Patient's question:
Medical Description: 38 weeks and 3 days pregnant, experiencing edema in the feet, blood pressure measured at 80/120 (no usual dizziness or nausea symptoms), urine test showing 3+ proteinuria. Ultrasound results were normal for all parameters. Is this condition likely to affect the baby? Does it require hospitalization? The doctor recommended a 24-hour urine test. If the proteinuria remains high, hospitalization for cesarean section or induction of labor is necessary, which sounds quite frightening because I have always wanted a natural vaginal delivery. Please advise the expert, is my condition serious?History of Treatment and Effect: Previous check-ups were normal. What help do I need? Please advise the expert, is my condition serious? Can the baby be delivered naturally? Will this continue to affect the little one?
Doctor's answer:
After pregnancy, the burden on the pregnant woman's kidneys increases, causing some changes in the kidneys that affect renal function. Common causes of proteinuria include: preeclampsia, nephritis, and others. Preeclampsia is the most common disease affecting maternal and fetal health in China. Its impact on the fetus includes: slowing fetal growth and development, making it prone to hypoxia in the uterine cavity, and even leading to premature birth and stillbirth.Advice: If possible, it could be due to preeclampsia or chronic nephritis. It is important to identify the cause. We recommend checking your blood pressure, blood routine, urine routine, 24-hour urine protein quantification, liver and kidney function tests again in two days. If proteinuria is still positive, pay attention to the following in daily life: ensure adequate sleep and rest (at least 10 hours a day), prefer sleeping on your left side, avoid fatigue, cold, and infection. Control protein intake to 0.5-0.8 grams per kilogram of body weight per day, choosing high-quality proteins rich in essential amino acids, such as milk, lean meat, and eggs. Pay attention to a low-sodium, low-fat diet. If possible, measure your blood pressure at home (three times a day: morning, noon, and evening), appropriately increase the frequency of prenatal check-ups, and seek medical attention immediately if you experience abdominal discomfort, headaches, or convulsions.