First pregnancy, multiple gestation, polyhydramnios, hydatidiform mole, malnutrition, positive family history of PIH, underlying vascular disease. Molar pregnancy should be expected if PIH occurs early in gestation. Preeclampsia and Eclampsia Preeclampsia. Defined as the presence of hypertension or PIH accompanied by proteinuria, edema, or both.
Preeclampsia is divided into mild and severe forms.
Criteria for mild preeclampsia. Hypertension as defined above but not meeting the criteria for severe preeclampsia. Criteria for severe preeclampsia. The presence of any of the systemic symptoms noted below categorizes the patient as having severe preeclampsia regardless of the blood pressure. Hg over baseline value.