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Jan 2020, Vol 8, Issue 1
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Original Article
The Association Between the Sexual and Genital Hygiene Habits with the Urinary Tract Infection During the Pregnancy: A Case Control Study
Simin Haghdoost 1, Farzaneh Pazandeh2, Mehdi Khabazkhoob3, Tahereh Behroozi Lak4
1 Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid  Beheshti University of Medical Sciences, Tehran, Iran.
2 Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery Shahid Beheshti University of Medical Sciences Tehran, Iran.
3 Department, of Midwifery and Reproductive Health, Faculty of Health Epidemiology,  Shahid Beheshti University of Medical Sciences Tehran, Iran
4 Department, School of Medicine, Faculty of Reproductive Health, Urmia University of Medical Sciences, Urmia, Iran

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Keywords : Sexual Habits, Hygienic habits, Urinary Tract Infection, Pregnancy
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Objectives: Urinary Tract Infections (UTIs) are the most common type of infection during the pregnancy, causing serious complications for the mother and baby. The present study was conducted to investigate the relationship between the sexual and genital hygiene habits and urinary tract infections in pregnant women.

Materials and Methods: This case control study was conducted on 187 pregnant women including 97 pregnant women with symptomatic bacteriuria (case) and 90 healthy pregnant women (control). Controls were frequency matched with the cases with respect to the number of pregnancy and trimesters of pregnancy. Both groups were compared for the presence of UTI. The binary multivariate unconditional logistic regression approach was used to evaluate the association between UTI and confounding variables.

Results: The results of this study showed a significant association between UTI in pregnancy and sexual and genital hygiene habits (p<0.05). In binary multivariate logistic regression analysis, attributable risks for UTI included sexual intercourse > 3 times/week (Adjusted Odds Ratio [AOR] =3.68; 95% of CI: 2.09-5.41; p=0.001), changing the underwear per week (AOR =1.39, 95% of CI: 1-1.76 P=0.012) , not voiding post coitus (AOR=2.01; 95% of CI: 1.34-2.69; p=0.01 ), washing genitalia from back to front (AOR=1.96, 95% of CI: 1.06-2.78 P=0.01) not washing genitals pre-coitus by husband (AOR=1.20, 95% of CI:0.54-1.9 P=0.024) were among the sexual and hygiene habits variables associated with UTI in pregnant women in this model.

Conclusions: The sexual and genital hygiene habits are vital preventive actions for controlling the UTI in pregnant women. This actions may lead to UTI complications and preterm birth reduction. Informing spouses about these practices is highly suggested.;

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