B.Severe Pre-eclampsia.The following criteria areused to confirm the diagnosis of severe pre-eclampsia a.BP during bed rest of 160 mm Hg systolic or 110mm Hg diastolic,measured on two occasions at least6hours apart but no morethan 7 days apart,and/orb.Proteininuriagreater than5gina 24-hourcollection even if associated with Bps in the mild rangeUrine dipstick should not beused for diagnosis; or
B. Severe Pre-eclampsia. The following criteria are used to confirm the diagnosis of severe pre-eclampsia: a. BP during bed rest of 160 mm Hg systolic or 110 mm Hg diastolic, measured on two occasions at least 6 hours apart but no more than 7 days apart; and/or b. Protein in uria greater than 5 g in a 24-hour collection even if associated with Bps in the mild range. Urine dipstick should not be used for diagnosis; or
c. Elevated BP (mild or severe) accompanied byany of the following:Oliguria, indicated by a 24-hour urineoutputof less than 500 mLCerebral or visual disturbances,includingaltered consciousness,headache, scotomata,blurred vision, or some combination of thesePulmonaryedema
c. Elevated BP (mild or severe) accompanied by any of the following: Oliguria, indicated by a 24-hour urine output of less than 500 mL Cerebral or visual disturbances, including altered consciousness, headache, scotomata, blurred vision, or some combination of these Pulmonary edema
Epigastric or right upper quadrant pain associatedwith impaired liver function without a known cause,indicatedbyelevated serumlivertransaminasesThrombocytopenia, indicated by a platelet count lowerthan100,000/mm3Evidence of microangiopathic hemolytic anemia, suchas abnormal findings onperipheral smear,increasedbilirubin level, or elevated lactate dehydrogenase (LDH)
Epigastric or right upper quadrant pain associated with impaired liver function without a known cause, indicated by elevated serum liver transaminases Thrombocytopenia, indicated by a platelet count lower than 100,000/mm3 Evidence of microangiopathic hemolytic anemia, such as abnormal findings on peripheral smear, increased bilirubin level, or elevated lactate dehydrogenase (LDH)
C.HELLP syndrome.A variant of severe pre-eclampsia when the following criteria are present (1)[Note:Hypertensionmaybeabsent (12%to 18%)mild (15% to 50%), or severe (50%). Proteinuria maybe absent as well (13%).)Thrombocytopenia. A platelet count of less than100,000/mm3isthemostconsistentfinding inHELLP syndrome.Hemolysis is defined as the presence of abnormalperipheral smear results with burr cells andschistocytes, elevated indirect bilirubin level, and LDHlevel orlow serumhaptoglobin levels.Hematocrit willdrop as well.Elevated liver function testresults
C. HELLP syndrome. A variant of severe preeclampsia when the following criteria are present (1). [Note: Hypertension may be absent (12% to 18%), mild (15% to 50%), or severe (50%). Proteinuria may be absent as well (13%).] Thrombocytopenia. A platelet count of less than 100,000/mm3 is the most consistent finding in HELLP syndrome. Hemolysis is defined as the presence of abnormal peripheral smear results with burr cells and schistocytes, elevated indirect bilirubin level, and LDH level or low serum haptoglobin levels. Hematocrit will drop as well. Elevated liver function test results
3.EclampsiaEclampsia is generallydefined as pre-eclampsiaaccompanied by convulsions and/orunexplained coma.However, eclampsia maydevelop in the absence of hypertension (16%)orproteinuria(14%)(2)
3.Eclampsia Eclampsia is generally defined as pre-eclampsia accompanied by convulsions and/or unexplained coma. However, eclampsia may develop in the absence of hypertension (16%) or proteinuria (14%) (2)