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Comparison of pregnancy outcomes in women with hypertensive disorders of pregnancy using 24‐hour urinary protein and urinary microalbumin to creatinine ratio
Author(s) -
Gangaram Rajesh,
Naicker Manogaran,
Moodley Jagidesa
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.05.023
Subject(s) - medicine , proteinuria , dipstick , creatinine , urinary system , pregnancy , urology , obstetrics , gestation , gestational hypertension , albuminuria , renal function , kidney , biology , genetics
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.