Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • previously normotensive
  • BP ≥140/90 mmHg

Other diagnostic factors

  • >20 weeks' gestation
  • absence of symptoms that suggest preeclampsia

Risk factors

  • nulligravidity
  • black or Hispanic ethnicity
  • multiple pregnancies
  • obesity
  • mother small for gestational age
  • type 1 diabetes mellitus
  • migraine

Diagnostic investigations

1st investigations to order

  • urinalysis
  • CBC
  • LFTs
  • electrolytes, BUN, creatinine
  • uric acid
Full details

Investigations to consider

  • 24-hour BP monitoring
  • fetal ultrasound
  • proteinuria (24-hour urine collection)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Board-certified, General Preventive Medicine & Public Health

Preventive Medicine Consultants, PLLC

Scottsdale

AZ

Disclosures

AS declares that she has no competing interests.

Peer reviewers VIEW ALL

Associate Professor of Medicine

Boston University School of Medicine

Boston

MA

Disclosures

CA declares that she has no competing interests.

Professor of Obstetrics and Gynaecology

St James's University Hospital

Leeds

UK

Disclosures

JW declares that he has no competing interests.

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