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by expert on call
Thu Jul 14, 2005 02:28 pm
Forum: Ask the Experts
Topic: Should urinalysis for proteinuria be routine?
Replies: 4
Views: 6140

Re : Should urinalysis for proteinuria be routine?

<t>Expert Answer 4 <br/> Laura, I just checked the email before heading out the door on a trip. My thoughts echo ****. We continue to check for protein at each visit in all patients, and I certainly would have recommended it being done for the particular patient scenario presented. It has been my ex...
by expert on call
Thu Jul 14, 2005 02:26 pm
Forum: Ask the Experts
Topic: Should urinalysis for proteinuria be routine?
Replies: 4
Views: 6140

Re : Should urinalysis for proteinuria be routine?

<t> Expert Answer 3:<br/> My comments echo Dr. ****. The woman described should have been tested in any setting. Whether urine proteins as routines are supported by evidence is open to question. However it would seem changing approaches that could be important for identifying risk without evidence t...
by expert on call
Wed Jul 13, 2005 10:44 pm
Forum: Ask the Experts
Topic: Should urinalysis for proteinuria be routine?
Replies: 4
Views: 6140

Re : Should urinalysis for proteinuria be routine?

<t>Expert Answer #2:<br/> <br/> There are two questions here. Should routine screening be performed at each visit, and should the patient asking the question have been screened. The simple answer is the second. Yes, a high risk patient near term with a blood pressure of 145/88 mm Hg should have her ...
by expert on call
Wed Jul 13, 2005 10:43 pm
Forum: Ask the Experts
Topic: Should urinalysis for proteinuria be routine?
Replies: 4
Views: 6140

Re : Should urinalysis for proteinuria be routine?

<t>Expert Answer #1:<br/> <br/> Before commenting I would need to see the actual policy as written. We continue to screen for protein, glucose and ketones at each prenatal visit though I must admit that the "scientific basis" for our approach is at best weak.<br/> <br/> Information provided on this ...
by expert on call
Wed Jul 13, 2005 10:41 pm
Forum: Ask the Experts
Topic: Should urinalysis for proteinuria be routine?
Replies: 4
Views: 6140

Should urinalysis for proteinuria be routine?

<t>Dear Experts,<br/> We received this question from a member today, and would like to better understand why a practice might make the decision to do this, and advice to our members on what to do if their provider chooses not to screen them for proteinuria, particularly if they have a past history o...
by expert on call
Thu Jun 23, 2005 11:53 pm
Forum: Ask the Experts
Topic: How effective is bedrest?
Replies: 2
Views: 6778

Re : How effective is bedrest?

<t>Expert Response #2:<br/> <br/> Randomized studies to date have failed to demonstrate any effects of strict bed rest, and this to some can be very stressful especially if started at 23 weeks., Hopefully the two measurements were made after similar scenarios, such as quite sitting for at least 4-5 ...
by expert on call
Thu Jun 23, 2005 11:52 pm
Forum: Ask the Experts
Topic: How effective is bedrest?
Replies: 2
Views: 6778

Re : How effective is bedrest?

<t>Expert Response #1:<br/> <br/> There is no evidence that bedrest is helpful and plenty that it leads to morbidity<br/> <br/> Information provided on this site is provided for informational purposes only and is not meant to substitute for the advice provided by your own physician or other medical ...
by expert on call
Thu Jun 23, 2005 11:50 pm
Forum: Ask the Experts
Topic: How effective is bedrest?
Replies: 2
Views: 6778

How effective is bedrest?

<t>Dear Preeclampsia Foundation Expert,<br/> <br/> This question came in to us today:<br/> <br/> Yesterday, my OB placed me on strict bedrest. She did not however, diagnose me with preeclampsia, just as a high risk for the disease. My BP was 118/80. Her major concern was that it had jumped about 20 ...
by expert on call
Mon May 16, 2005 02:12 pm
Forum: Ask the Experts
Topic: Does Stress play a role in preeclampsia?
Replies: 5
Views: 12030

Re : Does Stress play a role in preeclampsia?

<t>Laura,<br/> I am just getting caught up with email after ACOG and have just<br/> reviewed responses from (Experts #2 and #4). They are right. There is no high quality data to associate "stress" with preeclampsia causation, and I doubt that it plays any significant role. As the knowledge about the...
by expert on call
Mon May 16, 2005 02:10 pm
Forum: Ask the Experts
Topic: Does Stress play a role in preeclampsia?
Replies: 5
Views: 12030

Re : Does Stress play a role in preeclampsia?

<t>Agree completely with (Expert #2) . I do believe it possible that stress could interact with other factors to influence human health including preeclampsia. There is however no proof. If there was, bed rest would probably be the last recommendation to help with this. It causes more stress than it...

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