Prevalence, risk factors and maternal-neonatal outcome in pregnant women presenting intrapartum with urinary tract infection: A retrospective chart review study

Abstract

This study aims to assess the prevalence, risk factors, and maternal-neonatal outcomes associated with urinary tract infections (UTIs) in pregnant women presenting intrapartum. A retrospective cross-sectional chart review was conducted at King Fahad Hospital of the University (KFHU), Dammam, Saudi Arabia, including 200 pregnant women in labor from January 2023 to December 2024. Data on demographics, comorbidities, obstetric history, and neonatal outcomes were collected. Statistical analysis included logistic and linear regression using SPSS v28. The prevalence of UTIs during labor was 5.5%. Prior history of UTI was the only significant risk factor (adjusted OR=29.43; 95% CI: 2.03–427; P=0.013). No significant associations were found between UTI status and neonatal birth weight, APGAR scores, or NICU admission. However, older maternal age was significantly associated with higher 1-minute APGAR scores (P=0.022). Prior history of UTI is a strong predictor for UTIs during labor. Although neonatal outcomes were generally favorable, the findings highlight the importance of targeted screening and management for high-risk women. This study supports incorporating routine screening for UTIs in antenatal care, particularly for those with prior infections, to improve maternal and neonatal outcomes.