Document Detail


Comparison of pregnancy outcomes in women with hypertensive disorders of pregnancy using 24-hour urinary protein and urinary microalbumin to creatinine ratio.
MedLine Citation:
PMID:  19666171     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the role of proteinuria estimated using the 24-hour urinary protein test and the spot urinary microalbumin to creatinine ratio on the outcomes of pregnancy in women with hypertensive disorders of pregnancy. METHODS: A total of 163 hypertensive women were recruited. Maternal and perinatal outcomes in women with and without significant proteinuria were compared using the diagnostic accuracy of the two tests. RESULTS: Women with significant proteinuria determined using the 24-hour urinary protein test delivered at an earlier gestational age, had higher rates of induced labor, and lower birth weights compared with women who had gestational hypertension. No significant differences in outcomes were noted using the diagnostic accuracy of the spot urinary microalbumin to creatinine ratio dipstick. CONCLUSION: The spot urinary microalbumin to creatinine ratio dipstick is a good screening test to rule out clinically significant proteinuria.
Authors:
Rajesh Gangaram; Manogaran Naicker; Jagidesa Moodley
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-08-09
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  107     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Congella, South Africa. Gangaran@ukzn.ac.za
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MeSH Terms
Descriptor/Qualifier:
Albuminuria / diagnosis*,  etiology
Creatinine / urine
Female
Follow-Up Studies
Gestational Age
Humans
Hypertension, Pregnancy-Induced / physiopathology,  urine*
Monitoring, Physiologic
Pre-Eclampsia / physiopathology,  urine
Pregnancy
Pregnancy Outcome*
Prospective Studies
Proteinuria / diagnosis*,  etiology
Urinalysis / methods
Chemical
Reg. No./Substance:
60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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