Table 3 Criteria to classify the hypertensive disorders of pregnancy Second and third levels of care. Responsible: Ob/gyn physician. Please also refer to Figure 3.
CHARACTERISTIC | BLOOD PRESSURE | CLINICAL DATA One or more of the following symptoms |
|---|---|---|
Without severe Conditions | ||
Mild Preeclampsia | DBP ≥ 90 to < 110 mm Hg MAP ≥ 106 to < 126 | Mild symptoms such as headache, nausea etc. or No symptoms Protein excretion in 24-h urine collection > 0.3 g to < 3 g |
With severe Conditions | ||
Severe Preeclampsia | DBP ≥ 110 mm Hg MAP >126 mm Hg | Frontal headache, Blurred vision, severe nausea and vomiting, persistence of abdominal pain (right upper quadrant), dizziness, tinnitus, drowsiness; and/or ONE of the following: Elevated liver enzymes Thrombocytopenia (< 100,000 × 109/L) Oliguria (< 500 ml/d) Proteinuria > 3 g |
Severe Morbidity | DBP ≥ 90 mm Hg | Same conditions as above and/or: Convulsions (eclampsia) HELLP syndrome Abruptio placentae Pulmonary oedema Deterioration in the level of consciousness Coma Acute renal failure Cerebral bleeding Disseminated intravascular coagulation Adult progressive respiratory distress syndrome Hepatic bleeding |