Jebmh.com Original Research Article J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 5/Issue 25/June 18, 2018 Page 1936 A RURAL BASED STUDY ON GESTATIONAL SYMPTOMLESS BACTERIURIA (GSB) Monalisa Subudhi 1 , Sudhanshu Kumar Dash 2 , Khetrabasi Subudhi 3 , Sitansu Kumar Satapathy 4 , Pramoda Kumar Sahoo 5 , Asutosh Subudhi 6 1 Assistant Professor, Department of Microbiology, Gayatri Vidya Parisad Institute of Health Care and Medical Technology, Visakhapatnam, Andhara Pradesh. 2 Associate Professor, Department of Paediatrics, Gayatri Vidya Parisad Institute of Health Care and Medical Technology, Visakhapatnam, Andhara Pradesh. 3 Professor, Department of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Berhampur, Odisha. 4 Specialist, Department of Obstetrics and Gynaecology, Gayatri Medical College, Visakhapatnam, Andhra Pradesh. 5 Postgraduate Student, Department of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Berhampur, Odisha. 6 Student, KIIMS, Bhubaneswar, Odisha. ABSTRACT BACKGROUND Gestational Symptomless Bacteriuria (GSB) or Gestational Asymptomatic Bacteriuria (GASB) is one of the commonly encountered renal infections during pregnancy. The incidence of GSB varies between 2% - 13% of all pregnant women. It is a hidden, undiagnosed, unexpected bad obstetric factor which may have serious, preventable adverse effects if untreated with many debatable controversial issues. Hence, the study was undertaken. The objectives of the study were to find the incidence of GSB, maternal and foetal outcomes and different causative organisms in GSB. MATERIALS AND METHODS This study of Gestational Symptomless Bacteriuria (GSB) was undertaken in a remote rural area, Pathara in the District of Ganjam, Odisha. It included randomly selected 200 pregnant women as study group and 200 non-pregnant women as control group. After fully history taking, the cases were studies for symptomless bacteriuria by 2 consecutive urine cultures. RESULTS In our study, the following results were obtained. The incidence of GSB was 8.5%. It was mostly in less than 20 years of age (7.6%), in low socio-economic status (76.4%0, in literacy of upto 7 th standard (58.8%) in primigravida (G1) (53%), in gestational age (13-28 weeks). The commonest organism isolated was Escherichia coli (64.8%). The most common maternal complication during pregnancy was anaemia (41.1%) and foetal complication was prematurity (17.6%). In control group, gestational symptomless bacteriuria was more common in married non-pregnant women (2%). The isolated Escherichia coli was found more commonly in married non-pregnant women (66.7%). CONCLUSION Since Gestational Symptomless Bacteriuria (GSB), is an important silent bad obstetric factor, having many dilemmas, associated with obstetric and neonatal complications, universal screening in early pregnancy and its management is essential to prevent unexpected preventable obstetric disorders. KEYWORDS Gestational, Symptomless, Bacteriuria, Infection, Pyelonephritis, Urinary Bad Obstetric Factor. HOW TO CITE THIS ARTICLE: Subudhi M, Dash SK, Subudhi K, et al. A rural based study on gestational symptomless bacteriuria (GSB). J. Evid. Based Med. Healthc. 2018; 5(25), 1936-1941. DOI: 10.18410/jebmh/2018/403 BACKGROUND Gestational Symptomless Bacteriuria (GSB) is the most common type (about 70%) of urinary tract infection (2- 13%), 1,2,3,4 which is commonest renal bacterial infection during pregnancy, a unique state. 1,2,3,4 As a result of pressure of the gravid uterus and altered physiological hormonal milieu, there occurs many anatomic and physiologic hormonal changes of urinary system during pregnancy. There occurs decease of ureteral peristalsis and ureteral dilatation, especially of the right side mostly during the last trimester of pregnancy, other causes of hydroureter is the effect of progesterone on smooth muscle done and compression of ureter by the gravid uterus. There is also affection of renal functions. The net result is the alternation of the natural history of bacteriuria during gestation. The renal pelvis and ureters begin to dilate as early as the 8 th week of gestation 5 and there is displacement of bladder Financial or Other, Competing Interest: None. Submission 05-01-2018, Peer Review 16-01-2018, Acceptance 15-06-2018, Published 18-06-2018. Corresponding Author: Dr. Sudhanshu Kumar Dash, Associate Professor, Department of Paediatrics, Gayatri Medical College, Vishakhapatnam, Andhra Pradesh. E-mail: swayam.dr007@gmail.com DOI: 10.18410/jebmh/2018/403