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. 2006 Dec;4(4):310–321. doi: 10.3121/cmr.4.4.310

Table 1.

Hypertensive complications of pregnancy.16

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.