I am currently 15 1/2 weeks pregnant with my first child. When I went in for my first prenatal exam in early May they did a urine culture and it came back positive for UTI but I had absolutely no symptoms. My midwife office told me to take something called AzoCranberry which is a combination of cranberry powder, vitamin C and probiotics. I also have a diet rich in probiotic foods like cultured beverages, lacto-fermented veggies, and raw dairy products. I took the AzoCranberry for a while, and after several weeks of still no symptoms I decided to stop taking it and see what my next culture said. I went in for my second appointment last week and did the urine culture again. My midwife office called me today to tell me I "still" have the infection, with a higher concentration in the culture. I have still never had a symptom! How can I be sick but not be sick? The tech said to start taking the AzoCranberry stuff again and that she would wait to talk to the midwife before recommending antibiotics, seeing as I've never had a symptom. I'm waiting to hear back from them now, but I don't know what to do when I do.
I base my whole philosophy of wellness on the idea that health starts from a healthy balance of intestinal flora and good digestion. Taking antibiotics is the antithesis of this philosophy. I also know that it is crucial for me to pass on healthy gut flora to my baby during childbirth and through breastfeeding. Obviously this is excrutiating for me because I don't want to pass E coli on to my baby but I also don't want all my gut flora wiped out by antibiotics. My mom says that one small course of antibiotics won't cause any harm, but I have heard of people who it took years for their system to recover from taking antibiotics. I have also read about people who take course after course of antibiotics and still get recurrent UTI's.
If I weren't pregnant, this would be a no-brainer for me. I really don't believe in taking anti-biotics unless the situation is life-threatening. Plus, if I hadn't been pregnant I wouldn't have even known I had a UTI. But the midwives said that a UTI could cause me to go into pre-term labor. Obviously the health of my baby comes before anything else! I asked them if anyone had ever gone into pre-term labor when they were completely asymptomatic, and she said she didn't know.
Can anybody help me? Has anyone been in this situation before? What did you do? I am very scared of the potential impact that antibiotics could have on me and my baby, but I also don't want to harm my baby by refusing a necessary intervention. Any advice would be appreciated, as I have only heard the medical perspective on this so far.