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The Effects of Isolated Proteinuria Detected After 20 Weeks of Pregnancy on Perinatal Outcomes
- Source :
- SN Comprehensive Clinical Medicine. 2:1661-1665
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Proteinuria is a component of preeclampsia, and the presence of proteinuria without an increase in blood pressure can precede preeclampsia. This study aims to investigate the perinatal effects of isolated proteinuria detected in a 24-h urine sample after the 20th week of pregnancy. This is a prospective study of the perinatal outcomes of 60 pregnancies without proteinuria and matched 58 pregnancies with isolated proteinuria in patients consecutively admitted to the department of obstetrics at a university hospital in Turkey. The pregnant patients with proteinuria and without proteinuria were statistically similar with respect to age, gravidity, parity and the number of living children on enrolment. There were no significant differences in terms of gestational age at enrolment, gestational age at delivery, or intrauterine growth restriction (IUGR) between patients with isolated proteinuria and patients without proteinuria. However, preeclampsia developed significantly more frequently in patients with isolated proteinuria (20.6% vs 6.6%, p = 0.048). There were no significant differences in terms of newborn weight, Apgar scores, need for the neonatal intensive care unit (NICU), or umbilical artery blood pH in patients with proteinuria and without proteinuria. Isolated proteinuria after 20 weeks of pregnancy does not appear to impair maternal or foetal outcomes. Identifying pregnant women with risk factors for preeclampsia, ensuring they attend meticulous follow-up schedules and performing their delivery at tertiary health care centres would help to improve maternal and foetal morbidity and prevent perinatal mortality.
- Subjects :
- medicine.medical_specialty
Pregnancy
Proteinuria
Neonatal intensive care unit
urogenital system
Obstetrics
business.industry
Gestational age
Intrauterine growth restriction
urologic and male genital diseases
medicine.disease
female genital diseases and pregnancy complications
Preeclampsia
Blood pressure
medicine
medicine.symptom
Prospective cohort study
business
reproductive and urinary physiology
Subjects
Details
- ISSN :
- 25238973
- Volume :
- 2
- Database :
- OpenAIRE
- Journal :
- SN Comprehensive Clinical Medicine
- Accession number :
- edsair.doi...........6ac89c46ee40a41c5e30e475b3b2c114