Jamshid Feroze, Azra Karamat, Maliha Hameed.
Severity of Protienuria and Level of Hypertension in Preeclampsia and its Impact on Perinatal Outcome.
Pak J Med Health Sci Jan ;6(2):384-7.

Objective: To determine the impact of different levels of pre-eclampsia (both albuminuria and hypertension) on perinatal outcome. materials and methods: Sixty pregnant women suffering from proteinuric hypertension were selected. patients underwent a complete obstetrical workup including history, physical examination and various investigations including blood urea, serum creatinine, liver function tests and serial scanning for fetal growth. Adverse effects on fetal outcome was recorded. Results: The maximum number of patients was with 2gm albumin/L 55% and minimum number cases with 0.3gm albumin/L 8.3%. In booked cases 2gm albumin/L was present in 50% cases and in un-booked cases 2gm albumin/L was present in 57.5% cases. Level of hypertension with relevance to proteinuria showed that with higher proteinuria, SBP at admission was 168.0±23.5 and DBP at admission was 118.0±16.8. Similarly with higher proteinuria Apgar score was poor i.e., with 2gm albumin/L it was <5 in 61.7% cases and with 1gm albumin/L 22.2% babies had admission in neonatal unit for >24 hours. Conclusion: With increasing proteinuria, there is increased risk of adverse maternal and fetal outcomes. This risk is augmented with increased maternal age.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com