Proteinuria in preeclampsia

Q: According to the American College of Obstetricians and Gynecologists proteinuria is required as an essential criterion for the diagnosis of preeclampsia?

A) True
B) False


Answer: B

In 2013, the American College of Obstetricians and Gynecologists made major changes towards the diagnosis of preeclampsia. It simplified the diagnosis. Hypertension plus signs of significant end-organ dysfunction are sought as sufficient for the diagnosis of preeclampsia. 

Proteinuria which was once considered a hallmark criterion for the diagnosis of preeclampsia is no more required. Also, massive proteinuria i.e. 5 g/24 hours, and fetal growth restriction has been removed as possible features of severe preeclampsia.

#ob-gyn


References:

1. ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstet Gynecol 2019; 133:e1. 

2. Tranquilli AL, Dekker G, Magee L, et al. The classification, diagnosis and management of the hypertensive disorders of pregnancy: A revised statement from the ISSHP. Pregnancy Hypertens 2014; 4:97.