Title: Acute Pyelonephritis in Pregnancy: A Retrospective Study of 121 Cases
Authors: S. Lamsyah, K. Lahlou, N. Mamouni, N. Douzi, M. Bendahhou Idrissi, S Errarhay, C Bouchikhi, A. Banani
Volume: 9
Issue: 4
Pages: 85-87
Publication Date: 2025/04/28
Abstract:
Background: Acute pyelonephritis during pregnancy (APNP) is among the most common and serious bacterial infections in pregnant women. It poses significant risks to both maternal and fetal health if not diagnosed and managed promptly. Objective: To assess the epidemiological profile, clinical features, diagnostic approaches, management strategies, and outcomes of pregnant patients admitted with APNP in the department of Obstetrics and Gynecology I at Hassan II University Hospital Center in Fez. Methods: We conducted a retrospective descriptive study of 121 cases of APNP hospitalized in the Obstetrics and Gynecology Department from January 2018 to March 2023. Data were extracted from patient records and analyzed to identify common trends and outcomes. Results: The average age of patients was 29 years. Most cases occurred in primigravidas. Fever and lumbar pain were the most frequent presenting symptoms. Escherichia coli was the predominant pathogen, identified in over 70% of urine cultures. All patients received empirical intravenous antibiotics, adjusted according to antibiogram results in a subset. Maternal complications included preterm labor, anemia, and septic shock. Fetal complications were less frequent but included fetal distress and intrauterine growth restriction. The overall prognosis was favorable in the majority of cases. Conclusion: APNP remains a common and urgent condition in pregnancy. Prompt diagnosis and treatment are crucial to prevent serious complications. Systematic screening for bacteriuria and heightened clinical vigilance are essential components of maternal care.