Previous History of UTI,diabetes,Treatment with steroids or immunosuppresives,urinary stones and other renal diseases .
as a part of routine ANC check up,Urine ( R and M) is tested to rule out any infection.Those with increased risk of UTI should have more frequent Urine tests.Typical Presenting features of infection are pain in lower abdomen and loin,increased frequency of urination,painful urination,burning while passing urine,blood in the urine,fever,chills,vomiting etc.
UTI whether symptomatic or asymptomatic can lead to preterm labour pains and possibly a growth restricted baby as well,if not promptly treated.
A positive urine ( R and M) should be followed up with a urine ( Culture and sensitivity).A mid stream urine sample should be taken to avoid contamination with bacteria present on skin.
A positive bacteuria needs treatment.For asymptomatic infection the antibiotics are prescribed for 3 days,while acute bladder infection needs the medication for 7 days.
Those having more severe infection ( pyelonephritis) can need antibiotics uptp 14 days along with intravenous fluid to prevent Preterm labour.Kidney function and Ultrasound of Kidney,ureter and bladder is also advised. 15 % of women can have recurrent infection.
General lifestyle changes are to drink 2.5 to 3 lts of water everyday,to clean from front to back ( ie from where to pee towards from where you poo) and one should try to pas ueinr after each act of intercourse.