Preeclampsia and Eclampsia (Toxemia of Pregnancy)

Preeclampsia:

• A disorder of pregnancy occurring after 20 weeks’ gestation characterized by new-onset hypertension (HTN), new-onset proteinuria, ± impaired organ function:

  • May progress ...

Preeclampsia diagnosis:

• New-onset elevated blood pressure (BP): systolic BP (SBP) ≥140 mm Hg or diastolic BP (DBP) ≥90 mm Hg (on two occasions at least 4 hours apart) or ≥160/110 mm Hg after ...

Preeclampsia without severe features:

• Outpatient care

• Maternal: daily home BP monitoring; daily weights; weekly labs (CBC, creatinine, liver function test [LFT])

• Fetal:

  • Patient-m...

Without severe features: restricted activity and close monitoring; with severe features: restricted activity, in hospital

Women with a history of preeclampsia shou...

Abalos E, Duley L, Steyn DW. Antihypertensive drug therapy for mild to moderate hypertension during pregnancy. Cochrane Database Syst Rev.  2014;(2):CD002252. [View Abstract on...

O14.90 Unspecified pre-eclampsia, unspecified trimester

O15.00 Eclampsia in pregnancy, unspecified trimester

O14.00 Mild to moderate pre-eclampsia, unspecified trimester

O14.10 Severe pre-ecla...

Diagnosis no longer requires presence of proteinuria.

Management of preeclampsia depends on both the severity of the condition and the GA of the fetus.

Magnesium sulfate is the treatment...