PREGNANCY-BIRTH Messages for March, 2000: Re: Aren't monthly urine checks part of routine OB care?

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Re: Aren't monthly urine checks part of routine OB care?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 16 Mar 2000 17:58:41 -0600 (CST)

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In reply to: Michelle: "Re: Aren't monthly urine checks part of routine OB care?"

At Thu, 16 Mar 2000, Michelle wrote: >
>Should I ask about this at my next visit. I have PPO insurance not HMO.
>Does that make a difference? Thanks. At Tue, 14 Mar 2000, Harvey S.
>Marchbein, M.D. wrote:
>>
>>At Tue, 14 Mar 2000, Michelle wrote:
>>>
>>>When I was pregnant with my first child over five years ago, my doctor
>>>used to have me bring a urine sample to each appointment and they would
>>>test it. I have seen my current doctor twice and it has never been
>>>mentioned. I thought that this was something that was supposed to be
>>>monitored. Is that no longer the case? Thanks.
>>
>>Althoug we still do it, some physicians and insurance companies did a
>>study and found routine urines were not "cost effective" and some HMO
>>physicians have eliminated this simple and inexpensive test.
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.
>>
>>**Private emails cannot be entertained due to time constraints,
>>consequently no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>

I am unaware that the ACOG guidelines have been revised to say that it is not standard of care to dip the urine for protein at each prenatal visit. I just checked and the "Guide to Effective Care of Pregnancy and Childbirth" based on the Cochrane database says that the urine should be dipped for protein. I might understand doing it at the first prenatal visit and then not again until the 24 week prenatal visit, but at every visit after 24 weeks. This is considered to be a screening test for pre-eclampsia.

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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Next message: R. Daniel Braun, MD: "Re: exercise postpartum"
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In reply to: Michelle: "Re: Aren't monthly urine checks part of routine OB care?"

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