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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.