CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Hypertension in pregnancy - Management
How do I manage women with new proteinuria without hypertension at less than 20 weeks' gestation?
If the woman is 20 weeks' gestation or less and is found to have proteinuria but is not hypertensive:
- Consider possible urinary tract infection (UTI):
- If a woman has symptoms of a UTI, or urinary dipstick test is positive for nitrite, or is positive for both leukocyte esterase and blood, make a working diagnosis of UTI and manage appropriately. Urine should be sent for culture and sensitivity.
- For detailed information on the diagnosis and management of UTI in pregnancy, see the CKS topic on Urinary tract infection (lower) - women.
- If there is no evidence of a UTI and the woman has 1+ protein or more on repeat dipstick testing, consider underlying medical conditions and assess for chronic kidney disease. For more information, see the CKS topic on Chronic kidney disease - not diabetic.
© NHS Institute for Innovation and Improvement