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- Title
İzole proteinürili gebelerde maternal ve perinatal sonuçların değerlendirilmesi.
- Authors
Kuyucu, Melda; Arınkan, Sevcan Arzu; Herkiloğlu, Dilşad; Muhcu, Murat
- Abstract
Objective: In the study, we aimed to identify the relationship between maternal and perinatal outcomes of pregnant women found to have isolated proteinuria, rates for progress towards preeclampsia and risk factors. Methods: A total of 57 pregnant women who were at 24-34 weeks of gestation and admitted to our hospital for routine antenatal follow-up between December 2013 and December 2014 were included in our study. The patients with proteinuria but without elevated blood pressure were called as isolated gestational proteinuria (IGP) group. The patients were found to have new-onset elevated blood pressure during their antenatal follow-ups and the patients developing preeclampsia were defined as proteinuric pre-eclampsia (P-PE) group. Results: Preeclampsia developed in the advanced weeks of gestation in 15 (26%) of 57 pregnant women. There was no significant difference between the body mass index values of both groups before pregnancy (p>0.05). While no significant difference between proteinuria amount and onset week of proteinuria was observed in both groups, there was a positive correlation in P-PE group between onset week of proteinuria and development week of preeclampsia. It was found that preeclampsia developed in most of the patients in this group within about 3 weeks after proteinuria developed. The neonatal outcomes of both groups were compared. While no significant difference was observed between birth weight, need for newborn intensive care unit and hospitalization period, mean week of delivery was significantly shorter in P-PE group (p<0.005). The complications of severe preeclampsia were not observed in IGP group. Conclusion: Although proteinuria is usually a late sign of preeclampsia, it may sometimes develop before other signs. Close antenatal follow-up is very significant in the management of pregnant women found to have isolated proteinuria and it should be kept in mind that such patients may develop preeclampsia during further weeks of gestation. In our study, we found that isolated proteinuria in pregnant women is similar with proteinuric pre-eclampsia in particular in terms of both risk factors and perinatal outcomes.
- Publication
Perinatal Journal / Perinatoloji Dergisi, 2016, Vol 24, Issue 3, p129
- ISSN
1300-5251
- Publication type
Academic Journal
- DOI
10.2399/prn.16.0243001