HULA : habitual urinalysis is a laborious activity

Murray, N

HULA : habitual urinalysis is a laborious activity

Murray, N

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Publication Type:: Thesis
Issue Date:: 2005

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Field	Value	Language
dc.contributor.author	Murray, N
dc.date.accessioned	2015-10-22T02:13:11Z
dc.date.available	2015-10-22T02:13:11Z
dc.date.issued	2005
dc.identifier.uri	http://hdl.handle.net/10453/37542
dc.description	University of Technology, Sydney. Faculty of Nursing, Midwifery and Health.	en_US
dc.description.abstract	Objectives: The objective was to determine whether routine urinalysis in the antenatal period facilitates diagnosis of pre-eclampsia. The research question was: can routine urinalysis during pregnancy be discontinued in women with normal results of dipstick urinalysis and microscopy at the first antenatal visit? Design: A prospective observational study was undertaken. Setting: A metropolitan public hospital and a private hospital in Sydney (NSW). Participants: One thousand women were enrolled at their first antenatal visit (March to November 1999), and 913 completed the study. Research Variables: The primary outcome was a diagnosis of hypertension (gestational hypertension, pre-eclampsia, or pre-eclampsia superimposed on chronic hypertension). Other variables were proteinuria, haematuria, parity, past history of preeclampsia, renal disease, diabetes mellitus and multiple pregnancy. Results: Thirty-five women had dipstick proteinuria at their first antenatal visit. In 25 (25/35) of these women, further dipstick proteinuria was detected during pregnancy, and two (2/35) were diagnosed with pre-eclampsia. Of the 867 without dipstick proteinuria at the first visit, 338 (39%) had dipstick proteinuria (>1+) at some time during pregnancy. Only six women developed proteinuria before the onset of hypertension. Women who had an abnormal result of a midstream urine test at their first visit, were more likely to have a urinary tract infection diagnosed during pregnancy than women with a normal result, however, the numbers were small. Conclusion: This study suggests that urinalysis can be omitted from the routine antenatal care of Tow risk’ women, provided that urinalysis and microscopy is conducted on a carefully collected mid stream specimen of urine at the booking visit.	en_US
dc.format	Thesis (MN)	en_US
dc.language.iso	en	en_US
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/37542/9/02Whole.pdf
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	au.edu.uts.lib/ppc
dc.subject	Pregnancy.	en
dc.subject	Routine urinalysis.	en
dc.subject	Pre-eclampsia.	en
dc.subject	Mid stream specimen of urine.	en
dc.title	HULA : habitual urinalysis is a laborious activity	en_US
dc.type	Thesis
utslib.copyright.status	open_access

Abstract:

Objectives: The objective was to determine whether routine urinalysis in the antenatal period facilitates diagnosis of pre-eclampsia. The research question was: can routine urinalysis during pregnancy be discontinued in women with normal results of dipstick urinalysis and microscopy at the first antenatal visit? Design: A prospective observational study was undertaken. Setting: A metropolitan public hospital and a private hospital in Sydney (NSW). Participants: One thousand women were enrolled at their first antenatal visit (March to November 1999), and 913 completed the study. Research Variables: The primary outcome was a diagnosis of hypertension (gestational hypertension, pre-eclampsia, or pre-eclampsia superimposed on chronic hypertension). Other variables were proteinuria, haematuria, parity, past history of preeclampsia, renal disease, diabetes mellitus and multiple pregnancy. Results: Thirty-five women had dipstick proteinuria at their first antenatal visit. In 25 (25/35) of these women, further dipstick proteinuria was detected during pregnancy, and two (2/35) were diagnosed with pre-eclampsia. Of the 867 without dipstick proteinuria at the first visit, 338 (39%) had dipstick proteinuria (>1+) at some time during pregnancy. Only six women developed proteinuria before the onset of hypertension. Women who had an abnormal result of a midstream urine test at their first visit, were more likely to have a urinary tract infection diagnosed during pregnancy than women with a normal result, however, the numbers were small. Conclusion: This study suggests that urinalysis can be omitted from the routine antenatal care of Tow risk’ women, provided that urinalysis and microscopy is conducted on a carefully collected mid stream specimen of urine at the booking visit.

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http://hdl.handle.net/10453/37542