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Hypertension in pregnancy - Management
Basis for recommendation
- Considering possible urinary tract infection (UTI)
- It is good clinical practice to consider possible UTI in a woman who is pregnant and has a positive dipstick for protein. However, it should be noted that although protein may occur in the urine of women with a UTI, the presence of protein does not independently predict a UTI [Little et al, 2009]. For detailed information on the diagnosis of UTI, see the CKS topic on Urinary tract infection (lower) - women.
- Assessing for chronic kidney disease
- National guidelines on early identification and management of chronic kidney disease recommend that all people with an incidental finding of proteinuria or haematuria (not due to UTI) should be tested for possible chronic kidney disease, and underlying medical conditions should be considered [NICE, 2008a]. For further information, see the CKS topic on Chronic kidney disease - not diabetic.
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