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Korean Journal of Obstetrics & Gynecology 2003;46(6):1093-1098.
Published online June 1, 2003.
An Effect of Massive Proteinuria in Pregnancy Induced Hypertension.
Yun Jin Kim, Hyung Min Choi, Eung Soo Lee, Jin Ho Chun
1Department of Obstetrics and Gynecology Ilsan Paik Hospital, Korea.
2Department of Preventive Medicine, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
Abstract
OBJECTIVE
This study was investigated on the relationship the degrees of proteinuria with the maternal characteristics, maternal and the neonatal outcomes. The correlation between the result of single urine protein- to-creatinine ratio and the amount of 24 hour urine protein was also investigated. METHODS: From December 1999 to June 2002, 63 patients were enrolled in this study. They were divided into two groups by the degree of proteinuria at 24 hour urine, single urine and dip stick test, respectively. Each two groups was compared with the maternal characteristics, gestational age, the maternal and the neonatal outcomes. The correlation between single urine protein-to-creatinine ratio and the amount of 24 hour urine protein was analyzed statistically. RESULTS: Each two groups of single urine and dip stick test had no differences in maternal characteristics, gestational age, maternal and the neonatal outcomes. However, in two of 24 hour urine, massive proteinuria group had poor maternal and neonatal outcomes compared with control group (p value 0.01). Single urine protein-to-creatine ratio and the amount 24 hour urine protein had borderline correlation (p value 0.064). CONCLUSION: The presence of proteinuria influences on maternal and neonatal outcomes. Moreover, the massive proteinuria group had more maternal and neonatal complication than control group. The result of single urine protein-to-creatine ratio had borderline correlation with the amount of protein in 24 hour urine collection.
Key Words: Massive proteinuria, Maternal and neonatal outcomes, Protein-to-creatinine ratio


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