Advancing Diagnostic Approaches For Urinary Tract Infections In Pregnancy: A Clinical Intervention Study

Authors

  • Zealous Mary C
  • Padmapriya D
  • Golda Sahaya Rani R
  • Beula. J
  • Sasi M
  • Delphina Mary V.A
  • Rajkumar K

DOI:

https://doi.org/10.65327/kidneys.v15i1.612

Keywords:

Urinary Tract Infection, Pregnancy, Diagnostic Knowledge, Educational Intervention, Renal Health, ,Maternal health, Inclusive health

Abstract

UTIs in pregnancy are a common clinical problem that has significant consequences to maternal renal health and pregnancy outcomes, especially when they are diagnosed late or incorrectly. Although there are established guidelines in the diagnosis, any knowledge gap in the field of diagnosis in pregnant women could result in under-recognition and subsequent delay in clinical involvement. The study aligns with the United Nations Sustainable Development Goals (SDGs), particularly SDG 3: Good Health and Well-Being, by promoting improved maternal health care outcomes through enhanced education of future healthcare providers The study aimed to assess the baseline diagnostic knowledge of urinary tract infections in pregnant women and assess the efficacy of a structured educational intervention in enhancing this diagnostic knowledge. The study was a pre- post intervention, questionnaire-based study that was carried out on 110 pregnant women who were aged between 24 and 35 years and received antenatal care. A well-established Likert-scale questionnaire was used to evaluate the level of knowledge of the participants regarding symptoms, risk factors, diagnostic strategies, and management techniques at the beginning and end of a systematic learning activity centred around evidence-based diagnostic techniques. The results of pre-intervention showed uneven knowledge levels, specifically in the area of haematuria, diagnostic criteria and urgency to receive treatment. The post-intervention analysis revealed that there were significant improvements in all areas, and the mean knowledge scores increased significantly and theSre were large effect sizes that showed that the intervention had a strong educational impact. The results reveal the importance of patient-centred educational interventions in the form of structured strategies as a form of complementary diagnostic supportive activity in antenatal care.

 

 

Downloads

Download data is not yet available.

Author Biographies

Zealous Mary C

 Principal, Department of Child health Nursing, Indira College Of Nursing, Thiruvallur, India

Padmapriya D

Associate  professor, Department of  Obstetrics and Gynecology ,Saveetha college of Nursing, Saveetha  Institute of  Medical And Technical  Sciences  (SIMATS) , Thandalam-602105 Chennai, India

Golda Sahaya Rani R

Vice Principal,  Department of Medical surgical nursing, School of Nursing, Takshashila University, India

Beula. J

Vice Principal, HOD Department of community Health Nursing, MMM College Of Nursing, Chennai, India

Sasi M

Professor, HOD Department of Community Health Nursing, Gopal Narayan Singh University, Bihar, India.

Delphina Mary V.A

Nurse Educator, SIMS Hospital, Vadapalani, Chennai, India

Rajkumar K

Associate Professor, Sri Sahajanand Institute Of Nursing, Bhav Nagar, Gujarat

References

Gupta K, editor. Urinary tract infection challenges: beyond the basics. Infect Dis Clin North Am. 2024;38(2). Elsevier Health Sciences.

Hoque AM, Buckus S, Hoque M, Hoque R. Estimation of postpartum morbidities and risk factors of women presenting for their first postpartum visit at a midwife obstetric unit in eThekwini, South Africa. S Afr J Public Health. 2025; e2807–e2807.

Azami M, Jaafari Z, Masoumi M, Shohani M, Badfar G, Mahmudi L, Abbasalizadeh S. The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and meta-analysis. BMC Urol. 2019;19(1):43.

Donatucci K, Pathak S, McPherson K, Price J, Hartwell M. Associations of comorbidities, opioid use, and intimate partner violence with urinary tract infections in pregnancy: implications for prevention and screening. J Osteopath Med. 2025;0:0.

Panel G, Panel A. Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU guideline (2019, confirmed 2022, amended 2025). 2025.

Bergbower SB, Saad AF, Williams-Bouyer NM, Rajendran R. Implementation of an algorithm for testing, diagnosis, and antibiotic stewardship of asymptomatic bacteriuria in pregnancy. Am J Obstet Gynecol MFM. 2024;6(11):101516.

Cox SML, Giorgi W, Platteel TN, Cals JW, de Bont EG. Knowledge, attitudes and practices around urinary tract infections of general practitioners in the Netherlands: a cross-sectional internet survey. BMJ Open. 2024;14(10):e083263.

Clarke RK. Diagnostic stewardship and the mitigation of treatment of asymptomatic bacteriuria. 2025.

Kouri TT, Hofmann W, Falbo R, Oyaert M, Schubert S, Gertsen JB, et al. The EFLM European urinalysis guideline 2023. Clin Chem Lab Med. 2024;62(9).

Bergbower SB, Saad AF, Williams-Bouyer NM, Rajendran R. Implementation of an algorithm for testing, diagnosis, and antibiotic stewardship of asymptomatic bacteriuria in pregnancy. Am J Obstet Gynecol MFM. 2024;6(11):101516.

Braun C, Roberts AW. Pathopharmacology for nurses: an integrated approach. Philadelphia: Lippincott Williams & Wilkins; 2025.

Baimakhanova B, Sadanov A, Trenozhnikova L, Balgimbaeva A, Baimakhanova G, Orasymbet S, et al. Understanding the burden and management of urinary tract infections in women. Diseases. 2025;13(2):59.

Sun Y, Dong S, Zhou Q. Laboratory detection methods for Chlamydia trachomatis infection in children: a review. Eur J Clin Microbiol Infect Dis. 2025;1–16.

Grant A, Bai K, Badalato GM, Rutman MP. Advances in the treatment of urinary tract infection and bacteriuria in pregnancy. Urol Clin North Am. 2024;51(4):571–83.

Liu Z, Liu D, Su G, Yang W. Reduction of misdiagnosis in urinary tract infections during pregnancy: the role of adjusted urine flow cytometry parameters. PLoS One. 2024;19(9):e0308253.

Moghnia OH, Al Otaibi HS, Al Haqqan AM, Sokhn ES, Pathan SS, Abdulaziz NE, et al. Prevalence of urinary tract infections and antibiotic susceptibility patterns of uropathogens among neonates in a maternity hospital in Kuwait: a six-year retrospective study. Med Princ Pract. 2025;34(3):250–61.

White JA, Dukers-Muijrers NH, Hoebe CJ, Kenyon CR, Ross JDC, Unemo M. 2025 European guideline on the management of Chlamydia trachomatis infections. Int J STD AIDS. 2025;36(6):434–49.

Thenmozhi, P; Dineshkumar, P; Bhuvaneswari, G; Minolin, T Mary; Tamilselvi, S. Thoracic squeezing on airway secretion and respiratory parameters in mechanically ventilated patients: An interventional study. Journal of Education and Health Promotion 14(1):69, February 2025. | DOI: 10.4103/jehp.jehp_695_24

Werter DE, Kazemier BM, van Leeuwen E, de Rotte MC, Kuil SD, Pajkrt E, Schneeberger C. Diagnostic work-up of urinary tract infections in pregnancy: study protocol of a prospective cohort study. BMJ Open. 2022;12(9):e063813.

Demilie T, Beyene G, Melaku S, Tsegaye W. Diagnostic accuracy of rapid urine dipstick test to predict urinary tract infection among pregnant women in Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia. BMC Res Notes. 2014;7(1):481.

Silverman MD, Turrentine MA. Urinary tract infections in pregnant individuals. Obstet Gynecol. 2023;142(2):435–45.

Beautily, V. and Jeevitha, U., 2024. Effectiveness of autogenic training on anxiety of the mothers with autistic children in selected hospital. In: 2024 OPJU International Technology Conference (OTCON) on Smart Computing for Innovation and Advancement in Industry 4.0, 5 June 2024, pp.1–6. IEEE

Adamu AA. Assessing implementation fidelity of community-based integrated mass drug administration for neglected tropical disease control in Kano State, Nigeria [master’s thesis]. Johannesburg: University of the Witwatersrand; 2017.

Aranaz P, Navarro-Herrera D, Zabala M, Miguéliz I, Romo-Hualde A, López-Yoldi M. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(1):S62–69.

paluchamy T., Steni, D. S., & Stephen, S.,2024. Effect of green tea mouthwash on chemotherapy induced oral mucositis in cancer patients. Journal of Chemical Health Risks, 14(1). https://doi.org/10.60829/jchr.2024.1103158

Laveena S , Vignesh Srinivasan , Anitha A , Ramana K , Mugilan B: Effectiveness of Autogenic Relaxation Training with Cognitive Graded Activity Training for Post Stroke Apathy Patients. Texila International Journal of Public Health Special Issue 2-2025

Liu Z, Liu D, Su G, Yang W. Reduction of misdiagnosis in urinary tract infections during pregnancy: the role of adjusted urine flow cytometry parameters. PLoS One. 2024;19(9):e0308253.

Radhakrishnan A, Sharma N, Archunan PA. Menstrual challenges in puberty: Investigating menorrhagia in adolescent girls [Internet]. Indian J Obstet Gynecol Res. 2024;11(4):640-646. Available from: https://doi.org/10.18231/j.ijogr.2024.115

Downloads

Published

2026-01-26

How to Cite

Zealous Mary C, Padmapriya D, Golda Sahaya Rani R, Beula. J, Sasi M, Delphina Mary V.A, & Rajkumar K. (2026). Advancing Diagnostic Approaches For Urinary Tract Infections In Pregnancy: A Clinical Intervention Study. KIDNEYS, 15(1), 147–154. https://doi.org/10.65327/kidneys.v15i1.612

Issue

Section

Research Article