Friday, 6 November 2015

Pre-eclampsia

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)
 ðŸŒ€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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