9 Questions
What is a leading cause of maternal and perinatal mortality worldwide?
Hypertensive disorders of pregnancy
What percentage of pregnant women are complicated by preeclampsia?
1-5 in 100
What is the minimum systolic blood pressure required for a diagnosis of preeclampsia?
140 mm Hg
What is one of the new onset conditions required for a diagnosis of preeclampsia?
Proteinuria
What is the minimum protein: creatinine ratio required for a diagnosis of proteinuria?
30 mg/mol
What is an example of maternal organ dysfunction in preeclampsia?
Acute kidney injury
What is an example of uteroplacental dysfunction in preeclampsia?
Fetal growth restriction
Which organization defines preeclampsia as systolic blood pressure at ≥140 mm Hg and/or diastolic blood pressure at ≥90 mm Hg?
ISSHP
What is the gestational age at which preeclampsia can occur?
At or after 20 weeks of gestation
Study Notes
Hypertensive Disorders in Pregnancy
- Hypertensive disorders of pregnancy are a leading cause of maternal and perinatal mortality worldwide.
Definitions and Diagnostic Criteria
- Preeclampsia (PE) is defined as:
- Systolic blood pressure at ≥140 mm Hg
- Diastolic blood pressure at ≥90 mm Hg in normotensive women
- Accompanied by one or more of the following new onset conditions at or after 20 weeks of gestation
- Conditions that accompany PE:
- Proteinuria (≥30 mg/mol protein: creatinine ratio; ≥300 mg/24 hour; or ≥2+ dipstick)
- Evidence of other maternal organ dysfunction:
- Acute kidney injury
- Liver involvement
- Neurological complications
- Hematological complications
- Uteroplacental dysfunction:
- Fetal growth restriction
- Abnormal umbilical artery doppler waveform analysis
- Stillbirth
This quiz covers the basics of hypertensive disorders in pregnancy, including definitions, diagnostic criteria, risk factors, and management plans. It's a great resource for OB/GYN students and professionals.
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