Diagnostic criteria for severe preeclampsia

Preeclampsia, also known as preeclampsia, is one of the indications for cesarean section and is a key cause of increased maternal and perinatal mortality. Next, let us understand the diagnostic criteria of preeclampsia so as to detect and treat the disease as early as possible. So, what are the early diagnostic criteria for severe eclampsia? Let's have a simple understanding of this issue. I hope the following points will be helpful to everyone!

Diagnostic criteria for preeclampsia

If there is a trend of rising blood pressure in pregnant women during pregnancy, especially if the measured blood pressure exceeds 140/9b250mHg after 6 hours, pregnancy hypertension can be diagnosed. If the blood pressure exceeds 160/100 mmHg, or even proteinuria appears in the urine, it can be diagnosed as preeclampsia.

Classification of preeclampsia: According to the severity of the pregnant woman's condition, it can be divided into mild preeclampsia and severe preeclampsia. The actual classification criteria are as follows:

Mild preeclampsia

Definition: Proteinuria occurs on the basis of gestational hypertension, without any accompanying symptoms. Diagnostic criteria: after 20 weeks, systolic blood pressure ≥14b250mHg and/or diastolic blood pressure ≥9b250mHg, proteinuria ≥0.3g/24h or any proteinuria ≥( ).

Severe early eclampsia. Definition: It refers to the continuous increase in blood pressure and proteinuria of pregnant women, resulting in organ dysfunction or complications of the fetus. Diagnostic criteria: Patients with preeclampsia who have any of the following poor conditions can be diagnosed with severe early eclampsia.

1. Continuous increase in blood pressure: systolic pressure ≥16b250mHg and/or diastolic pressure ≥11b250mHg; 2. Proteinuria ≥2.0g/24h or any proteinuria ≥( ). 3. Persistent headaches, visual disturbances or other symptoms. 4. Abnormal symptoms such as persistent abdominal pain or liver rupture. 5. Abnormal liver enzymes. 6. Abnormal renal function; oliguria (urination <400ml in 24 hours or urination <17ml per hour) or serum creatinine >106umol/l. 7. Hypoproteinemia is accompanied by ascites or pleural effusion. 8. Blood system errors, platelet counts continue to decrease to less than 100 periodontal 109 /l, intravascular hemolysis, anemia, jaundice, and increased lactate dehydrogenase levels. 9. Heart failure, pulmonary edema. 10. The growth and development of the fetus is restricted or there is too little amniotic fluid. 11. Onset at 34 weeks of gestation.

What to do with preeclampsia

Hospitalization observation

If a pregnant woman is diagnosed with preeclampsia during a prenatal checkup, the doctor will recommend surgical treatment. Because preeclampsia sometimes progresses rapidly, there may be no problems during the morning pregnancy check-up, but a sudden increase in blood pressure may occur at noon. In severe cases, it may cause cerebral hemorrhage, heart failure, etc. Therefore, in order to ensure the safety of pregnant mothers, pregnant women are generally required to be hospitalized for observation.

Do the corresponding inspection

After the pregnant woman is hospitalized, she needs to have every organ in her body checked to determine what impact the disease has had on her body and to what extent the impact has reached. Generally check the following:

1. Fundus examination. By observing the condition of the blood vessels in the eyes, it is possible to determine whether there are any problems with the blood vessels in the brain or whether brain edema has occurred. 2. Blood and urine tests. Routine blood and urine tests, renal function, coagulation, myocardial enzymes, electrolyte solutions, and 24-hour urine protein quantification. 3. Auscultation of the lungs. Determine whether there is edema in the lungs. 4. Echocardiogram. It is important to do it when your heart beats suddenly very fast or your heart hurts after exercise. 5. Obstetric B-ultrasound. Assess the condition of the fetus. 6. Abdominal ultrasound. When you feel upper abdominal discomfort, check whether there is abscess in the liver.

Checking blood pressure

If the pregnant woman's blood pressure is relatively stable after taking antihypertensive drugs, there are no abnormalities in various tests, and she does not feel uncomfortable, she can be hospitalized and go home. However, after returning home, you must remember to measure your blood pressure once every day from morning to night before going to bed, and keep a record, and tell your doctor during the weekly pregnancy check-up at the hospital.