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Re: OB: Fun with preeclampsia--very long! From: Kathi Wilson (wilsonk@gtn.on.ca) Fri Jul 27 22:50:01 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Woolley: "Re: OB: Fun with preeclampsia--very long!" Previous message: Luis Sanchez-Ramos, MD: "Re: OB: Fun with preeclampsia--very long!" Maybe in reply to: Garry Siegel: "OB: Fun with preeclampsia--very long!" Next in thread: DoctorJoe@aol.com: "Re: OB: Fun with preeclampsia--very long!" Robert Woolley wrote: > But I'll give you another chance. What definition of preeclampsia (there are > several available, put out by various professional organizations, or > published in various textbooks) do you claim this patient fit? >From the NIH Working Group Report on High Blood Pressure in pregnancy: "Gestational high blood pressure elevation is defined as a blood pressure greater than 140 mmHg systolic or 90 mmHg diastolic in a woman normotensive before 20 weeks. In the absence of proteinuria the disease (i.e. pre-eclampsia-eclampsia) is highly suspect when increased blood pressure appears accompanied by the symptoms of headache, blurred vision, and abdominal pain, or with abnormal laboratory tests, specifically low platelet counts and abnormal liver enzymes". The poster subsequent to this one wondered if, in retrospect, this woman really had pre-eclampsia or something else (especially w/ respect to the stable platelet levels). However, the problem is that, in retrospect perhaps Garry could have waited, but would it have been prudent to have waited to see if she got *sicker* before making a judgement call, or to proceed and have a baby? There's the rub, eh? (Hindsight always being 20-20) -- Kathi Wilson, RM Ilderton, Ontario, Canada mailto:wilsonk@gtn.on.ca ********************** Thames Valley Midwives 346 Platts Lane, London, Ontario, Canada http://tvm.on.ca mailto:info@tvm.on.ca Next message: Robert Woolley: "Re: OB: Fun with preeclampsia--very long!" Previous message: Luis Sanchez-Ramos, MD: "Re: OB: Fun with preeclampsia--very long!" Maybe in reply to: Garry Siegel: "OB: Fun with preeclampsia--very long!" Next in thread: DoctorJoe@aol.com: "Re: OB: Fun with preeclampsia--very long!"

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