Urine Protein Test Results During Pregnancy: What +30 Means - Obstetrics and Gynecology

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Urine protein testing during pregnancy?


I am currently 28 weeks pregnant and went for a prenatal check-up at the hospital.
This time, the urine protein test result showed +30.
What does this mean, and should I be concerned?

A-Hui, 30~39 year old female. Ask Date: 2012/12/28

Dr. Lin Wenbin reply Obstetrics and Gynecology


At 28 weeks of pregnancy, positive urine protein, edema, and high blood pressure may be signs of preeclampsia.
Please contact your physician as soon as possible.

Reply Date: 2012/12/28

More Info


When you are pregnant, monitoring urine protein levels is an important part of prenatal care. A urine protein test is often conducted to assess kidney function and to screen for conditions such as preeclampsia, which can pose risks to both the mother and the baby.
In your case, a result of +30 for urine protein indicates that there is a significant amount of protein present in your urine. This result is measured using a semi-quantitative scale, where the "+" signs represent the amount of protein detected. Typically, a result of +1 (or +30) suggests that there is a moderate level of protein in your urine.
Normal urine protein levels during pregnancy should be low, generally less than 300 mg in a 24-hour urine collection. A result of +30 could indicate that you are experiencing proteinuria, which is the presence of excess protein in the urine. While some protein in the urine can be normal, especially during pregnancy, elevated levels can be a sign of underlying issues.

One of the primary concerns with elevated urine protein levels during pregnancy is the risk of preeclampsia, a condition characterized by high blood pressure and damage to other organ systems, often the kidneys. Preeclampsia typically occurs after the 20th week of pregnancy and can lead to serious complications if not monitored and managed appropriately. Symptoms of preeclampsia can include high blood pressure, swelling, sudden weight gain, and headaches.
Given your result of +30, it is crucial to discuss this finding with your healthcare provider. They may recommend further testing, such as a 24-hour urine collection to measure the exact amount of protein being excreted, or additional blood tests to assess kidney function and check for signs of preeclampsia.
In addition to monitoring protein levels, your doctor may also check your blood pressure regularly and look for any other symptoms that could indicate preeclampsia or other complications. If you experience any sudden swelling, severe headaches, or changes in vision, it is important to seek medical attention immediately.

In summary, a urine protein test result of +30 during pregnancy warrants further evaluation. While it may not necessarily indicate a serious problem, it is essential to follow up with your healthcare provider to ensure both your health and the health of your baby. Regular monitoring and open communication with your healthcare team are key components of a healthy pregnancy, especially when any abnormalities are detected.

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