{"id":54846,"date":"2022-10-26T09:30:13","date_gmt":"2022-10-26T13:30:13","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=54846"},"modified":"2024-10-25T11:11:08","modified_gmt":"2024-10-25T15:11:08","slug":"uti-while-pregnant","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/uti-while-pregnant\/","title":{"rendered":"Your guide to UTIs during pregnancy"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Most healthy pregnancies are full of aches, pains, and general discomforts, so when an infection happens, it makes pregnancy much more uncomfortable. But nine months is a long time to go without any illness, and most pregnant women experience some kind of infection during their pregnancy.&nbsp;<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">One of the most common types of pregnancy infection is a urinary tract infection, or UTI. It&rsquo;s a myth that UTIs are more common in pregnant women compared to non-pregnant women. But, due to several changes that occur during pregnancy, expectant mothers are at an increased risk of a UTI becoming a kidney infection called pyelonephritis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;<\/span><span style=\"font-weight: 400;\">Pregnant women have a higher rate of kidney infections when compared to nonpregnant women,&rdquo; <\/span><span style=\"font-weight: 400;\">says <\/span><a href=\"https:\/\/www.muhealth.org\/doctors\/melissa-terry-md\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Melissa Terry<\/span><\/a><span style=\"font-weight: 400;\">, MD, an OB-GYN at <\/span><span style=\"font-weight: 400;\">University of Missouri Health Care<\/span><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"> &ldquo;But the rate of less severe UTIs, like bladder infections, is very similar to that found in nonpregnant women.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What does this all mean? For one, it&rsquo;s not unusual to get a UTI while pregnant; in fact, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537047\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">it&rsquo;s relatively common<\/span><\/a><span style=\"font-weight: 400;\">. But it&rsquo;s important to recognize the signs and symptoms and get treated promptly with pregnancy-safe antibiotics, since UTIs in pregnancy can quickly turn into something more serious.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here&rsquo;s what you need to know about UTIs during pregnancy, from why they happen to how they&rsquo;re diagnosed and treated.<\/span><\/p>\n<h2 id=\"why-do-pregnant-women-get-utis\"><span style=\"font-weight: 400;\">Why do pregnant women get UTIs?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Even though UTIs aren&rsquo;t necessarily more common during pregnancy, they&rsquo;re fairly common in women in general. Unfortunately, there are multiple things working against you during pregnancy that make UTIs a normal occurrence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common causes of UTIs in pregnant women are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hormonal changes (which can <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/329040780_Pregnancy_and_Hormonal_Effects_on_Urinary_Tract_Infections_in_Women_A_Scoping_Review\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">disrupt the vaginal microbiomeand the inhibit ureter function<\/span><\/a><span style=\"font-weight: 400;\">);<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The growing uterus can partially block the flow of urine from the kidneys to the bladder<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The immune system is suppressed during pregnancy (so as to not reject the growing fetus), which results in pregnant women being at an increased risk of all types of infection<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are also several risk factors of UTIs even among other pregnant women. Dr. Terry notes that the following types of expectant mothers are all at an increased risk for UTI:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women with known diabetes or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/gestational-diabetes-diet-treatments\/\"><span style=\"font-weight: 400;\">gestational diabetes<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women under the age of 20<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smokers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women who carry the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/sickle-cell-disease\/\"><span style=\"font-weight: 400;\">sickle cell disease<\/span><\/a><span style=\"font-weight: 400;\"> trait&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women who start their prenatal care later than the first trimester<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">First-time mothers<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">On the positive side, women pregnant with multiples are not necessarily at an increased risk for UTI, says Dr. Terry, but they are at risk for more severe kidney infections earlier in pregnancy because of their comparatively larger uterus size.&nbsp;<\/span><\/p>\n<h2 id=\"can-a-uti-hurt-the-baby-while-pregnant\"><span style=\"font-weight: 400;\">Can a UTI hurt the baby while pregnant?&nbsp;<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As long as it&rsquo;s sufficiently and promptly treated, a UTI isn&rsquo;t expected to hurt your baby during pregnancy. The potential risks to a mother and baby occur when a UTI is left untreated; in those cases, the infection can spread to the kidneys, a condition that warrants immediate medical attention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most cases of untreated UTIs are caused by <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441848\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">asymptomatic bacteriuria<\/span><\/a><span style=\"font-weight: 400;\">. These bacterial infections are less likely to be treated, says Dr. Terry, because there are no obvious signs&mdash;like pain or bloody urine&mdash;prompting an expectant mother to call her doctor. You <\/span><span style=\"font-weight: 400;\">may discover you have asymptomatic bacteriuria at a routine prenatal appointment. Even without symptoms, this type of infection needs to be treated, though, just like a symptomatic UTI.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although Dr. Terry says UTIs don&rsquo;t cause birth defects or miscarriage, there are still complications that can arise from prolonged infections: Untreated bacteria in the urine is associated with preterm birth and low birth weight of the infant, and kidney infections during pregnancy carry this increased risk, too.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kidney infections during pregnancy also increase the risk of poor maternal outcomes, says Dr. Terry: &ldquo;These infections have significant risks to the mother, including sepsis or blood infection, anemia, and respiratory distress requiring hospital admission.&rdquo;<\/span><\/p>\n<h2 id=\"uti-symptoms-while-pregnant\"><span style=\"font-weight: 400;\">UTI symptoms while pregnant<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to Dr. Terry, the symptoms of a UTI are generally the same in pregnant and nonpregnant women and can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Painful urination, including a burning sensation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent urination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bloody urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder spasms, which feel like a sudden urge to urinate or urine leakage (not associated with fetal movement on the bladder)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You may notice that your urine is cloudy or has a foul smell, or that you have a dull, aching sensation in your lower abdomen or lower back, per the <\/span><a href=\"https:\/\/www.urologyhealth.org\/urology-a-z\/u\/urinary-tract-infections-in-adults\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Urological Association<\/span><\/a><span style=\"font-weight: 400;\"> (AUA). Pregnant women may also experience uterine contractions with a UTI, adds Dr. Terry.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pregnant women who present with one or more of these symptoms will be asked to provide a urine test to their doctor. This urine sample is often collected in the office. Within a few minutes, the nurse will perform the urinalysis, and the doctor will interpret the sample on the spot. If the sample shows an <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/9135-urinary-tract-infections\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">abnormal amount of bacteria, red blood cells, or white blood cells in the urine<\/span><\/a><span style=\"font-weight: 400;\">, then a UTI is suspected. Your doctor may send the same urine sample to the lab for a urine culture to confirm which type of bacteria is causing the infection and to know which antibiotic is sensitive to the particular bacteria. The urinalysis and the urine culture are two important steps to confirm that an infection is present and which antibiotic is best.<\/span><\/p>\n<h2 id=\"how-to-treat-a-uti-while-pregnant\"><span style=\"font-weight: 400;\">How to treat a UTI while pregnant<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">UTIs can usually be treated at home with oral antibiotics, but kidney infections&mdash;especially during pregnancy&mdash;usually require admission to the hospital for intravenous antibiotics, says Dr. Terry. It&rsquo;s important to distinguish between the two types of infection for treatment, so make sure to tell your doctor if you have any back pain, fever, nausea, or vomiting.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you have a confirmed UTI, your doctor will prescribe an <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/uti-treatment-and-medications\"><span style=\"font-weight: 400;\">antibiotic treatment<\/span><\/a><span style=\"font-weight: 400;\"> for about three to seven days, says <\/span><a href=\"http:\/\/www.dralishareed.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Alisha Reed<\/span><\/a><span style=\"font-weight: 400;\">, Pharm.D., of The FLY Pharmacist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several medications to treat a UTI, and many of them are considered safe to use during pregnancy. (It&rsquo;s important to remember that no drug is 100% safe to take during pregnancy, but <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507858\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">many drugs have been studied and used safely<\/span><\/a><span style=\"font-weight: 400;\"> in clinical settings for many years.)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;There are some antibiotics that are safe to take during pregnancy [because the] benefits outweigh the risks,&rdquo; Dr. Reed says. &ldquo;Most commonly prescribed antibiotics include beta-lactams, [such as] cephalexin, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">amoxicillin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ampicillin\"><span style=\"font-weight: 400;\">ampicillin<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fosfomycin-tromethamine\"><span style=\"font-weight: 400;\">fosfomycin<\/span><\/a><span style=\"font-weight: 400;\">.&rdquo;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some antibiotics are prescribed or avoided depending on what trimester of pregnancy you&rsquo;re in; Dr. Reed says nitrofurantoin (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/macrobid\"><span style=\"font-weight: 400;\">Macrobid<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/bactrim\"><span style=\"font-weight: 400;\">Bactrim<\/span><\/a><span style=\"font-weight: 400;\"> are typically reserved for the second and third trimester and not recommended for the first.<\/span><\/p>\n<h3 id=\"do-i-really-need-an-antibiotic\"><span style=\"font-weight: 400;\">Do I really need an antibiotic?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you&rsquo;re expecting and suspect a urinary tract infection, do not try supplements to treat a UTI&mdash; you and your unborn baby need antibiotics. While nonpregnant women or men with UTIs may attempt to forego antibiotics in favor of natural treatment options like cranberry supplements, probiotics, or vitamin C, this is not recommended for pregnant women. Without antibiotics it&rsquo;s unlikely your infection will go away, especially since your immune system is compromised during pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Dr. Reed, the increased risk of kidney infection makes antibiotics the best choice for treatment. The benefits of taking a pregnancy-safe antibiotic&mdash;and preventing a more serious infection&mdash;greatly outweigh any possible risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once you begin a course of antibiotics, there are also ways to help alleviate your symptoms until your infection improves.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;You may use OTC urinary tract analgesics to manage the discomfort,&rdquo; Dr. Reed says. &ldquo;There isn&rsquo;t much evidence to support that natural supplements can prevent UTIs, but you can try <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cranberry-plus-probiotic\"><span style=\"font-weight: 400;\">cranberry supplements or probiotics<\/span><\/a><span style=\"font-weight: 400;\">.&rdquo; These OTC urinary tract analgesics are especially helpful the first day or two of an antibiotic course when women still experience dysuria, frequency and urgency because the antibiotics have not kicked in yet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It&rsquo;s also a good idea to increase your water intake and get plenty of rest. <\/span><a href=\"https:\/\/healthy.kaiserpermanente.org\/health-wellness\/health-encyclopedia\/he.acetaminophen-use-during-pregnancy.tm7001\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pregnant women may take Tylenol<\/span><\/a><span style=\"font-weight: 400;\"> for any lower abdominal or back pain associated with UTIs.&nbsp;<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/taking-probiotics-with-antibiotics\/\"><b>Why you should take probiotics with antibiotics<\/b><\/a><\/p>\n<h2 id=\"how-to-avoid-a-uti-during-pregnancy\"><span style=\"font-weight: 400;\">How to avoid a UTI during pregnancy<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">UTIs during pregnancy are common, and with prompt treatment, aren&rsquo;t usually a cause for concern for you or your baby. While many UTIs during pregnancy are caused by things out of your control, such as hormones and your growing uterus, there are a few things you can do to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-uti\/\"><span style=\"font-weight: 400;\">reduce the likelihood of getting a UTI<\/span><\/a><span style=\"font-weight: 400;\"> during pregnancy. Try these tips:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drink plenty of water throughout the day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Empty your bladder frequently and fully throughout the day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wipe front to back after urinating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear cotton underwear that promotes airflow<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear loose, non-restricting undergarments and pants<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep undergarments clean and dry<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wash your vaginal area with only water, no soaps or douches&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinate before and after intercourse<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/recurrent-uti\/\"><b>What to do if you have recurring UTIs<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">The use of cranberry supplements and cranberry juice to prevent or treat UTIs is always a hotly debated topic among experts. Some <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3370320\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">studies have shown that cranberry products may help prevent UTIs<\/span><\/a><span style=\"font-weight: 400;\">, but can&rsquo;t treat them once they have started. Other studies haven&rsquo;t found enough evidence linking cranberry juice or supplements to UTI prevention, and it&rsquo;s possible that the <\/span><a href=\"https:\/\/www.houstonmethodist.org\/blog\/articles\/2021\/nov\/uti-home-remedies-does-cranberry-juice-really-help\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">amount of juice you would need to drink to reap this benefit would be unreasonable<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It&rsquo;s safe for pregnant women to drink cranberry juice, so working in one or two servings per day won&rsquo;t hurt, but make sure you choose a juice without added sugar so you don&rsquo;t derail your healthy pregnancy diet or put you at risk for gestational diabetes. If you&rsquo;re interested in taking a cranberry supplement to prevent UTIs, talk to your doctor; while it&rsquo;s <\/span><a href=\"https:\/\/www.mountsinai.org\/health-library\/herb\/cranberry\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">generally considered safe during pregnancy<\/span><\/a><span style=\"font-weight: 400;\">, your doctor should always be informed of any supplements you&rsquo;re taking while pregnant.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most healthy pregnancies are full of aches, pains, and general discomforts, so when an infection happens, it makes pregnancy much more uncomfortable. But nine months is a long time to go without any illness, and most pregnant women experience some kind of infection during their pregnancy.&nbsp; One of the most common types of pregnancy infection [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":54669,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[715,8615],"coauthors":[8860],"class_list":["post-54846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-antibiotics","tag-pregnancy","franchise-maternal-matters","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to treat (and avoid) a UTI while pregnant<\/title>\n<meta name=\"description\" content=\"A UTI during pregnancy requires antibiotics. 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