Last reviewed: 25 Aug 2021
Last updated: 29 Jan 2020

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
  • 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

Investigations to consider

  • 24-hour BP monitoring
  • fetal ultrasound
  • proteinuria (spot testing, 24-hour urine collection)

Treatment algorithm

Contributors

Authors

Aparna Sundaram, DO, MBA, MPH

Board-certified, General Preventive Medicine & Public Health

Preventive Medicine Consultants, PLLC

Peoria

AZ

Disclosures

AS declares that she has no competing interests.

Peer reviewers

Caroline Apovian, MD

Associate Professor of Medicine

Boston University School of Medicine

Boston

MA

Disclosures

CA declares that she has no competing interests.

James Walker, MD, FRCP(Glas), FRCP(Edin), FRCOG

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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