Comparison of obstetric outcome in pregnant women with and without microalbuminuria

Singh, Harpreet; Samal, Sunita; Mahapatro, Akshaya Kumar; Ghose, Seetesh

doi:10.4103/0976-9668.149106

Cited by 7 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of eclampsia in this study was 0.2 %. Similar incidence was found in the following studies as S. Samal et al [8] is 24-1.45 %, P .N. Nabis 1.85 % [9], Aagaard et al (2005) [10] (USA) -0.1 %.…”

Section: Discussionsupporting

confidence: 84%

“…So this study is similar to the study by Jean Dupont et al in the open journal of obstretrics&gynaecology2015 >/= 37 weeks is 55 cases (51.4 %). Samal S and Gupta U [8] reported in their study which showed gestational age >35 weeks at 45 %, mean gestational age was 34.2 weeks (range 22-43 weeks).…”

Section: Medicine and Dentistrymentioning

confidence: 86%

“…The overall perinatal mortality was found to be 21.87 % -Samal S, Gupta U (2001) [8] & Demise reported 18.2 % perinatal deaths with MgSO4. The ETCG trial (1995) gave a perinatal death rate of 25.0 %.…”

Section: Medicine and Dentistrymentioning

confidence: 93%

See 2 more Smart Citations

A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia

et al. 2023

View full text Add to dashboard Cite

In India, hypertensive disorders complicating pregnancy are common and continue to be responsible for the largest proportion of perinatal deaths resulting from prematurity and IUGR and are major contributors to perinatal and maternal morbidity and mortality. The aim: The present study is undertaken to analyse the cases of preeclampsia and eclampsia, including consequences concerning preterm delivery, IUGR, IUD and stillbirth and for the evaluation of a safe motherhood program at the population level. Materials and methods: The present study was conducted on 105 selected cases from the census (sample of 12,589 patients) of pregnancy-induced hypertension (gestational hypertension, preeclampsia and eclampsia). Results: Hypertensive cases complicating pregnancy of the foetal deliveries conducted during the study period, out of which Gestational hypertension (GTN) cases reported were 44. Preeclampsia (PE) cases were 39, severe preeclampsia (SPE) were 1 and Eclampsia cases were 21. Labetalol alone was used in 62 cases, and 44 babies were born without any complications. As an anticonvulsant magnesium sulphate (MgSO4, 7H2O) was used in all cases of imminent eclampsia and eclampsia (MgSO4 PRITCHARD Regime) in a total number of 38 cases. Preterm / prematurity was the most common cause of perinatal death. The total number of NICU admissions was 42 (40 %). Conclusions: The early use of anti-hypertensive drugs, the optimum timing of delivery, strict fluid balance, and anticonvulsants in cases of eclampsia will help to achieve a successful outcome. Early transfer to a specialist centre is important, and the referral centres should be well-equipped to treat critically ill patients.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Medicine and Dentistrymentioning

confidence: 86%

See 1 more Smart Citation

A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia

et al. 2023

View full text Add to dashboard Cite

show abstract

“…As per one study incidence of induced labor ( P = 0.045) and cesarean section ( P < 0.001) was more associated with microalbuminuria group, which could be due to the significant association of maternal complication ( P < 0.001) in the same group. 31 In our study, it was also found that adverse neonatal outcome like fetal complication, IUGR was significantly more in babies of microalbuminuria group ( P = 0.010*). It was also found that prematurity, low birth weight, low Apgar score, and more incidence of NICU admission in babies of pregnant women with microalbuminuria.…”

Section: Discussionsupporting

confidence: 69%

Diagnostic accuracy of spot albumin creatinine ratio and its association with fetomaternal outcome in preeclampsia and eclampsia

et al. 2017

View full text Add to dashboard Cite

Introduction:Hypertensive disorders in pregnancy are one of the leading causes of maternal and perinatal mortality. Proteinuria is one of the common and important features of preeclampsia. To evaluate the diagnostic accuracy of albumin-creatinine ratio (ACR) in woman with preeclampsia and eclampsia and examine the association between ACR and fetomaternal outcome.Materials and Methods:Prospective study carried out over a period of 1 year in the Department of Obstetrics and Gynaecology, after informed consent and ethical clearance total ninety pregnant women from gestational age 20 to 40 weeks were enrolled, including, thirty preeclampsia, thirty antepartum eclampsia, considered as cases and thirty normotensive pregnant women as controls. Preeclampsia was defined as per National High Blood Pressure Education Program 2000 working group. All patients were asked for a spot midstream urine sample, followed by 24 h urine collection. Urinary protein was estimated by the sulfosalicylic acid method and creatinine by the Jaffe's method. The urinary ACR was determined by automated analyzer.Results:Mean value of urinary ACR of controls was significantly lower (0.103 ± 0.037) as compared to both groups. On comparing between groups the difference was significant (<0.001), a strong correlation between urinary ACR levels and 24 h urinary proteins was observed.Conclusion:In our study, an association of raised ACR values with severity of disease as well as with adverse fetomaternal outcome was observed.

show abstract

“…The chi square test of associaton is statistically insignificant. In a study by Harneet singh et al [3] , they have reported significant association with fetal complications and found no statistically significant association between microalbuminuria and obstetric complications except for preterm labour but overall incidence of preeclampsia was higher. The relationship of microalbminuria and maternal complications like preterm labour and gestational hypertension is still controversial.…”

Section: Discussionmentioning

confidence: 94%

Microalbuminuria: A potential marker for adverse obstetric and fetal outcome

Lavanyakumari¹,

Sangeereni²,

Sethupathy³

et al. 2018

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

Background: Obstetric and perinatal outcome is an index of health in society. Various markers are being searched so as to increase the well being of mother and fetus in pregnancy. Several Studies [12,13] have revealed an association between microalbuminuria and obstetric outcome. Microalbuminuria can be used as prognostic marker in evaluation of gestational hypertension, preterm labour, GDM, PPROM, IUGR. Objective: This study was done to evaluate whether microalbuminuria which was evaluated at late second trimester could serve as marker for adverse obstetric and neonatal outcome. Materials and Methods:A Prospective case control study was carried out on 150 people. Urine tested for urine micro albumin and creatinine and ACR ratio was calculated. Among 150 pregnant women 27 were positive for microalbuminuria and were categorised as group A. Pregnant women without microalbuminuria were considered as group B (controls). Both group A and group B were compared for obstetric outcomes. Results: Significant association found between group A and gestational hypertension and preterm labour. Conclusion: Microalbuminuria can be used as an early prognostic marker to detect adverse obstetric and neonatal outcome. It can be done in the late second trimester (around 18-24 weeks). It is a cheap, easily available method. Presence of microalbuminuria could therefore be a warning sign for the development of gestational hypertension and preterm delivery [14] . Hence presence of microalbuminuria needs further follow up and attention and strict blood pressure monitoring along with glycemic control in order to prevent adverse obstetric outcome of pregnancy.

show abstract

Comparison of obstetric outcome in pregnant women with and without microalbuminuria

Cited by 7 publications

References 13 publications

A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia

A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia

Diagnostic accuracy of spot albumin creatinine ratio and its association with fetomaternal outcome in preeclampsia and eclampsia

Microalbuminuria: A potential marker for adverse obstetric and fetal outcome

Contact Info

Product

Resources

About