Table 1.
Term | Definition |
Gestational hypertension | Blood pressure ≥ 140/90 mmHg first time during pregnancy Blood pressure returns to normal 12 weeks postpartum |
Preeclampsia | Minimum criteria |
Blood pressure ≥ 140/90 mmHg after 20 weeks of gestation | |
Proteinuria ≥300 mg/24 hours or +1 dipstick | |
Increased certainty of preeclampsia | |
Blood pressure ≥ 160/110 mmHg | |
Proteinuria 2.0 g/24 hours or +2 dipstick | |
Serum creatinine >1.2 mg/dl (new onset) | |
Platelets <100,000/mm3 | |
Microangiopathic hemolysis (increased LDH) | |
Elevated ALT or AST | |
Persistent headaches or other cerebral or visual disturbance | |
Persistent epigastric pain | |
HELLP syndrome (old terminology) | Hemolysis, Elevated Liver functions, Low Platelets |
Eclampsia | Preeclampsia plus seizures |
Superimposed preeclampsia (on chronic hypertension) | New onset proteinuria ≥300 mg/24 hours in hypertensive women but no proteinuria before 20 weeks of gestation Sudden increase in proteinuria or blood pressure or platelet count <100,000/mm3 in women with hypertension and proteinuria before 20 weeks of gestation |
Chronic hypertension | Blood pressure ≥ 140/90 mmHg before pregnancy or diagnosed before20 weeks of gestation not attributable to gestational trophoblastic disease Or Hypertension first diagnosed after 20 weeks of gestation and persistent after 12 weeks postpartum |
ALT, alanine aminotransferase; AST, aspartate aminotransferase; LDH, lactate dehydrogenase.