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The Prevalence of Proteinuria among Pregnant Women as Detected by a Semi-quantitative Method: A Single Center Experience.
MedLine Citation:
PMID:  21999855     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: We aimed at estimating the prevalence and the natural history of proteinuria among pregnant women attending Bakare and associates OB/GYN center, Harrisburg Pa, USA.
METHODS: We chose a simple random sample from patients who attended the center for antenatal care and reviewed their medical and obstetrical records focusing on urine dipstick testing results, blood pressure measurements and pregnancy outcome.
RESULTS: The study included 202 pregnant women with no history of proteinuria. Their mean age was 27 ± 7 years (range 15-44 years). Signifcant proteinuria (≥ 1+ protein) was detected in 3.8%, 10.7% and 10.6% of dipstick tests performed in the frst, second and third trimesters respectively. Hypertensive disorders were diagnosed in thirteen patients (6.4%); three patients had chronic hypertension, two patients had preeclampsia, two patients had preeclampsia superimposed on chronic hypertension, and six patients had gestational hypertension. Obese patients were signifcantly more likely to develop one of the hypertensive disorders of pregnancy (OR 6.1; P = 0.04) than other patients. These disorders tended to be more common among patients who tested positive for proteinuria (≥ 1+) during the frst trimester compared to patients with negative urine dipstick testing (OR 3.1; P = 0.3) but the difference was not statistically signifcant. Proteinuria disappeared in all patients postpartum, and none of the patients had deterioration in her kidney function.
CONCLUSION: Despite the fact that proteinuria was common in this study population, both renal and pregnancy outcomes were favorable. KEYWORDS: Eclampsia; Hypertension; Pregnancy; Proteinuria.
Authors:
Osama Osman; Ayodeji O Bakare; Sarra Elamin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arab journal of nephrology and transplantation     Volume:  4     ISSN:  1858-554X     ISO Abbreviation:  Arab J Nephrol Transplant     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101530790     Medline TA:  Arab J Nephrol Transplant     Country:  Sudan    
Other Details:
Languages:  eng     Pagination:  77-82     Citation Subset:  IM    
Affiliation:
Research fellow, Seven Corners Medical and Research Center, Arlington VA, USA.
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