+3 protein in urine at 38 weeks

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fiber
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Re : +3 protein in urine at 38 weeks

Postby fiber » Fri Jun 18, 2004 08:00 pm

I went to the pharmacy yesterday and got some urine test strips. I've tested a few times since then and they all came back negative which is what it was at last week's visit and what it's been all along. I have no other symptoms (and I know what I'm watching for) and I really do feel fine. There was no infection in the urine, just a lot of other strange cells. The urine sample I gave them wasn't a clean catch, just a midstream in a cup.
I think it was just a bad fluke to happen to someone who has had PE and has been concerned about protein since prenatal visit #1.

Seth Anders 3-30-02 (35 weeks, pre-E, IUGR, 3 lbs.15oz)
Baby #2 EDD 6-26-04

5miraclez
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Re : +3 protein in urine at 38 weeks

Postby 5miraclez » Thu Jun 17, 2004 05:48 pm

I don't know if this helps but just wanted to share. With this last baby my protein went up and down all the time. One day it would be 4+ the next day it would only be 1+. When I was in the hospital and was being given IV fluids it went all the way down to trace. The only real way to know what's going on is a 24hr urine.

Rebecca

DD 4/00 35wks severe preeclampsia
DS 7/01 29wks severe preeclampsia/HELLP, placental abruption
DD 12/02 31wks severe preeclampsia/HELLP, polyhydramnios
DD 6/04 32wks severe preeclampsia

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annegarrett
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Re : +3 protein in urine at 38 weeks

Postby annegarrett » Thu Jun 17, 2004 04:31 pm

Great for calling back but I remain unconvinced. ;) An infection just doesn't explain away 3+ and the STANDARD of care is to perform a 24 hour urine test to rule out preeclampsia. You had it before and that is the leading risk factor for you to get it again. A 24 hour urine is cheap and it will let you know one way or another if the 3+ is a fluke--much safer than your doctor being "pretty sure". A 24 hour urine will tell you (and him) for sure. The problem with this disease is that often it does not present with any signs or symptoms. You can be as vigilant as you want--but I know I will rest easier knowing you went in tomorrow and asked for a 24 hour urine to rule out preeclampsia. Just being maternal. That's why they pay me the big bucks.

Anne Garrett
Executive Director
Preeclampsia Foundation

fiber
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Re : +3 protein in urine at 38 weeks

Postby fiber » Thu Jun 17, 2004 03:24 pm

thanks everyone. I called my doctor back today and expressed my concern. He said that he had been concerned too and had looked at the sample under the microscope. He said that he didn't see any sign of infection but that there were a lot of other cells in the sample and that he's pretty sure it was contaminated with vaginal secretions.
I wish he had told me this earlier, I really hate when healthcare providers don't give you all the information they have, thinking that you don't need to know as long as they deem it "fine".
I may go back in and ask him to redo the urine sample before next week.
I'm definitely vigilantly watching for other signs and symptoms anyway.


Seth Anders 3-30-02 (35 weeks, pre-E, IUGR, 3 lbs.15oz)
Baby #2 EDD 6-26-04

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annegarrett
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Re : +3 protein in urine at 38 weeks

Postby annegarrett » Thu Jun 17, 2004 02:33 pm

I am not adding anything new--but I would turn around and go back in and insist on "preeclampsia panel" bloodwork and a 24 hour proteinuria test. You had this before and proteinuria is considered the more significant of the two symptoms, by many doctors, and you have proteinuria. 3+ is unlikely a fluke--trace, even 1+ maybe, but not 3+. I would not wait a week to see them. I would go in today or tomorrow and ask for the tests and inquire about being induced. I am no doctor but I am a woman who nearly died in her third pregnancy at 38 weeks with 1+ proteinuria a the doctor's appointment and 130/90 BP. Twelve hours later my kidneys crashed, a week later my liver started to fail (after the baby was born). I wouldn't mess around. You are at term and you made it farther than the last time. This is one of those--get yourself to the hospital and get a second opinion moments. Mada is in Colorado--maybe she can be some support. She is on here all the time.

Take care and let us know how it goes.



Anne Garrett
Executive Director
Preeclampsia Foundation

arj
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Re : +3 protein in urine at 38 weeks

Postby arj » Thu Jun 17, 2004 02:04 pm

Congrats on making it this far! I have to agree with the other ladies here. Things can go haywire really quickly. I didn't get PE until full-term, however BOY DID I GET IT when it came! You don't want to get yourself into a situation where you are induced with the lovely Mag Sulfate/Pitocin combo [xx(]. Those are two contradicting medications: one slows down the labor, the other is supposed to kick it into high gear. Not sure if you will be delivering vaginally, but if you are, you really don't want that. It's nightmarish. Plus, if you wait until your BPs are outrageous, you might end up getting stuck in the hospital for a few extra days while they get back to normal. And who wants that??

Hope it doesn't seem like I'm picking on you. And I'm definitely no doctor. I just know that PE can happen with very little symptoms and it can happen so quickly. Good luck with everything. Little peanut will be here before you know it!



Allison (28)
DS-Evan, 7/19/2003. PE at 40 weeks

laura
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Re : +3 protein in urine at 38 weeks

Postby laura » Thu Jun 17, 2004 09:54 am

I wouldn't even bother with the test strips at this point- you know you have proteinuria-- really really significant proteinuria-- so I'd concentrate on watching for symptoms that things are getting worse, and counting your kicks.

I'd especially watch for sudden, severe swelling, or if you all of a sudden stop peeing as much as you normally do. If you're drinking a lot, and not peeing as much as you're drinking in, I'd go to the emergency room. If all of a sudden you get coke-colored pee- that's a trip to the emergency room.

On the other end- you probably should watch for signs that the preeclampsia is becoming more severe- headaches that won't go away with tyleonol, or visual disturbances. These symptoms also warrant a trip to the emergency room.

Are you doing non-stress tests to assess how well baby's doing? In addition to non-stress tests, it's really important to do your kick counts a couple of times a day to make sure baby is dealing with the stress well.

One more thing... what is your baseline blood pressure? THe guidelines for hypertension used to be-- rises of 30/15 from your baseline for hypertension, so it's possible that you do have frank hypertension for you.

I'm really concerned about you. A +3 is a pretty significant amount of protein, and I'd really hope that if a doc sees something like that that they'd keep digging and monitoring until they figure out exactly what it is- a 24 hour urine, blood work, fetal surveillance, even hospital admittance- and to see you soon. A lot can happen in a week. hang in there- watch for changes- and let us know how you're doing, ok?

Laura
Moderator/AK Coordinator

Mom to Alicia (severe PE) 5/98 and Camille (htn, oligo) 4/03
http://www.babiesonline.com/babies/c/camilleandallie/

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julie f
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Re : +3 protein in urine at 38 weeks

Postby julie f » Thu Jun 17, 2004 09:22 am

They do sell the protein strips OTC at some pharmacies, I'm sure someone will be able to tell you where soon. I don't know that it really could have been a fluke though. If your urine was really concentrated, you could've gotten a higher reading that what might really be there. Same goes for if it was dilluted though, +3 might be better than what is really going on. That's why 24 hour tests are usually ordered, they give an accurate picture of how much protein you're spilling, regardless of the concentration of your urine. The thing though, is that you're at least spilling some protein and, you're term.

I'm no doctor so, obviously this isn't any medical advice but, if it were me, I'd be calling my dr. and asking why we're not inducing right now. 37wks+ is considered term and, if you're borderline hypertensive with +3 protein, I'd personally be nervous to wait until next week to be checked again.

Let us know how you're doing.


Julie (27)
Zachary James, 7/22/03-7/27/03, born at 26wks - severe pe

Miracle in progress... #2 is due February 9, 2005!!!!

Southern California Coordinator

fiber
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Re : +3 protein in urine at 38 weeks

Postby fiber » Thu Jun 17, 2004 09:13 am

thanks for the advice. The doc did ask some questions about a UTI but I really have had no symptoms of that-- usually I can tell pretty early on when I get one, but he didn't check anything. I have another appointment next week, and we aren't doing anything until then. That is why I thought to come here and run it by people who know about this. Sadly, I don't trust the doctors around here to take this stuff very seriously or to know all that much about pre-e.
Would it be a good idea for me to try and get some protein urine strips at the pharmacy? do they they sell those OTC? Is there a possibility it could have been a fluke?

Seth Anders 3-30-02 (35 weeks, pre-E, IUGR, 3 lbs.15oz)
Baby #2 EDD 6-26-04

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julie f
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Re : +3 protein in urine at 38 weeks

Postby julie f » Thu Jun 17, 2004 09:08 am

I can' offer any advice the others haven't alredy given but, just wanted to 2nd the notion that I hope your doctor is investigating further or, deciding to do something about the protein issue... You are term and can be delivering a healthy baby and day now!

Please keep us posted!

Julie (27)
Zachary James, 7/22/03-7/27/03, born at 26wks - severe pe

Miracle in progress... #2 is due February 9, 2005!!!!

Southern California Coordinator


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