Managing Complications in Pregnancy and Childbirth: - IAWG

Headache, blurred vision, convulsions or loss of consciousness, elevated blood pressureS-39TABLE S-9Diagnosis of headache, blurred vision, convulsions orloss of consciousness, elevated blood pressurePresenting Symptom andOther Symptoms and SignsTypically Present• Diastolic blood pressure 90mm Hg or more before first20 weeks of gestation• Diastolic blood pressure90–110 mm Hg before 20weeks of gestation• Proteinuria up to 2+• Two readings of diastolicblood pressure 90–110 mmHg 4 hours apart after 20weeks gestation• No proteinuria• Two readings of diastolicblood pressure 90–110 mmHg 4 hours apart after 20weeks gestation• Proteinuria up to 2+Symptoms and SignsSometimes Present• Diastolic blood pressure • Hyperreflexia110 mm Hg or more after 20weeks gestation• Proteinuria 3+ or more• Convulsions• Diastolic blood pressure 90mm Hg or more after 20weeks gestation• Proteinuria 2+ or more• Headache (increasingfrequency, unrelieved byregular analgesics)• Clouding of vision• Oliguria (passing less than400 mL urine in 24 hours)• Upper abdominal pain(epigastric pain or pain inright upper quadrant)• Pulmonary oedemaProbable DiagnosisChronichypertension, pageS-49Chronichypertension withsuperimposed mildpre-eclampsia, pageS-42Pregnancy-inducedhypertension, pageS-41Mild pre-eclampsia,page S-42Severe preeclampsiaa , page S-43• Coma (unconscious) Eclampsia, page S-43• Other symptoms and signsof severe pre-eclampsia