Hypertensive Disorders in Pregnancy
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Questions and Answers

What is the estimated percentage of pregnant women who are complicated by preeclampsia worldwide?

1-5 in 100

What is the systolic blood pressure threshold for defining preeclampsia in normotensive women?

≥140 mm Hg

What is the gestational age threshold for the diagnosis of preeclampsia?

at or after 20 weeks

What is the protein:creatinine ratio threshold for diagnosing proteinuria in preeclampsia?

<p>≥30 mg/mol</p> Signup and view all the answers

What are the types of maternal organ dysfunction that may be present in preeclampsia?

<p>acute kidney injury, liver involvement, neurological complications, and hematological complications</p> Signup and view all the answers

What is the threshold for diagnosing uteroplacental dysfunction in preeclampsia?

<p>fetal growth restriction, abnormal umbilical artery Doppler waveform analysis, or stillbirth</p> Signup and view all the answers

Which organization estimated that hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide?

<p>ACOG and RCOG</p> Signup and view all the answers

What is the diastolic blood pressure threshold for defining preeclampsia in normotensive women?

<p>≥90 mm Hg</p> Signup and view all the answers

What is the 24-hour proteinuria threshold for diagnosing proteinuria in preeclampsia?

<p>≥300 mg</p> Signup and view all the answers

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

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Description

This quiz covers the definitions, diagnostic criteria, and management of hypertensive disorders during pregnancy, including preeclampsia and its prevention. It's a useful resource for OB/GYN professionals and medical students.

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