Detecting GD and preeclampsia. Effectiveness of routine urine screening for glucose and protein.
OBJECTIVE
To assess why urine collection and analysis for proteinuria and glycosuria is routinely performed during each antepartum visit at prenatal clinics.


METHODS
Six hundred ten antepartum medical records were reviewed.


RESULTS
One hundred nine (18%) patients had proteinuria, while 17 patients (2.8%) developed preeclampsia. Fifteen patients (2.5%) had at least one episode of glycosuria (100 mg/dL), while 11 had gestational diabetes. Of those with gestational diabetes, four (36%) had glycosuria. Of those with preeclampsia, three (17.7%) had proteinuria that preceded the finding of hypertension.


CONCLUSIONS
These results support our observation that routine oral 50-g glucose diabetes screening and careful monitoring of blood pressure are better screens for gestational diabetes and preeclampsia. The increased patient inconvenience and clinic staffing necessary for routine urinalysis may be avoided by eliminating that ritual.
Hooper
D E
DE
Department of Obstetrics and Gynecology, Morehouse College, School of Medicine, Atlanta, Georgia, USA.
D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure / Q000502:physiology; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000503:physiopathology / Q000652:urine; D005260:Female; D006029:Glycosuria / Q000175:diagnosis* / Q000517:prevention & control* / Q000652:urine; D006801:Humans; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000503:physiopathology / Q000652:urine; D011237:Predictive Value of Tests; D011247:Pregnancy; D011507:Proteinuria / Q000175:diagnosis* / Q000517:prevention & control* / Q000652:urine; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D015430:Weight Gain / Q000502:physiology
D001786:Blood Glucose