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How often should a 24 hour protein be checked? I had mild pre-E

 

Customer Question

How often should a 24 hour protein be checked? I had mild pre-E with my first child. At my ten week visit with #2 my 24 hour baseline was 189. My bp is up and down, but at my 18 week visit my bp was 144/79. They said I now have benign essential hyptertension, and checked my CBC, CMP, and uric acid (normal) but they didn't do another 24 hour protein check? Not that I really like the test, but I'm wondering how often it should be done?
At 20 weeks now i'm starting to notice more swelling in my feet in the evening to the point that I can leave marks when I push on them. Is lower swelling ever a cause for concern? thank you

 

Optional Information:
Person's Age: 26

Submitted: 403 days and 10 hours ago.
Category: OB GYN
Value: $38
Status: CLOSED

Accepted Answer

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Expert:  khagihara replied403 days and 10 hours ago.

I am honored to assist you. My answers are for educational purposes only. They don’t substitute for a visit to a doctor’s office.

Chronic hypertension is defined as high blood pressure (systolic pressure >140 or diastolic pressure >90) before pregnancy or prior to 20 weeks of pregnancy.

Preeclampsia is defined as high blood pressure (systolic pressure 140 or higher or diastolic pressure 90 or higher) and excess protein in the urine (300 mg or higher in a 24-hour urine specimen) after 20 weeks of pregnancy in a woman who previously had normal blood pressure.

You could develop preeclampsia superimposed upon chronic hypertension. You should have protein in the urine checked again after 20 weeks to see if protein increases or not.

Expert TypeOB/GYN (Doctor)
Category: OB GYN
Pos. Feedback: 96.4 %
Accepts: 3419
Answered: 5/10/2012

Experience: Trained in OB & GYN for many years.

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