DEFINITION for GESTATIONAL HYPERTENSION,

PREECLAMPSIA, ECCLAMPSIA, AND HELLP SYNDROME

Gestational HTN Mild Preeclampsia Severe Preeclampsia

Definition Begins after the 20th week of pregnancy, describes hypertensive disorders of pregnancy whereby the woman has an elevated blood pressure at 140/90mmHg or greater, or a systolic increase of 30mmHg or a diastolic increase of 15mmHg from the pregnancy baseline. There is no proteinuria or edema. The clients BP returns to baseline by 6 weeks postpartum

Is GH with the addition of proteinuria of 1 to 2 + and a weight gain of more than 2 kg or 4.4lb per week, in the second and third trimester. Mild edema will also begin to appear at the upper extremities or face.

Consist of BP 160/100 mmHg or greater, proteinuria 3 to 4+, oliguria, elevated serum creatinine greater than 1.2mg per dL, celebral or visual disturbances (headache and blurred vision), hyperreflexsia with possible ankle clonus, pulmonary or cardiac involvement, extensive peripheral edema, hepatic disfunction, epigastric and right upper quadrant pain and thrombocytopenia

Ecclampsia HELLP SyndromeIs severe preeclampsia symptoms, along with the onset of seizure activity or coma. Usually preceded by headache, sever epigastric pain, hyperreflexsia, and hemoconcentration which are warning signs of probable convulsion

Is the variant of GH in which hematologic conditions coexist with severe preeclampsia involving hepatic dysfunction. Diagnose by laboratory test not clinically. H- hemolysis resulting in anemia and jaundice.El –Elevated of liver enzymes resulting in alanine aminotransferase (ALT) or aspartate transaminase (AST), epigastric pain, and nausea and vomitting,LP- low platelets (<100,000/mm3), resulting in thromboctopenia, abnormal bleeding and clotting time, bleeding gums, petechiae and DIC