Faizah -
Q : how to determine severity of pre-eclampsia?
A : The source for my answer before is from medscape.
This is from CPG/H015: Hypertension in Pregnancy – Hypertensive Disorders (2011)
Pre-eclampsia (PE) : is a multisystem disorder arising after 20 weeks gestation. The usual manifestation is hypertension and protienuria, although proteinuria is not mandatory in order to confirm the diagnosis. 📎Classification
🌀Mild to moderate : Defined as systolic blood pressure of 140mmHg and/or diastolic blood pressure of 90 mmHg or higher measured on at least two occasions over 4 hours, combined with protienuria >300 mg total protein in a 24 hour urine collection, or ratio or protein to creatinine >30 mg/mmol)
🌀Severe pre-eclampsia : Defined as a systolic blood pressure of 160 mmHg and/or diastolic blood pressure or 110mmHg or higher measured on at least two occasions over 4 hours, combined with protienuria >300mg total protein in a 24 hour urine collection, or ratio of protein to creatinine >30mg mmol and usually accompanied by other haematological, neurological, hepatic or renal derangement. The diagnosis may also be considered with lesser degrees of hypertension in women who have clinical features and/or haematological derangement.
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