Routine urinalysis (for glucose and protein) in low-risk pregnancies is not recommended. For screening of healthy pregnant women, urinalysis for glucose to assess the risk of developing gestational diabetes is not recommended due to low sensitivity. For assessing the potential development of preeclampsia in pregnant women, routine urine dipstick or urinalysis are not recommended as the test for albumin levels is unreliable. Do not rely on proteinuria to screen for gestational hypertension; periodically check the blood pressure.
Conditions: Pregnancy, gestational diabetes, preeclampsia
Diagnostic Tests: Urinalysis
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Sources
- Akkerman D, et al. Routine prenatal care [Internet]. 2012 Jul [cited 2017 May 29]. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI). Available from: https://www.guideline.gov/summaries/summary/38256.
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- Committee on Obstetric Practice, The American College of Obstetricians and Gynecologists. Committee Opinion No. 692: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period. Obstet Gynecol. 2017 Apr;129(4):e90-e95. (PubMed)
- National Institute for Health and Care Excellence. Diabetes in pregnancy: Management of diabetes from preconception to the postnatal period [Internet]. 2015 Feb [cited 2017 May 29]. Available from: https://www.nice.org.uk/guidance/ng3.
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- US Preventive Services Task Force, et al. Screening for Preeclampsia: US Preventive Services Task Force Recommendation Statement. JAMA. 2017 Apr 25;317(16):1661-1667. (PubMed)