{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T17:14:06Z","timestamp":1765041246621,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1084318"],"award-info":[{"award-number":["OPP1084318"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop evidence\u2010based clinical algorithms for management of common intrapartum urinary abnormalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with singleton, term pregnancies in active labour and immediate postnatal period, at low risk of complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Healthcare facilities in low\u2010 and middle\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>A systematic search and review were conducted on the current guidelines from WHO, NICE, ACOG and RCOG. Additional search was done on PubMed and The Cochrane Database of Systematic Reviews up to May 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case scenarios<\/jats:title><jats:p>Four common intrapartum urinary abnormalities were selected: proteinuria, ketonuria, glycosuria and oliguria. Using reagent strip testing, glycosuria was defined as \u22652+ on one occasion or of \u22651+ on two or more occasions. Proteinuria was defined as \u22652+ and presence of ketone indicated ketonuria. Oliguria was defined as hourly urine output \u226430\u2009ml. Thorough initial assessment using history, physical examination and basic investigations helped differentiate most of the underlying causes, which include diabetes mellitus, dehydration, sepsis, pre\u2010eclampsia, shock, anaemia, obstructed labour, underlying cardiac or renal problems. A clinical algorithm was developed for each urinary abnormality to facilitate intrapartum management and referral of complicated cases for specialised care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Four simple, user\u2010friendly and evidence\u2010based clinical algorithms were developed to enhance intrapartum care of commonly encountered maternal urine abnormalities. These algorithms may be used to support healthcare professionals in clinical decision\u2010making when handling normal and potentially complicated labour, especially in low resource countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Evidence\u2010based clinical algorithms developed to guide intrapartum management of commonly encountered urinary abnormalities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16726","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T03:54:11Z","timestamp":1649822051000},"page":"79-89","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical algorithms for the management of intrapartum maternal urine abnormalities"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1207-6494","authenticated-orcid":false,"given":"KW","family":"Cheung","sequence":"first","affiliation":[{"name":"The Fetal Medicine Centre Birmingham Women\u2019s and Children\u2019s Foundation Trust  Edgbaston Birmingham B15 2TG UK"},{"name":"Department of Obstetrics and Gynaecology Queen Mary Hospital The University of Hong Kong  Hong Kong City Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LN","family":"Tan","sequence":"additional","affiliation":[{"name":"The Fetal Medicine Centre Birmingham Women\u2019s and Children\u2019s Foundation Trust  Edgbaston Birmingham B15 2TG UK"},{"name":"Department of Obstetrics and Gynaecology Hospital Tunku Azizah  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Meher","sequence":"additional","affiliation":[{"name":"The Fetal Medicine Centre Birmingham Women\u2019s and Children\u2019s Foundation Trust  Edgbaston Birmingham B15 2TG UK"},{"name":"Institute of Metabolism and Systems Research University of Birmingam  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the WHO Intrapartum Care Algorithms Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30385-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.127464"},{"volume-title":"Managing Complications in Pregnancy and Childbirth: A\u00a0Guide for Midwives and Doctors","year":"2017","author":"World Health Organization, UNICEF, United Nations Population Fund","key":"e_1_2_6_4_1"},{"key":"e_1_2_6_5_1","unstructured":"World Health Organization.Managing Prolonged and Obstructed Labour. 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