URINARY TRACT INFECTION IN PREGNANCY: CLINICAL CHALLENGES AND MATERNAL-FETAL IMPLICATIONS
DOI:
https://doi.org/10.36557/2009-3578.2025v11n2p7437-7452Palavras-chave:
Urinary tract infection; Pregnancy; Primary health care.Resumo
Urinary tract infection (UTI) is one of the most prevalent and clinically significant complications during pregnancy, associated with adverse maternal and fetal outcomes such as preterm birth, low birth weight, and increased neonatal morbidity and mortality. The anatomical and physiological changes characteristic of the gestational period, combined with behavioral and social factors, favor bacterial proliferation and make pregnant women more susceptible to urinary tract infections. Given the clinical and epidemiological relevance of this condition, the present study aimed to gather and analyze the available scientific evidence on prevention, diagnosis, treatment, and educational strategies related to UTI in pregnant women. This is an Integrative Literature Review (ILR) conducted in the LILACS, SciELO, and PubMed databases, using controlled descriptors and free terms, based on the PICo strategy to formulate the guiding question. Studies published between 2017 and 2025, available in full text and written in Portuguese, English, or Spanish, were included. The findings showed that gestational UTI remains underdiagnosed in Primary Health Care, mainly due to limited access to laboratory tests, long waiting times for results, and the absence of standardized clinical protocols. Health education emerged as a central axis in preventive strategies, demonstrating effectiveness in reducing incidence rates and promoting self-care among pregnant women. The potential of educational technologies and complementary therapies as supportive tools for clinical practice and maternal–fetal health promotion was also observed. It is concluded that the management of UTI in pregnancy should integrate educational interventions, early diagnosis, and safe treatment, combining evidence-based practices with the principles of equity and comprehensive women’s health care.
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Copyright (c) 2025 Ana Carolina dos Santos Silveira, Lívia Faria Orso, Rodolfo de Oliveira Medeiros, Laura Terenciani Campoy, Viviane Canhizares Evangelista de Araújo, Fernanda Moerbeck Cardoso Mazzetto, Maria Carolina Rodrigues Garcia, Cristiano Machado Galhardi, Welington Aparecido de Oliveira, Leonardo da Silva Xavier, Bárbara Marques, Isabella Esteves Vidal, Heitor Gabriel Oliveira dos Santos, Carolina Moreno de Souza, Dennis Penna Carneiro, Joice de Fátima Alvares
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