Dr. Chapa’s OBGYN Clinical Pearls

Home Self-Check Urine Protein for gHTN?


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Should patients check their own urine protein at home when they have a gestational hypertension DX? After all, home-based BP monitoring is an established part of HDP care. Is there data on home urine protein dipstick tests in gestational hypertension? What do professional guidelines say? And what are the pros and cons of home self-monitoring of urine protein? Thank you, SJ, for the podcast topic suggestion. FListen in for details.

1. ACOG PB 222

2. Jayawardena L, Mcnamara E. Diagnosis and Management of Pregnancies Complicated by Haemolysis, Elevated Liver Enzymes and Low Platelets Syndrome in the Tertiary Setting.Internal Medicine Journal. 2020.

3. Tucker KL, et al. (2022). "Effect of self-monitoring of blood pressure on diagnosis of hypertension during higher-risk pregnancy: the BUMP 1 randomized clinical trial. JAMA

4. Chappell LC, et al. (2022). "Effect of self-monitoring of blood pressure on blood pressure control in pregnant individuals with chronic or gestational hypertension: The BUMP 2 Randomized Clinical Trial. JAMA

5. UDIP (Urinary Dipstick In Pregnancy) trial. 2022 May 12;129(13):2142–2148. doi: 10.1111/1471-0528.17180


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