Review Note
Last Update: 10/04/2024 11:04 AM
Current Deck: SC1 OBGYN::OG5 Intrapartum and Postpartum Care::OG5.6 Obstetric emergencies
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Diagnostic Criteria for Preeclampsia
Blood pressure
{{c1::·Systolic blood pressure of 140 mm Hg or more or diastolic blood pressure of 90 mm Hg or more on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure}}
{{c1::·Systolic blood pressure of 160 mm Hg or more or diastolic blood pressure of 110 mm Hg or more. (Severe hypertension can be confirmed within a short interval (minutes) to facilitate timely antihypertensive therapy).::severe}}
Extra
Diagnostic Criteria for Preeclampsia
Blood pressure
·Systolic blood pressure of 140 mm Hg or more or diastolic blood pressure of 90 mm Hg or more on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure
·Systolic blood pressure of 160 mm Hg or more or diastolic blood pressure of 110 mm Hg or more. (Severe hypertension can be confirmed within a short interval (minutes) to facilitate timely antihypertensive therapy).
and
Proteinuria
·300 mg or more per 24 hour urine collection (or this amount extrapolated from a timed collection) or
·Protein/creatinine ratio of 0.3 mg/dL or more or
·Dipstick reading of 2+ (used only if other quantitative methods not available)
Or in the absence of proteinuria, new-onset hyper- tension with the new onset of any of the following:
·Thrombocytopenia: Platelet count less than 100,000 3 109/L
·Renal insufficiency: Serum creatinine concentrations greater than 1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease
·Impaired liver function: Elevated blood concentrations of liver transaminases to twice normal concentration
·Pulmonary oedema
·New-onset headache unresponsive to medication and not accounted for by alternative diagnoses or visual symptoms
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