Diagnostic criteria BP is 140-159 mmHg systolic and/or 90-109 mmHg diastolic and proteinuria is ≥300 mg/24 hours; or dipstick reading ≥2+ (use only if other quantitative methods not available); or protein:creatinine ratio is ≥0.3 mg/dL. Summary of criteria for classification of pre-eclampsia However, certain presentations require more urgent treatment and suggested classifications are presented below. RECOMMENDATIONS FOR EVALUATION AND MANAGEMENT OF SEVERE HYPERTENSION IN PREGNANCY Page 1 of 9 Care Guideline Care Guideline RECOMMENDATIONS FOR EVALUATION AND MANAGEMENT OF SEVERE HYPERTENSION IN PREGNANCY TargetShields,Audience: Clinicians (providers and nurses) who care for the perinatal patient Scope/Patient Population: Hypertensive disorders including preeclampsia … These guidelines have been published by the Guidelines & Audit Implementation Network (GAIN), which is a team of health care professionals established under the auspices of the Department of Health, Social Services & Public Safety in 2010. A criteria-based audit (CBA) is, in both high-income countries and LMICs, a useful method to define and improve quality of care regarding management of severe pre-eclampsia and eclampsia [7–20].

Standards for early warning signs, diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) Unit education on protocols, unit-based drills (with post-drill debriefs) Process for timely triage and evaluation of pregnant and postpartum women with hypertension including ED and outpatient areas The severity of your condition progresses. Pre-eclampsia is a progressive disorder and these signs of organ dysfunction are indicative of severe pre-eclampsia. A systolic blood pressure ≥160 or diastolic blood pressure ≥110 and/or proteinuria >5g in a 24-hour period is also indicative of severe pre-eclampsia. Some characteristics of preeclampsia are signs that can be measured, but may not be apparent to you, such as high blood pressure. Your doctor will likely induce labor if: Your pregnancy is at or over 34 weeks.

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Guidelines for the Management of Severe Pre-Eclampsia and Eclampsia. Severe preeclampsia requires hospitalization and close monitoring. Learning more about the signs and symptoms of preeclampsia, HELLP syndrome and other hypertensive disorders of pregnancy can help you identify a problem early and ensure the best possible outcome.