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Detecting GD and preeclampsia. Effectiveness of routine urine screening for glucose and protein

D E Hooper1

  • 1Department of Obstetrics and Gynecology, Morehouse College, School of Medicine, Atlanta, Georgia, USA.

The Journal of Reproductive Medicine
|December 1, 1996
PubMed

Insights

Routine urinalysis for proteinuria and glycosuria in pregnancy is not effective. Oral glucose screening and blood pressure monitoring are better for detecting gestational diabetes and preeclampsia, reducing patient and clinic burden.

Area of Science:

  • Obstetrics and Gynecology
  • Clinical Chemistry
  • Maternal-Fetal Medicine

Background:

  • Routine antepartum urinalysis for proteinuria and glycosuria is a common practice in prenatal clinics.
  • The clinical utility and necessity of this routine screening method warrant re-evaluation.

Purpose of the Study:

  • To assess the effectiveness of routine urine analysis for proteinuria and glycosuria during antepartum visits.
  • To determine if alternative screening methods are more efficient for detecting gestational diabetes and preeclampsia.

Main Methods:

  • Retrospective review of 610 antepartum medical records.
  • Analysis of proteinuria and glycosuria findings in relation to preeclampsia and gestational diabetes diagnoses.

Main Results:

  • Proteinuria was detected in 18% of patients; 2.8% developed preeclampsia.
  • Glycosuria was present in 2.5% of patients; 1.7% had gestational diabetes.
  • Proteinuria preceded hypertension in 17.7% of preeclampsia cases; glycosuria was present in 36% of gestational diabetes cases.

Conclusions:

  • Oral 50-g glucose screening and blood pressure monitoring are superior screening methods for gestational diabetes and preeclampsia.
  • Eliminating routine urinalysis can reduce patient inconvenience and clinic staffing requirements.
Abstract

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