Severe preeclampsia requires hospitalization and close monitoring. Learning more about the signs and symptoms of preeclampsia, HELLP syndrome and other hypertensive disorders of pregnancy can help you identify a problem early and ensure the best possible outcome. The severity of your condition progresses. Standards for early warning signs, diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) Unit education on protocols, unit-based drills (with post-drill debriefs) Process for timely triage and evaluation of pregnant and postpartum women with hypertension including ED and outpatient areas Summary of criteria for classification of pre-eclampsia However, certain presentations require more urgent treatment and suggested classifications are presented below. Diagnostic criteria BP is 140-159 mmHg systolic and/or 90-109 mmHg diastolic and proteinuria is ≥300 mg/24 hours; or dipstick reading ≥2+ (use only if other quantitative methods not available); or protein:creatinine ratio is ≥0.3 mg/dL. Pre-eclampsia is a progressive disorder and these signs of organ dysfunction are indicative of severe pre-eclampsia. These guidelines have been published by the Guidelines & Audit Implementation Network (GAIN), which is a team of health care professionals established under the auspices of the Department of Health, Social Services & Public Safety in 2010. A systolic blood pressure ≥160 or diastolic blood pressure ≥110 and/or proteinuria >5g in a 24-hour period is also indicative of severe pre-eclampsia. A criteria-based audit (CBA) is, in both high-income countries and LMICs, a useful method to define and improve quality of care regarding management of severe pre-eclampsia and eclampsia [7–20]. Some characteristics of preeclampsia are signs that can be measured, but may not be apparent to you, such as high blood pressure. Guidelines for the Management of Severe Pre-Eclampsia and Eclampsia. Your doctor will likely induce labor if: Your pregnancy is at or over 34 weeks. 1. RECOMMENDATIONS FOR EVALUATION AND MANAGEMENT OF SEVERE HYPERTENSION IN PREGNANCY Page 1 of 9 Care Guideline Care Guideline RECOMMENDATIONS FOR EVALUATION AND MANAGEMENT OF SEVERE HYPERTENSION IN PREGNANCY TargetShields,Audience: Clinicians (providers and nurses) who care for the perinatal patient Scope/Patient Population: Hypertensive disorders including preeclampsia …