MICROALBUMINURIA AS A PREDICTOR OF PREGNANCY-INDUCED HYPERTENSION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 68
Abstract
BACKGROUND Proteinuria is considered to be the central feature in the diagnosis of pre-eclampsia and the amount of proteinuria has shown to correlate with increasing maternal and perinatal morbidity and mortality. AIM OF THE STUDY The aim of the present prospective study was to know the predictive value of microalbuminuria in predicting the development of Pregnancy-induced hypertension, Pre-eclampsia, Transient hypertension. OBJECTIVES a) Determining urinary microalbumin concentration with increasing gestation in women who remain normal. b) To correlate microalbuminuria with various indices like age, parity, weight, gestational age, and platelet count. STUDY DESIGN This is a prospective cohort study. MATERIALS AND METHODS The present prospective study was done in 200 pregnant women at 18-22 weeks of gestation to know the predictive value of microalbuminuria in predicting possibilities of development of PIH/Pre-eclampsia/Transient hypertension. The concentration of urine microalbumin was estimated by the Indirect Latex Slide Test. RESULTS Microalbuminuria seems to be a clinical test, which can be used for the prediction of PIH, pre-eclampsia around 18-22 weeks, later on it is not useful. Microalbuminuria is a useful predictor in primigravida and obese women. CONCLUSION Urine albumin excretion increases as the disease severity increases. It may be concluded that early pregnancy levels of microalbuminuria can be used as predictor of pre-eclampsia with high negative predictive value.
Authors and Affiliations
Kasthuri , Thangathai
Keywords
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- EP ID EP149449
- DOI 10.14260/jemds/2016/1107
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