What defines preeclampsia with severe features?

What defines preeclampsia with severe features?

• A. Blood pressure ≥160/110 on two occasions 4 hours apart or severe organ involvement such as thrombocytopenia, renal impairment, hepatic dysfunction, pulmonary edema, or cerebral/visual symptoms
• B. Any high blood pressure in pregnancy
• C. Proteinuria alone
• D. Gestational diabetes

Answer: (A)

Preeclampsia with severe features is defined by either very high blood pressure or clear signs of severe organ involvement. Specifically, it includes a systolic blood pressure of 160 mmHg or higher, or a diastolic pressure of 110 mmHg or higher, on two occasions at least 4 hours apart, or the presence of severe end-organ problems such as thrombocytopenia, renal impairment, hepatic dysfunction, pulmonary edema, or cerebral/visual symptoms. This combination identifies cases at higher risk for maternal or fetal complications and guides urgent management, including stabilization and delivery planning. Proteinuria alone does not define severe features, and gestational diabetes is a different condition.

Preeclampsia with severe features is defined by either very high blood pressure or clear signs of severe organ involvement. Specifically, it includes a systolic blood pressure of 160 mmHg or higher, or a diastolic pressure of 110 mmHg or higher, on two occasions at least 4 hours apart, or the presence of severe end-organ problems such as thrombocytopenia, renal impairment, hepatic dysfunction, pulmonary edema, or cerebral/visual symptoms. This combination identifies cases at higher risk for maternal or fetal complications and guides urgent management, including stabilization and delivery planning. Proteinuria alone does not define severe features, and gestational diabetes is a different condition.