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- W1662272092 abstract "E ND-RESULTS in urinary tract infections associated with pregnancy are, for the most part, rate of recovery from the infection, relation of such infection to subsequent pregnancies and the ultimate fate of the kidney. It was not always so. Infection of the urinary tract is capable of contributing to both maternal and fetal mortality in a large way. That it no longer does in the modern maternity clinic is due to better management which the last two decades of study of the problems concerned have made possible. Present-day maternity clinics turn out four types of infection cases for aftercare. These are convalescing predelivery infections which have given no postpartum problems; second, infections involving the kidneys, which were not present during the pregnancy but took place during the puerperium; and third, cystitis cases without upper urinary tract involvement. These latter represent retentions and residuals following parturition where either intermittent catheterization or COIIstant drainage has had to be employed and resulted in introduced infection. Fourth, pyelitis in pregnancy may also show pyelitis symptoms in the puerperium. At the Boston Lying-In Hospital all such cases are directed to the Out-Patient Department clinic where they are followed until recovery takes place, a subsequent pregnancy intervenes, as all too frequently happens, or the case is restudied because of failure of the infection to clear. Throughout all these studies of recently pregnant women one is impressed with the promptness as well as the completeness of cessation of all symptoms in prenatal infections on delivery, and t,he rarity of renal and cystitis symptoms in recently pregnant women. These factors added to ready disappearance of pus but persistence of bacteria lend a false security to the patient, mislead the obstetrician who relies on tests for albumin and pus without cultures or stained sediments, and falsify statistics. In these studies clearance of the urine of bacteria as demonstrated by sediments or cultures, or both, maintained over a period of one month without treatment, is the criterion for cure." @default.
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- W1662272092 date "1937-09-01" @default.
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- W1662272092 title "End-results of urinary tract infections associated with pregnancy" @default.
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- W1662272092 doi "https://doi.org/10.1016/s0002-9378(37)90435-6" @default.
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