Is the urinalysis or the urine protein-creatinine ratio a better predictor for significant 24 hour proteinuria in the third trimester hypertensive patient?

2004 ◽  
Vol 191 (6) ◽  
pp. S66
Author(s):  
Bonnie Dwyer ◽  
Michael Gorman ◽  
Maurice Druzin
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Angelo P. Pangulimang ◽  
Stefana H. M. Kaligis ◽  
Michaela E. Paruntu

Abstract: One of the causes of death among pregnant women is preeclampsia/eclampsia. The presence of protein in urine (proteinuria) in pregnant women is one of the signs of preeclampsia/eclampsia. This study was aimed to obtain the description of urine protein level in third trimester pregnant women at Robert Wolter Mongisidi Hospital Manado. This was a descriptive study with a cross sectional design. This study was conducted from August to December 2018 at Obstetry Clinic Robert Wolter Mongisidi Hospital. Samples were obtained by using total sampling technique. There were 39 subjects in this study based on inclusion and exclusion criteria. The results showed that 30 subjects (76.93%) had no proteinuria (negative result) and 9 subjects (23.07%) had proteinuria (positive result). Conclusion: Most of the third trimester pregnant women at Robert Wolter Mongisidi Hospital Manado had no proteinuria (negative result).Keywords: proteinuria, pregnant woment, third trimester pregnancy Abstrak: Salah satu penyebab kematian pada ibu hamil ialah preeklamsia/eklamsia. Kehadiran protein dalam urin (proteinuria) pada ibu hamil merupakan salah satu tanda dari preeklamsia/eklamsia. Penelitian ini bertujuan untuk mengetahui gambaran kadar protein dalam urin ibu hamil trimester III di Rumah Sakit Robert Wolter Mongisidi. Jenis penelitian ialah dekriptif dengan desain potong lintang. Penelitian dilakukan pada bulan Agustus-Desember 2016 di Poli Kebidanan Rumah Sakit Robert Wolter Mongisidi Manado. Pengambilan sampel dilakukan dengan metode total sampling. Terdapat subyek penelitian sebanyak 39 orang. Hasil penelitian menunjukkan 30 subjek (76,93%) dengan protein dalam urin negatif dan 9 subjek (23,07%) dengan protein positif. Simpulan: Pada sebagian besar ibu hamil trimester III di Rumah Sakit Robert Wolter Mongisidi Manado tidak didapatkan protein dalam urin.Kata kunci: proteinuria, ibu hamil, hamil trimester III


2013 ◽  
Vol 20 (3) ◽  
pp. 259-265
Author(s):  
Monica Vereş ◽  
Aurel Babeş ◽  
Szidonia Lacziko

Abstract Background and aims: Gestational diabetes represents a form of diabetes diagnosed during pregnancy that is not clearly overt diabetes. In the last trimester of gestation the growth of fetoplacental unit takes place, thus maternal hyperglycemia will determine an increased transplacental passage, hyperinsulinemia and fetal macrosomia. The aim of our study was that o analyzing the effect of maternal glycemia from the last trimester of pregnancy over fetal weight. Material and method: We run an observational study on a group of 46 pregnant women taken into evidence from the first trimester of pregnancy, separated in two groups according to blood glucose determined in the third trimester (before birth): group I normoglycemic and group II with hyperglycemia (>92mg/dl). Results: The mean value of third trimester glycemia for the entire group was of 87.13±22.03. The mean value of the glycemia determined in the third trimester of pregnancy was higher in the second group (109.17 mg/dl) in comparison to the first group (74.,21 mg/dl). The ROC curve for third trimester glycemia as fetal macrosomia appreciation test has an AUC of 0.517. Conclusions: Glycemia determined in the last trimester of pregnancy cannot be used alone as the predictive factor for fetal macrosomia.


2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.


Author(s):  
M.Y. Morozova, V.V. Zotov, M.S. Kovalenko et all

Despite the rapid technological advance, the expansion of prenatal ultrasound diagnosis, as well as the accumulation of experience by both domestic and foreign experts, prenatal recognition of true knots of the umbilical cord causes significant difficulties. Three cases of successful ultrasound diagnosis of true knots of the umbilical cord and brief review of the literature are presented.


Author(s):  
S.V. Idimesheva, E.G. Bazhenova, V.A. Vedernikov

А case of ultrasound diagnosis of the giant fetal cervical tumor in the third trimester of gestation is presented. The diagnosis of a cervical teratoma was supposed by ultrasound examination and magnetic resonance imaging. The tumor resection was successfully performed at 6 days of life. Histopathological diagnosis was mature teratoma.


Author(s):  
E.A. Derkach , O.I. Guseva

Objectives: to compare the accuracy of equations F.P. Hadlock and computer programs by V.N. Demidov in determining gestational age and fetal weight in the third trimester of gestation. Materials: 328 patients in terms 36–42 weeks of gestation are examined. Ultrasonography was performed in 0–5 days prior to childbirth. Results: it is established that the average mistake in determination of term of pregnancy when using the equation of F.P. Hadlock made 12,5 days, the computer program of V.N. Demidov – 4,4 days (distinction 2,8 times). The mistake within 4 days, when using the equation of F.P. Hadlock has met on average in 23,1 % of observations, the computer program of V.N. Demidov — 65,9 % (difference in 2,9 times). The mistake more than 10 days, took place respectively in 51,7 and 8,2 % (distinction by 6,3 times). At a comparative assessment of size of a mistake in determination of fetal mass it is established that when using the equation of F.P. Hadlock it has averaged 281,0 g, at application of the computer program of V.N. Demidov — 182,5 g (distinction of 54 %). The small mistake in the mass of a fetus which isn't exceeding 200 g at application of the equation of F.P. Hadlock has met in 48,1 % of cases and the computer program of V.N. Demidov — 64,0 % (distinction of 33,1 %). The mistake exceeding 500 g has been stated in 18 % (F.P. Hadlock) and 4,3 % (V.N. Demidov) respectively (distinction 4,2 times). Conclusions: the computer program of V.N. Demidov has high precision in determination of term of a gestation and mass of a fetus in the III pregnancy.


2010 ◽  
Vol 95 (Supplement 1) ◽  
pp. Fa25-Fa25
Author(s):  
N. Farah ◽  
M. Kennelly ◽  
V. Donnelly ◽  
B. Stuart ◽  
M. Turner

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