Advertisement

ACOG: Proteinuria No Longer Necessary for Preeclampsia Diagnosis — Physician’s First Watch

Medical News |
November 15, 2013

ACOG: Proteinuria No Longer Necessary for Preeclampsia Diagnosis

By Amy Orciari Herman

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.

Allison Bryant, an OB/GYN with NEJM Journal Watch, calls the report "thorough and practical," with many recommendations that "serve to alter the practice of many clinicians."

Reader Comments (6)

Verástegui Raúl Physician, Obstetrics/Gynecology, Hospital Municipal Boliviano Holandes-La Paz-Bolivia

How is Preeclampsia superimposed on chronic hypertension in patients who were unaware that they were with hypertension diagnosed?
Be removed from the classification of gestational hypertension?

Verástegui Raúl Physician, Obstetrics/Gynecology, Hospital Municipal Boliviano Holandes-La Paz-Bolivia

¿Como se diagnosticara Preeclampsia superpuesta a Hipertension Cronica? ¿Se eliminara de la clasificación Hipertensión Gestacional?

CAVALHO,OLIVEIRA,DR Physician, Obstetrics/Gynecology, BRAZIL

If renal failure is one diagnostic criteriun , probably proteinuria hardly would be absent.

nahla mamdouh Physician, Anesthesiology, Egypt

What anew sign of preeclampsia

f.fallahian Physician, Internal Medicine

Dear writer, have you ever studied HTN in pregnancy presented as pre-ecclampsia similar to glucocorticoid remediable syndrome, or as a systemic disease with multi-organ involvement have you used anti-inflammatory /corticosteroids for its treatment?

Nuria Toortosa MD, MACP Physician, Nephrology, retired

I appreciate your input so I can stay updated

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.

Advertisement
Advertisement
Advertisement