Under current ACOG and ISSHP diagnostic criteria for pre-eclampsia, which of the following features has been REMOVED from the formal diagnostic requirements compared with older classifications?

• A Thrombocytopenia
• B Generalised oedema ✓
• C Impaired liver function
• D Pulmonary oedema

Explanation

Oedema was dropped from the diagnostic criteria because it occurs in up to 60 percent of normal pregnancies and lacks specificity for pre-eclampsia. Current criteria require new-onset hypertension after 20 weeks with either proteinuria or, in its absence, any of the following severe features: thrombocytopenia below 100,000 per microlitre, serum creatinine above 1.1 mg/dL, transaminase elevation to twice normal, pulmonary oedema, or new-onset headache or visual symptoms. The other three options are all retained end-organ criteria supporting diagnosis without proteinuria.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.