in preeclampsia

C. D. Hsu, F. R. Witter

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to determine whether the incidence of urinary tract infections and postpartum endometritis were increased in preeclamptic pregnancies. Method: We conducted a retrospective study of 13 852 pregnant women, using a perinatal database at The Johns Hopkins Hospital, over the past 5 years. The incidence of urinary tract infections and postpartum endometritis was analyzed using the chi-squared test and logistic regression analysis. Statistical significance was set at P < 0.05. Results: There were 345 (2.5%) mild preeclamptics and 440 (3.2%) severe preeclamptics. The incidence of urinary tract infections and postpartum endometritis in preeclamptic patients was significantly higher than that in non-hypertensive pregnant patients. After controlling for confounding variables, severe preeclampsia was still found to be an independent significant risk factor for both urinary tract infections and postpartum endometritis. Conclusion: Our data show a significant increase in urogenital infection in preeclamptic pregnancy. This may reflect higher rates of underlying renal disease and placental bed abnormalities occurring in preeclampsia.

Original languageEnglish (US)
Pages (from-to)271-275
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume49
Issue number3
DOIs
StatePublished - Jun 1995

Keywords

  • Endometritis
  • Preeclampsia
  • Urinary tract infection

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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