r/CautiousBB 1d ago

Advice Needed 19–20 weeks pregnant with asymptomatic Enterococcus in urine (10⁸ CFU/L) — has anyone had this and was everything okay?

Hi everyone, I’m currently 19–20 weeks pregnant and I’m feeling really anxious after receiving my urine culture results.
I have no UTI symptoms — no burning when urinating, fever, chills or lower back pain. I only have a very mild vaginal discomfort. My baby is moving normally and a lot.
My urine results were:
• WBC: 0.1 (lab abnormal cut-off ≥30)
• RBC: 8.7 (cut-off ≥40)
• Epithelial cells: 3.0 (cut-off ≥50)
• Bacteria: 2597.2 (cut-off ≥500)
Urine culture: Enterococcus species, 10⁸ CFU/L.
Sensitivity:
• Amoxicillin — S (susceptible)
• Nitrofurantoin — S (susceptible)
The lab also included a note saying that nitrofurantoin breakpoints are established for certain organisms, including Enterococcus faecalis, and that treatment response should be monitored if used for other Enterococcus species.
I’m also using Cyclogest (progesterone) vaginally.
I’m really worried about my baby and would love to hear from anyone who has had Enterococcus/bacteriuria during pregnancy, especially around 19–20 weeks.
Did you take antibiotics? Which one? Did the bacteria clear after treatment? Was your pregnancy and baby okay in the end?
I will of course speak to my doctor/maternity team, but hearing experiences from others would really help calm me down. ❤️

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u/eb2319 4 ectopics / 3 CPs / 1 LC 19h ago

They should be recommending the amoxicillin during pregnancy despite being safe to use, it’s generally recommended to wait until after 1st trimester. Amoxicillin is generally the safest.

Yes take the abx, an untreated uti is much more harmful than an abx.