Historic ACOG preeclampsia Defintion from Practice Bulletin 33-January, 2002(11) |
Severe Preeclampsia-one or more of the bolded items:
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Proteinuria, defined as urinary excretion of 0.3 g protein or higher in a 24 hour urine specimen
Proteinuria of 5 g or higher in a 24 hour urine specimen or 3+ or greater on two random urine samples collected at least 4 hours apart
Oliguria of less than 500 mL in 24 hours
Cerebral or visual disturbances
Pulmonary edema or cyanosis
Epigastric or right upper quadrant pain
Impaired liver function
Thrombocytopenia
Fetal growth restriction
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ACOG Hypertension in Pregnancy Task Force Preeclampsia Definition November, 2013(1) |
≥140 mm Hg systolic or ≥90 mm Hg diastolic on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure
≥160 mm Hg systolic or ≥110 mm Hg diastolic, hypertension can be confirmed within a short interval (minutes) to facilitate timely antihypertensive therapy
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Proteinuria
OR In the absence of proteinuria, new-onset hypertension with the new onset of any of the following:
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ISSHP Preeclampsia definition February, 2014(2) |
Hypertension developing after 20 weeks gestation and the coexistence of one or more of the following new onset conditions: |
Proteinuria
Other maternal organ dysfunction
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Renal insufficiency (Creatinine≥90 umol/L)
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Liver involvement (elevated transaminases and/or severe right upper quadrant or epigastric pain)
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Neurological complications
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Hematological complications
Uteroplacental dysfunction
Fetal growth restriction
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