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2026, Vol: 51, Issue: 1
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Original Research 


Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset

Diana Zakiyah Rahmah, Agus Sulistyono, M. Ilham Aldika Akbar.


Abstract
Objective: To evaluate the urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early (EOP) versus late (LOP) onset.
Methodology: This prospective cohort study at Dr. Soetomo General Hospital enrolled 60 women with preeclampsia, divided into EOP (<34 weeks) and LOP (≥34 weeks) groups. Urinary PCR and albumin creatinine ratio (ACR) levels, as well as blood pressure, were measured before delivery and again 3-6 months postpartum. Data were analysed using appropriate statistical tests.
Results: PCR and ACR decreased significantly postpartum in both groups (p<0.01). The decrease was greater in LOP (ΔPCR=25.4, ΔACR=23.9 mg/mmol) than EOP (ΔPCR=10.77, ΔACR=11.94 mg/mmol; p=0.035 and p=0.014, respectively).
Conclusion: Postpartum PCR and ACR monitoring showed better renal recovery in late-onset than early-onset preeclampsia. These markers help identify patients at risk of persistent renal impairment, highlighting the importance of postpartum screening, especially in early-onset cases.

Key words: PCR, ACR, early onset preeclampsia, late onset preeclampsia, renal function, postpartum


 
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How to Cite this Article
Pubmed Style

Rahmah DZ, Sulistyono A, Akbar MIA. Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. RMJ. 2026; 51(1): 78-81. doi:10.5455/rmj.20250625051528

Web Style

Rahmah DZ, Sulistyono A, Akbar MIA. Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. https://www.rmj.org.pk/?mno=266706 [Access: February 25, 2026]. doi:10.5455/rmj.20250625051528

AMA (American Medical Association) Style

Rahmah DZ, Sulistyono A, Akbar MIA. Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. RMJ. 2026; 51(1): 78-81. doi:10.5455/rmj.20250625051528


Vancouver/ICMJE Style

Rahmah DZ, Sulistyono A, Akbar MIA. Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. RMJ. (2026), [cited February 25, 2026]; 51(1): 78-81. doi:10.5455/rmj.20250625051528


Harvard Style

Rahmah, D. Z., Sulistyono, . A. & Akbar, . M. I. A. (2026) Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. RMJ, 51 (1), 78-81. doi:10.5455/rmj.20250625051528


Turabian Style

Rahmah, Diana Zakiyah, Agus Sulistyono, and M. Ilham Aldika Akbar. 2026. Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. Rawal Medical Journal, 51 (1), 78-81. doi:10.5455/rmj.20250625051528


Chicago Style

Rahmah, Diana Zakiyah, Agus Sulistyono, and M. Ilham Aldika Akbar. "Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset." Rawal Medical Journal 51 (2026), 78-81. doi:10.5455/rmj.20250625051528


MLA (The Modern Language Association) Style

Rahmah, Diana Zakiyah, Agus Sulistyono, and M. Ilham Aldika Akbar. "Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset." Rawal Medical Journal 51.1 (2026), 78-81. Print. doi:10.5455/rmj.20250625051528


APA (American Psychological Association) Style

Rahmah, D. Z., Sulistyono, . A. & Akbar, . M. I. A. (2026) Urinary protein and albumin creatinine ratio for monitoring renal function recovery in women with preeclampsia and eclampsia: early versus late onset. Rawal Medical Journal, 51 (1), 78-81. doi:10.5455/rmj.20250625051528


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