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Urinary tract infections (UTIs) are some of the most common bacterial infections in pregnant women. Hormonal and anatomical changes during pregnancy can lead to urinary stasis. Both asymptomatic bacteriuria and symptomatic infections can happen. If untreated, these infections may lead to serious complications like pyelonephritis, maternal anemia, sepsis, preterm labor, and low birth weight. This review looks at the prevalence, risk factors, common germs, diagnostic methods, and safe treatment options for UTIs during pregnancy. It focuses on culture-based diagnosis, antibiotic selection based on the trimester, and careful use of antibiotics to ensure the safety of both mother and baby. The review also points out the important role of clinical pharmacists in improving therapy, encouraging adherence, supporting early screening, and preventing complications. Early detection and proper management are key for better pregnancy outcomes and reducing risks related to infection.