Morgan Cooper34 said:I’m looking for some input here:
Before getting pregnant, I was showing protein in my urine (+). Once I hit the third month, my OB/GYN sent me to a urologist for advice. Both the urologist and the nephrologist recommended a low-sodium diet, reducing my protein intake, checking my blood pressure daily, and watching for any swelling in my eyes, hands, or feet.
I’m now entering my eighth month. I normally have low blood pressure, so even now, it hasn't climbed above 130/70 (even when I'm active)—it usually sits around 110/60. My hands don't swell; my legs occasionally do if I sit at work for a few hours without walking, but mostly they stay fine.
Just as a routine check, I mentioned the protein levels to my doctor, and she had me do a 24-hour urine collection. Here are the results:
(I think these are the blood work results)
Urea 0.9 (ref. range 1.7-8.3 mmol/L)
Creatinine 74
Total proteins 67
Albumin 36
Globulins 31
Total protein in daily urine 0.052 (0.080-0.149)
dU Protein conc. 0.021 (0.050-0.119)
Creatinine clearance 0.78 (1.0-2.8)
dU Creatinine conc 2010 (7000-25000)
Diuresis 2490 (1000 - 2000)
Are these normal numbers for someone following the diet I've been prescribed? I have to wait a few days for my doctor to review them, but I have to admit, seeing values this low is making me anxious.
Thanks in advance.
Edit: Just to add, I drink at least 2 liters of water during the day, plus about 0.5 liters of tea (chamomile, cranberry—I've been dealing with a bit of a cold the last couple of months), along with a glass or two of lemonade or fresh juice. So, I'm drinking at least 3 liters of fluid total. Could that influence the results?
The nurse at the hospital where I was monitored (given the risk of recurring preeclampsia and HELLP syndrome) told me that by flushing your system with water, you can actually get better readings on the 24-hour urine and creatinine clearance... based on your diuresis, if her claim is right, it's possible that's what pulled your otherwise normal levels down. Personally, I think around 2.5 L of fluid a day is plenty. You shouldn't overdo it.
If your platelets and liver enzymes look good, I don't think there's cause for concern. If you suddenly start gaining weight rapidly or notice facial swelling, that could indicate an issue.
EDIT: God forbid anything actually goes wrong and an emergency delivery becomes necessary; at 8 months, there shouldn't be major issues with the baby. My second child was born at 34 weeks and everything turned out fine—the birth weight was solid enough that there was no need for an incubator or a warmer.