What is the difference between severe and mild pre-e?

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riehlism
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Re: What is the difference between severe and mild pre-e?

Postby riehlism » Tue Jul 19, 2011 07:26 pm

Some studies also say that any preeclampsia prior to 32 weeks is considered severe. My particular hospital also went with this guideline. I guess it depends on who you ask.
Jasmin: Severe PE/HELLP and delivered at 24+6 & PCOS (29) Hubby Bubby, Frank (29)
Baby Blue stopped in to say hello and goodbye on 6/3/10
Baby Lucas was born on 10/13/11, PE and HELLP-free! Thank you baby aspirin and Lovenox
http://www.ehd.org/pregnancy-calendar.php?id=18192

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caryn
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Re: What is the difference between severe and mild pre-e?

Postby caryn » Tue Jul 19, 2011 01:11 pm

If you ask me all PE is severe. The difference between mild and severe is entirely a matter of research definitions; women have horrible outcomes with mild PE and excellent outcomes with severe PE. And rate of progression isn't really accounted for in these definitions, either.

"Mild" is two readings of either of 140/90 plus over 300 mg of proteinuria in a 24 hour catch.
"Severe" is one reading over either of 160/100 OR over 5000 mg of proteinuria in a 24 hour catch OR neurologic symptoms OR oliguria OR pulmonary edema OR any of a host of other signs of organ failure.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

libby123
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What is the difference between severe and mild pre-e?

Postby libby123 » Tue Jul 19, 2011 09:19 am

I had always thought my pre-e was mild, but now I am not so sure.

The highest my BP got was 190/120, however normally it was in the 150s/90s. The highest 24 hour urine protein count was 430. I was officially diagnosed with pre-e at 35 weeks and a few days, but my blood pressure had been creeping up since 26 weeks....

Just wondering if I would be considered mild or severe, and what are the definitions of mild and severe pre-e?
Mommy to Sailor Ann, born on February 17th 2011 at 36 weeks by c-section due to PIH that slowly turned into preeclampsia.


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