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 progr...

Preeclampsia diagnosis:

• New-onset elevated BP: SBP ≥140 mm Hg or DBP ≥90 mm Hg (on two occasions at least 4 hours apart) or ≥160/110 mm Hg after 20 weeks of gestation (within a shorter inte...

Preeclampsia without severe features:

• Outpatient care

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

• Fetal:

  • Patie...

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

Women with a history of preeclampsia shou...

American College of Obstetricians and Gynecologists. ACOG committee opinion no. 560: medically indicated late-preterm and early-term deliveries. Obstet Gynecol.  2013;121(4):90...

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...

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

Diagnosis no longer requires presence of proteinuria.

Low-dose ASA starting in early pre...