CASE HISTORY

A 20 year-old female medical student attended her GP requesting a course of Septrin(cotrimozaxole) for cystitis. She tells her GP that her last menstrual bleed was about six weeks
earlier. She did not think she was at risk of pregnancy as her periods had been irregular since
stopping the oral contraceptives one year previously due to fears about thrombosis, and her
boyfriend used a condom. Physical examinations, which did not include a vaginal examination,
was normal. Urinalysis was 1 positive for blood and a trace of protein.
Questions:
1.Why should the GP not prescribe co-trimoxazole for this patient?
2. Causes of UTI during pregnancy? Please provide pathophysiological basis.
3. Manifestations of UTI? ? Please provide pathophysiological basis
4. What is the Midwifery management of UTI? Explain the rationale for each management.