A urinary tract infection UTI , also called bladder infection, is a bacterial inflammation in the urinary tract. Pregnant women are at increased risk for UTIs starting in week 6 through week 24 because of changes in the urinary tract. The uterus sits directly on top of the bladder. As the uterus grows, its increased weight can block the drainage of urine from the bladder, causing a urinary tract infection during pregnancy.
If you have a urinary tract infection, you may experience one or more of the following symptoms:. If the UTI goes untreated, it may lead to a kidney infection. Kidney infections may cause early labor and low birth weight.
If your doctor treats a urinary tract infection early and properly, the UTI will not cause harm to your baby. UTIs can be safely treated with antibiotics during pregnancy.
Urinary tract infections are most commonly treated by antibiotics. Doctors usually prescribe a day course of antibiotics that is safe for you and the baby. Call your doctor if you have fever, chills, lower stomach pains, nausea, vomiting, contractions, or if after taking medicine for three days, you still have a burning feeling when you urinate.
You may do everything right and still experience a urinary tract infection during pregnancy, but you can reduce the likelihood by doing the following:. Cunningham, F. Gary, et al, Ch. Urinary Tract Infection During Pregnancy. What are the signs and symptoms of UTIs? Adult: mg, twice daily, for 3 days N. Access to the following regional pathways is localised for each region and access is limited to health providers.
Looking for Where to get medical help A health professional or service Patient portals Newsletters View all. Urinary tract infection in pregnancy Print A A A. Information for healthcare providers on UTI in pregnancy The content on this page will be of most use to clinicians, such as nurses, doctors, pharmacists, specialists and other healthcare providers.
Alternatives: Trimethoprim Adult: mg, once daily, for 3 days avoid during the first trimester of pregnancy N. Treat for 7 days in pregnant women Cefalexin - only if infecting organism known to be susceptible, and resistant to the other choices.
Regional HealthPathways NZ Access to the following regional pathways is localised for each region and access is limited to health providers. If you have a high fever, shakes, back pain or feel generally unwell, with or without urinary symptoms, seek medical advice right now.
You may have pyelonephritis , a more serious infection of the kidneys which needs immediate treatment. Jeremy Steinberg is a GP with special interests in musculoskeletal medicine, evidence-based medicine and use of ultrasound. He's been reviewing topics for Health Navigator since and in his spare time loves programming. Urinary tract infections in women: diagnosis and management in primary care. BMJ ; Antibiotics for asymptomatic bacteriuria in pregnancy. Management of suspected bacterial urinary tract infection in adults: A national clinical guideline.
SIGN, Management of infection guidance for primary care for consultation and local adaptation. One-day compared with 7-day nitrofurantoin for asymptomatic bacteriuria in pregnancy: a randomized controlled trial. Obstet Gynecol ; Royal College of Obstetricians and Gynaecologists. Prevention of early-onset neonatal group B streptococcal. Australian Medicines Handbook. Medicine Safety Data Sheet. Asymptomatic bacteriuria and symptomatic urinary tract infections during pregnancy.
Urol Clin North Am ;34 1 Regarding the comment re: Norfloxacin being used in place of cephalexin. This is not reflected in your antibiotic guideline not the New Zealand Formulary. Both state to avoid norfloxacin in pregnancy. NZF: "Quinolones should be avoided in pregnancy because they have been shown to cause arthropathy in animal studies; safer alternatives are available.
The correspondent, Rory Miller, is correct. Norfloxacin should not be used in women who are pregnant. This comment was inadvertently placed in this article as a general message, which does not apply to pregnant women. This comment will be removed. Make a comment:. Please login to make a comment. This article is 10 years and 7 months old. Social sharing. In this issue The role of General Practice in the care of pregnant women Pre-conception care in general practice Continuing care for pregnant women with asthma Managing urinary tract infections in pregnancy Contraception in early adolescence Quinolone antibiotics - limit use Seasonal influenza vaccination: changes for Pneumococcal vaccine for adults: Pneumovax23 Correspondence: Labelling; Breast cancer; Dyspepsia; Erratum.
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