UTIs in Pregnancy: Senior gynaecologist explains prevention and early treatment

Pregnancy increases the risk of UTIs, but early detection and safe treatment protect both mother and baby. Know the symptoms, prevention tips, and safe antibiotics. (Image: Pexels)

• UTIs are common in pregnancy due to hormonal and physical changes
• Early UTI detection and treatment prevent serious complications
• Hydration, hygiene, and timely antibiotics manage UTIs safely

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Urinary tract infections (UTIs) are one of the most common reported infections in pregnancy. Increasing progesterone levels relax the muscles in the urinary tract, slowing urine flow and giving bacteria a better chance to multiply. Simultaneously, the growing uterus exerts pressure on the bladder, which increases susceptibility to infection.

Untreated, a simple U.T.I. can evolve into a kidney infection and has been associated with increased risk of preterm labor or low birth weight.  Dr. Payal Chaudhary, Senior Consultant – Obstetrician & Gynaecologist at Rosewalk by Rainbow Hospitals stresses that those who are experiencing symptoms, like burning during urination, frequent urges to urinate or lower abdominal discomfort, must recognize them early on.

Yet when screened, and with preventive hygiene measures and timely antibiotic treatment, UTIs during pregnancy are easily and safely managed.

Also Read: From UTI to diabetes, urologist shares why constant urination is a cause of concern

1. The uterus in pregnancy is a risk factor to UTIs

In pregnancy, there is the production of the hormone progesterone, which causes relaxation of the urinary tract and therefore a reduction in the urinary flow. The enlarging uterus may compress on the bladder, which can prevent complete bladder emptying, which is a favourable condition for the proliferation of bacteria.

2. Familiarize with the signs

The presence of pain when urinating, the feeling of constantly having the urge to urinate, urine that is cloudy, urine that smells bad, pain in the pelvic region, and low-grade fevers should not be something to ignore. The presence of bacteria in the urine (urine culture) must be treated.

3. Prevention

Urine culture is part of the routine tests done in antenatal clinics. Early treatment is essential to avert the subsequent complications or symptoms of pyelonephritis of the kidney.

4. Hydrate

Drinking lots of water aids in removing bacteria in the urinary tract. Pregnant women should never limit their fluid intake unless instructed by their physician.

5. Don't postpone care

Self-treatment during pregnancy is not recommended. The doctor will give a prescription for safe antibiotics for a urine infection in pregnant women, and for that, urine testing is done. It is important to complete the antibiotics to prevent a new infection.

6. Reduce infection risk

Make sure to go to the washroom after intimate moments. Underwear that is cotton and breathable will not trap heat.

Also Read: Causes and symptoms of urinary tract infections, why women are more prone to this painful condition

7. Testing

Urine tests after the treatment of the infection are required to assess if the infection has cleared. If the infection is recurrent, close supervision is needed for the safety of the mother and the baby.

It is very important that interventions for UTIs during pregnancy are done in a timely manner. Having regular antenatal checkups will help to make the journey easier.

FAQs on UTIs in pregnancy

What causes UTIs during pregnancy?

During pregnancy, increased progesterone relaxes urinary tract muscles, and the growing uterus presses on the bladder, slowing urine flow and allowing bacteria to multiply.

What are the symptoms of a UTI in pregnancy?

Common symptoms include burning during urination, frequent urge to urinate, cloudy or foul-smelling urine, lower abdominal pain, and sometimes low-grade fever.

How are UTIs treated safely during pregnancy?

UTIs are treated with antibiotics that are safe for pregnant women. Completing the full course is important to prevent recurrence or kidney infections.

Can UTIs cause complications during pregnancy?

Yes. Untreated UTIs may lead to kidney infections, preterm labour, or low birth weight. Early detection and treatment reduce these risks.

How can pregnant women prevent UTIs?

Prevention includes staying hydrated, maintaining hygiene, urinating after intimacy, wearing breathable cotton underwear, and attending routine antenatal check-ups for urine testing.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis