Abstract:
Objective: To determine the efficacy of urine dipstick in Pre-eclamplasia.
Study Design and Setting: This was a cross-sectional study conducted at the department of obstetrics & gynecology of
a tertiary care hospital from May-2017 to September-2018.
Methods: All the pregnant women of age 15-45 years, BP=140/90 mmHg on two occasions 4 hours apart or single diastolic
value of 100 mmHg, gestational age >20 weeks, singleton pregnancy, booked in first trimester of pregnancy were included
in the study. Statistical package SPSS 22 was used for the analysis of data chi-square tests were applied for the diagnostic
accuracy of urine dipstick in detection of Pre-eclampsia in pregnant women. P-value was <0.05 was considered as significant.
Results: Total 211 pregnant women were enrolled in the study. Mean (SD) age was 28.26(3.86) years. Overall sensitivity
and specificity of urine dipstick was found to be 94% and 95.4% respectively, positive predictive value 95%, negative
predictive value 94.5% and excellent diagnostic accuracy 94.7% of urine dipstick was observed for the diagnosis of spot
urine protein creatinine ratio
CONCLUSION: Urine dipstick found to be sensitive and reliable test to screen pre-eclampsia