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Criteria to classify the hypertensive disorders of pregnancy Second and third levels of care. Responsible: Ob/gyn physician. Please also refer to Figure 3. |
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| CHARACTERISTIC |
BLOOD PRESSURE |
CLINICAL DATA One or more of the following symptoms |
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| Without severe Conditions |
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| 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 |
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| With severe Conditions |
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| 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 |
Perez-Cuevas et al. BMC Pregnancy and Childbirth 2003 3:6 doi:10.1186/1471-2393-3-6 |
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