Obstetrics & gynaecology · UKMLA & AKT
Pre-eclampsia
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Pre-eclampsia - new-onset hypertension (BP ≥140/90 mmHg) after 20 weeks + significant proteinuria (PCR ≥30 mg/mmol or ≥1+ dipstick) OR evidence of end-organ dysfunction
- Gestational hypertension - new-onset hypertension after 20 weeks WITHOUT proteinuria or organ dysfunction
- Hypertension before 20 weeks = pre-existing (chronic) hypertension, not pre-eclampsia
Pre-eclampsia is often asymptomatic and detected only at routine antenatal checks - do not be reassured by an asymptomatic presentation. A woman with BP ≥140/90 + ≥1+ proteinuria meets diagnostic criteria even if she feels completely well.
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