#457: Asymptomatic Bacturia & UTIs in Pregnancy. Balancing Antimicrobial Stewardship
From Birthing Instincts by Dr. Stuart Fischbein + Midwife Blyss Young
March 18, 2026 · 1h 33m · Episode 457
About this episode
Dr. Stu and midwife Blyss discuss the implications of asymptomatic bacturia and UTIs in pregnancy, focusing on guidelines, evidence, and antibiotic concerns.
Is every positive urine culture in pregnancy a problem that needs antibiotics? Dr. Stu and midwife Blyss explore ACOG’s UTI guidelines, the evidence behind screening, and the growing concern about microbiome disruption and antibiotic resistance. References: Motherhood Equipped Podcast: 62. Birth Freedom, Breech Truth, and Why Physiologic Birth Matters with Dr. Stuart Fischbein Patreon.com/BirthingInstinctsPodcast Support the Podcast Velvet and Bone Somatic & Trauma-Informed Doula Training ( velvet-and-bone.com ) ACOG Clinical: Urinary Tract Infections in Pregnant Individuals PubMed: Asymptomatic GBS bacteriuria during antenatal visits Birthing Instincts Podcast Episode #294 Group B Strep: Prioritizing Agenda Over Science Discussed in This Episode Bladder Infections Kidney Infections The Various Screening Recommendations and Treatments What is Asymptomatic Bacturia Benefits of Asymptomatic Bacturia Why Eradicate Asymptomatic Bacturia? Alternatives to Antibiotics When to Seek Medical Advice Risks of Antibiotics in Pregnancy, Labor and to Newborn Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported by WeNatal | Go to…
People in this episode
Hosts: Dr. Stuart Fischbein, Blyss Young
Topics covered
- Asymptomatic Bacturia
- UTIs in Pregnancy
- Antimicrobial Stewardship
- Microbiome Disruption
- Antibiotic Resistance
Keywords
- urine culture
- pregnancy
- antibiotics
- screening recommendations
- bladder infections
- kidney infections
- microbiome
- antibiotic resistance
Sponsors
WeNatal, Christian Hypnobirthing
Mentioned in this episode
Organizations: ACOG, Motherhood Equipped Podcast, Pride and Joy Doula Care, velvet-and-bone.com, restorativeroots
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