Proteinuria Among Pregnant Women Admitted to the Department of Obstetrics and Gynaecology of a Tertiary Care Centre

Overview

Journal JNMA J Nepal Med Assoc

Specialty General Medicine

Date 2024 Feb 27

PMID 38410018

Authors

Asmita Ghimire

Poonam Koirala

Hima Rijal

Anita Chamlagain

Padam Raj Pant

Affiliations

Soon will be listed here.

Abstract

Introduction: Proteinuria is usually related with preeclampsia during pregnancy, although it can also be caused by other conditions such as renal disease or isolated proteinuria. Proteinuria during pregnancy can result in adverse fetomaternal outcomes. The study aimed to find the prevalence of proteinuria among pregnant women admitted to the Department of Obstetrics and Gynaecology of a tertiary care centre.

Methods: A descriptive cross-sectional study was carried out among pregnant women in the Department of Obstetrics and Gynaecology after obtaining ethical approval from the Institutional Review Committee. Data of 14 April 2022 to 13 April 2023 was collected from 9 June 2023 to 9 September 2023 from medical records. The study included pregnant women aged 18-45 years, who were past 28 weeks of gestation and had a 24-hour urine protein measurement. Pregnant women who had insufficient medical records were excluded from the study. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

Results: Among 3,914 pregnant women, proteinuria was seen in 61 (1.56%) (1.17-1.95, 95% Confidence Interval). The mean proteinuria in the study group was 1.5±2.75 gm/24 hr. In pregnant women with proteinuria, maternal complications were seen in 51 (83.60%) and foetal complications in 34 (55.73%) cases. A total of 47 (77.05%) underwent emergency lower-section caesarean section.

Conclusions: The prevalence of proteinuria among pregnant women was found to be similar as compared to studies done in similar settings.

Keywords: preeclampsia; pregnancy complications; proteinuria.

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