According to ACOG guidelines adopted in Williams Obstetrics 26th edition, which of the following is NOT a criterion for severe features of pre-eclampsia?

• A Systolic BP ≥160 mmHg on two readings 4 hours apart
• B New-onset headache unresponsive to acetaminophen
• C Platelet count <100,000/µL
• D Proteinuria ≥5 g/24 hours ✓

Explanation

In the updated classification (ACOG 2013, reflected in Williams 26th edition), the threshold of 5 g/24 hours proteinuria was removed from the criteria for severe features of pre-eclampsia. Severe proteinuria alone does not change management or delivery timing. Severe features now include BP ≥160/110, thrombocytopenia <100,000/µL, renal insufficiency, impaired liver function or epigastric pain, pulmonary edema, and new-onset headache or visual symptoms.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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