Definitions, evaluation and classification of hypertensive disorders in pregnancy

 

Table 4: Definitions related to hypertensive disorders in pregnancy and diagnostic criteria recommended by the Canadian Hypertension Society (CHS) and other international bodies*
Definition/criterion CHSNHBPEPWG WHOISSH ASSHACOG
Hypertension, mm Hg Diastolic pressure (DP) >= 90 Blood pressure (BP) >= 140/90 or rise in systolic pressure (SP) of >= 30 and in DP of >= 15 DP >= 90DP >= 90 DP >= 90 and/or SP >= 140, or rise in SP of >= 25 and in DP of >= 15 DP >= 90 or SP >= 140
Severe hypertension, mm Hg DP >= 110DP >= 110 or SP >= 160 DP 110 SP >=  160 DP >= 110DP >= 110 and/or SP >= 170 DP >= 110

SP >= 160-180

Korotkoff soundIV VIV IVIV --
Severe proteinuria (protein excretion in 24­hour urine collection, g/d) >= 3>= 2 -->= 3  0.3 or positive dipstick result of >= 2+ > 5
*NHBEPWG = National High Blood Pressure Education Program Working Group (US), WHO = World Health Organization, ISSH = International Society for Study of Hypertension, ASSH = Australian Society for Study of Hypertension, ACOG = American College of Obstetricians and Gynecologists.

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| CMAJ September 15, 1997 (vol 157, no 6) / JAMC le 15 septembre 1997 (vol 157, no 6) |

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