What are the severe features of preeclampsia according to ACOG?

What are the severe features of preeclampsia according to ACOG?

A systolic blood pressure of 140 mm Hg or higher or a diastolic blood pressure of 90 mm Hg or higher occurring after 20 weeks of gestation in a woman whose blood pressure has previously been normal; Proteinuria, with excretion of 0.3 g or more of protein in a 24-hour urine specimen.

What indicates severe preeclampsia?

Preeclampsia is defined by the new onset of elevated blood pressure and proteinuria after 20 weeks of gestation. It is considered severe if blood pressure and proteinuria are increased substantially or symptoms of end-organ damage (including fetal growth restriction) occur.

What criteria are used to diagnose severe preeclampsia?

In addition to the blood pressure criteria, proteinuria of greater than or equal to 0.3 grams in a 24-hour urine specimen, a protein (mg/dL)/creatinine (mg/dL) ratio of 0.3 or higher, or a urine dipstick protein of 1+ (if a quantitative measurement is unavailable) is required to diagnose preeclampsia.

What is superimposed preeclampsia with severe features?

Superimposed preeclampsia is preeclampsia complicating hypertension of another cause, most commonly chronic or “essential” hypertension.

What causes preeclampsia in third trimester?

Many experts think preeclampsia and eclampsia happen when a woman’s placenta doesn’t work the way it should, but they don’t know exactly why. Some think poor nutrition or high body fat might contribute. A lack of blood flow to the uterus could play a role. Genes are also a factor.

What is preeclampsia without severe features?

It’s called preeclampsia without severity feature in the absence any of the following features: cerebral symptoms (like visual disturbance, headache), right upper quadrant or epigastric pain, serum transaminase concentration ≥ twice normal, systolic blood pressure ≥160 mm Hg, and or diastolic blood pressure ≥110 mm Hg …

What labs do you look at for preeclampsia?

If your doctor suspects preeclampsia, you may need certain tests, including:

  • Blood tests. Your doctor will order liver function tests, kidney function tests and also measure your platelets — the cells that help blood clot.
  • Urine analysis.
  • Fetal ultrasound.
  • Nonstress test or biophysical profile.

What are the symptoms and signs of preeclampsia with severe features?


  • Excess protein in your urine (proteinuria) or additional signs of kidney problems.
  • Severe headaches.
  • Changes in vision, including temporary loss of vision, blurred vision or light sensitivity.
  • Upper abdominal pain, usually under your ribs on the right side.
  • Nausea or vomiting.
  • Decreased urine output.