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69 Table 20. Classification of Hypertensive Disorders of Pregnancy Condition Definition Chronic hypertension Diagnosis prior to pregnancy or at <20 weeks' gestation Gestational hypertension De novo hypertension at ≥20 weeks' gestation in the absence of proteinuria or other signs of preeclampsia Preeclampsia Gestational hypertension with proteinuria or other maternal end-organ dysfunction including neurologic findings, pulmonary edema, hematologic findings, acute kidney injury, hepatic dysfunction (Section 5.5.2) Preeclampsia superimposed on chronic hypertension Preeclampsia in a woman with a history of hypertension before pregnancy or before 20 weeks' gestation Derived from American College of Obstetricians and Gynecologists. Table 21. ACOG Diagnostic Criteria for Hypertension in Pregnancy Condition Definition Hypertension in pregnancy SBP ≥140 mm Hg and/or DBP ≥90 mm Hg Severe-range hypertension SBP ≥160 mm Hg and/or DBP ≥110 mm Hg ACOG indicates American College of Obstetricians and Gynecologists. Derived from American College of Obstetricians and Gynecologists.

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