Pregnancy Complications
Conditions
Brief summary
This study will determine the incidence of elevated U Pr/Cr in normal term pregnant women. In addition we will determine if a clean catch urine has an effect on the U Pr/Cr.
Detailed description
Clean catch urine should be used due to possible vaginal secretion contamination with falsely elevated U Pr/Cr ratio. However, no supporting reference was found in the article and no control group with random urine collection for comparison to clean catch specimen U Pr/Cr was included in their study. The original studies that validated spot Pr/Cr urine as a predictor of 24 -hour total urine protein used random non-clean catch random urines . They had an r value of .93-.99 in estimating total protein excreted in 24 hours. At our institution we use Siemens-base test to determine U Pr/Cr. In the product insert the company states that no special patient preparation is necessary. Thus, this study will determine the incidence of elevated U Pr/Cr in normal term pregnant women. In addition we will determine if a clean catch urine has an effect on the U Pr/Cr.
Interventions
clean catch technique applied to collect urine for PR/CR ratio
Sponsors
Study design
Intervention model description
PR/CR urine collected by clean catch or non -clean catch technique will be compared in term pregnancy
Eligibility
Inclusion criteria
* women of 37 weeks gestation or greater
Exclusion criteria
* Urinary tract infections * Hypertension * Pre-eclampsia * Renal dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| elevated PR/CR ratio using clean catch technique | through study completion, an average of 1 year | this will be the proportion of patients with PR/CR ratio greater than or equal to 0.3 in urine using a clean catch method. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Report the incident of PR/CR ratio greater than 0.3 | through study completion, average of 1 year | overall incident of elevated PR/CR ratio in healthy term pregnant women |
Countries
United States