WANITA USIA 26 TAHUN, MULTIGRAVIDA HAMIL 35 MINGGU DENGAN DIAGNOSIS INFEKSI SALURAN KEMIH

Abstract

Urinary tract infection (UTI) is a disease caused by bacteria that attack the
urinary tract. Pregnant women are one of the risk factors for the occurrence
of UTI and are at risk of causing premature birth and low birth weight (LBW).
This case report describes multigravida women with G3P1A1Ah1 with a
gestational age of 35 weeks less 2 days with complaints of tightness,
frequent urination at night and lower back pain. The patient has a history of
cesarean section at the birth of the first child and the incidence of UTI before
marriage. Blood pressure: 102/71 mmHg with pulse 90 times / minute. FH
29 cm with EFW ± 2790 grams, right back, head presentation, had entered
the pelvis with a 4/5 decline, His palpitations were not palpable, fetal heart
rate was 135x / minute and irregular rhythm. On laboratory examination
shows the results of hemoglobin (Hb) examination of 12.8 g / dL and  leukocytes exceed the normal threshold (5000-15000 / mm3). The patient is
then given calcium lactate, iron fumarate to maintain pregnancy and
amoxicillin to treat UTI in patients. Patients are also educated to maintain
the cleanliness of genital organs to prevent further infection and advise if
want to start family plan program, patient can use Intrauterine Device (IUD)
as contraception.