November 2012 Moms

urine collection for 24 hours?

I am in the process of doing the weirdest test I have ever heard of.  I have to collect every drop of urine for the next 24 hours and bring it to the lab.  It is because I was diagnosed with high blood pressure at the perinatologists yesterday.  Has anyone had to do this and what is creatine?
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Re: urine collection for 24 hours?

  • I had too do it twice with DS. It's not that bad just a little gross that you have to keep it cold until you turn it in. In the middle of night it is kinda a pain in the ass to go get the container too lol. Other than that it's no big deAl.
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  • Creatine is used to verify your kidney function
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  • My mother had to do a 24-hour urine collection a couple times while I was still living with my parents.  Yeah, it seems like kind of a weird test if you haven't done it before, but basically it's supposed to give more meaningful test results than a single one-time urine sample.
  • I did this when I wasn't pregnant about a year ago to rule out kidney issues for other health symptoms. I agree it is a complete pain and you feel silly carrying a jug to the bathroom with you each time you go. Luckily only my dh saw me so it wasn't too big a deal. Prior to doing this I had never heard of it being done. 
  • I had to do this with DS. It was to check to see if there was protein in my urine to see if I had pre-eclampsia. I had high blood pressure and lots of swelling.
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  • Creatinine, not creatine. Creatine is a banned dietary supplement used by athletes who are roiding. It is also made by your body's muscles. 

    A 24 hour urine looks at the amount of protein your kidneys allow to pass through them during that period of time. It's more accurate than a urine dip because the protein changes at any given point in time. The more protein in the urine, the more kidney damage. This test is used in hypertension, pre-eclampsia, kidney transplant, and kidney failure patients. And lupus. If you have a disease listed above before pregnancy, they want a baseline to see how it changes if you appear to be worsening later on. For most people, except those starting with a higher number, 300mg is the cut off for pre-eclampsia, which is what the test is most often used for. These conditions have a higher risk for pre-e so they all should get it. Severe pre-e is diagnosed when protein is greater than 5g (5000mg). To have pre-e, you must also have elevated bp and sometimes other lab abnormalities. Creatinine is a marker of kidney function and is often elevated in pre-e. 

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  • I have to do mine too. I too have HB and well, it sucks but it's only 24hrs. I will start mine sat and finish Sunday =)
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  • Oh ok well that makes sense.  I wish they had explained all this too me.  They drew blood too when I dropped it off which I was not expecting.  I think me and this dr are going to have to have a talk about them explaining things a little better.  I hate not knowing.. But thanks for the info.  It makes me feel a little better.
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