MICRO-ALBUMINURIA AT MID PREGNANCY IN THE PREDICTION OF PREECLAMPSIA

Background: Proteinuria has classically been an important finding in the diagnosis of preeclampsia and eclampsia, so in our study we use measearing microalbuminuria as a predictor of preeclampsia. Objective: To evaluate microalbuminuria at mid pregnancy,  as a predictor of preeclampsia. Patients and Methods: This prospective observational study was carried out on 200 normotensive women, aged 18-35years, and live singleton pregnancy between 24-28 weeks at Embaba General Hospital during the period between April 2019 and February 2020. Microalbuminuria was measured in urine samples of the first micturition of the day. All were followed till delivery. Results: Negative microalbuminuria was present in 154 patients, 6 (3.89%) developed preeclampsia. Forty six women had positive microalbuminuria and 12 (26%) of them developed preeclampsia. The sensitivity was 66.7%, specificity 81.3%, the positive predictive value was 26.1%, and the negative predictive value was 96.1%. Conclusion: Microalbuminuria at mid pregnancy could be a significant predictor of preeclampsia.