Document Detail

Indicated vs. routine prenatal urine chemical reagent strip testing.
MedLine Citation:
PMID:  17465289     Owner:  NLM     Status:  MEDLINE    
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.
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    
Exempla Certified Nurse Midwives, Saint Joseph Hospital, Denver, Colorado, USA.
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MeSH Terms
Cohort Studies
Colorado / epidemiology
Diabetes, Gestational / diagnosis*,  epidemiology,  urine
Hispanic Americans*
Hypertension / diagnosis*,  epidemiology,  urine
Mass Screening
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
Reg. No./Substance:
0/Reagent Strips

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

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