DEFINITION for

GESTATIONAL
HYPERTENSION ,
PREECLAMPSIA ,
ECCLAMPSIA , AND HELLP
SYNDROME
 Gestational HTN Mild Preeclampsia Severe Preeclampsia
Definition Begins after the 20th Is GH with the addition of Consist of BP 160/100 mmHg or
week of pregnancy, proteinuria of 1 to 2 + and greater, proteinuria 3 to 4+, oliguria,
describes hypertensive a weight gain of more than elevated serum creatinine greater
disorders of pregnancy 2 kg or 4.4lb per week, in than 1.2mg per dL, celebral or visual
whereby the woman the second and third disturbances (headache and blurred
has an elevated blood trimester. Mild edema will vision), hyperreflexsia with possible
pressure at also begin to appear at the ankle clonus, pulmonary or cardiac
140/90mmHg or upper extremities or face. involvement, extensive peripheral
greater, or a systolic edema, hepatic disfunction,
increase of 30mmHg or epigastric and right upper quadrant
a diastolic increase of pain and thrombocytopenia
15mmHg from the
pregnancy baseline.
There is no proteinuria
or edema. The clients
BP returns to baseline
by 6 weeks postpartum
Ecclampsia HELLP Syndrome
Is severe preeclampsia symptoms, along Is the variant of GH in which
with the onset of seizure activity or hematologic conditions coexist with
coma. Usually preceded by headache, severe preeclampsia involving hepatic
sever epigastric pain, hyperreflexsia, and dysfunction. Diagnose by laboratory test
hemoconcentration which are warning not clinically.
signs of probable convulsion 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