first onset in gestational period and recover within 12 weeks post partum
2、Urine protein negative
3、Patients may superimpose upper abdo- minal pain and thrombocytopenia
4、Final diagnosis should be made post partum
Chronic Hypertension
1、BP≥140/90mmHg before pregnancy or diagnosed before 20 weeks’
gestation
2、Hypertension first diagnosed after 20 weeks’ gestation and
persistent after 12 weeks’ postpartum
Preeclampsia
Pre-eclampsia superimposed upon
chronic hypertension
New-onset proteinuria ≥300mg/24 hours in
hypertensive women ,but no proteinuria
before 20 weeks’ gestation;
A sudden increase in proteinuria or blood pressure or platelet
count< 100,000 /mm3 in women with hypertension and proteinuria,
before 20 weeks’ gestation
PreEClampsia Pathology
Pathology
Preeclampsia
Minimum criteria:
1、Proteinuria ≥300mg/24 hours or ≥1+ dipstick
2、BP≥140/90mmHg after 20 weeks’ gestation
Increased certainty of preeclampsia:
BP≥160/110mmHg
Proteinuria 2g/24 hours or ≥2+ dipstick
Cr level of blood >106 umol/L
Blood platelet < 100 Billion/Litre
Persistent headache or other cerbral or visual disturbance