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. Author manuscript; available in PMC: 2018 Apr 1.
Published in final edited form as: Pregnancy Hypertens. 2017 Feb 17;8:21–25. doi: 10.1016/j.preghy.2017.02.002

Table 1.

Definitions of preeclampsia

Blood Pressure Criteria End Organ Criteria
Historic ACOG preeclampsia Defintion from Practice Bulletin 33-January, 2002(11)
  • Blood pressure of ≥140 mm Hg systolic or ≥90 mm Hg diastolic after 20 weeks of gestation in a woman with previously normal blood pressure


Severe Preeclampsia-one or more of the bolded items:
  • 160 mm Hg systolic or ≥110 mm Hg diastolic on two occasions at least 6 hours apart while the patient is on bedrest

  • 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

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

Proteinuria
  • Greater than or equal to 300 mg per 24-hour urine collection

  • Protein/creatinine ratio≥0.3

  • Dipstick reading of 1+

OR
In the absence of proteinuria, new-onset hypertension with the new onset of any of the following:
  • Thrombocytopenia

  • Renal insufficiency

  • Impaired liver function

  • Pulmonary edema

  • Cerebral or visual symptoms

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:
  1. Proteinuria

  2. Other maternal organ dysfunction
    • Renal insufficiency (Creatinine≥90 umol/L)
    • Liver involvement (elevated transaminases and/or severe right upper quadrant or epigastric pain)
    • Neurological complications
    • Hematological complications
  3. Uteroplacental dysfunction

  4. Fetal growth restriction

Bolded Items denote severe forms of disease