Abstract
I would like to thank Dr Bartal and colleagues1 for their excellent expert review regarding proteinuria in pregnancy. I agree with the authors’ opinion that there is no strong evidence of the utility of urinary protein assessment in pregnancy. They provide 3 exceptions, 1 of which is “if a woman presents with preeclamptic symptoms such as headache, blurry vision, and epigastric pain and is found to have normal or high normal blood pressures.” They suggest that “assessment of proteinuria would help to evaluate a possible diagnosis of preeclampsia.” I would like to ask the authors to provide some guidance as to how such a woman would be evaluated or managed any differently if she had proteinuria vs if she did not have proteinuria.
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