Document Detail


Indicated vs. routine prenatal urine chemical reagent strip testing.
MedLine Citation:
PMID:  17465289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if urinary tract infection, high blood pressure and gestational diabetes mellitus (GDM) are underdiagnosed when prenatal urine testing is done on a clinically indicated vs. routine basis. STUDY DESIGN: Prenatal and delivery records of 2,981 subjects were reviewed in a predominantly Hispanic and medically underserved population. Patients prior to August 2002 received routine urine screening. After August 2002, women were tested only if preestablished criteria were present. RESULTS: The number of patients diagnosed with high blood pressure and urinary tract infection was equivalent in the 2 groups. Despite unchanged screening for GDM between groups, the incidence of GDM declined from 9.3% to 4.2%. CONCLUSION: GDM, high blood pressure and urinary tract infection will not be underdiagnosed if prenatal urine testing is done on an indicated basis. It is safe to discontinue routine urine screening when a regimen of initial urine cultures, GDM screening at 24-28 weeks, indicated urine chemical reagent strip testing and routine blood pressure determination is used. Criteria for indicated urine testing should be clearly defined and consistently followed by all staff.
Authors:
Mary Ann Rhode; Howard Shapiro; Oliver W Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  214-9     Citation Subset:  IM    
Affiliation:
Exempla Certified Nurse Midwives, Saint Joseph Hospital, Denver, Colorado, USA. rhodema@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Colorado / epidemiology
Diabetes, Gestational / diagnosis*,  epidemiology,  urine
Female
Hispanic Americans*
Humans
Hypertension / diagnosis*,  epidemiology,  urine
Mass Screening
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology,  urine
Pregnancy Trimester, Second
Prenatal Care / methods,  standards
Prenatal Diagnosis / methods
Reagent Strips
Retrospective Studies
Risk Factors
Urinalysis / methods*
Urinary Tract Infections / diagnosis*,  epidemiology,  urine
Chemical
Reg. No./Substance:
0/Reagent Strips

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


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