A diagnosis of preeclampsia no longer requires the presence of proteinuria, according to a new report on hypertension in pregnancy from a task force assembled by the American College of Obstetricians and Gynecologists.
When proteinuria is absent, the task force says:
Preeclampsia is diagnosed if hypertension occurs with any of the following: thrombocytopenia, impaired liver function, new-onset renal insufficiency, pulmonary edema, or new development of cerebral or visual disturbances.
Following are some of the task force’s recommendations that earned a “strong” rating:
- Screening to predict preeclampsia should be limited to taking a medical history to assess risk factors.
- Use of vitamin C or E to prevent preeclampsia is not advised.
- When preeclampsia occurs, delivery decisions should not be based on the amount of proteinuria.
– See more at Journal Watch