Maryam Nakhaee Moghadam
Department Obstetrics and Gynecology, Maternal and Fetal Health Research Center, Zabol University of Medical Sciences,
Mohadese Keykhanasab
student of Medicine, Students Research Committee, Zabol University of Medical Sciences, Zabol, Iran
Abstract
Introduction: The symptoms of preeclampsia include headache, visual changes, pain in epigastric region or right upper quadrant associated with nausea and vomiting. When there is no proteinuria, preeclampsia needs to be taken into account when pregnancy hypertension is associated with sustainable brain symptoms, pain in epigastric region or right upper quadrant associated with nausea and vomiting, fetal growth restriction, thrombocytopenia, and abnormal hepatic enzymes .
Methods: Searches were conducted by two independent researchers in international (PubMed, Web of science, Scopus and Google scholar) and national (SID, Magiran) databases for related studies from the inception of the databases to September 2017 (without time limitation) in English and Persian languages. To ensure literature saturation, the reference lists of included studies or relevant reviews identifed through the search were scanned.
Discussion: Preeclampsia can be classified into mild and severe types. Distinguishing these two forms is conducted based on hypertension, proteinuria, and the involvement of other organ systems. The diagnosis of this syndrome is likely to be misleading. A disease for which HELLP syndrome diagnosis is automatically defined in the category of severe preeclampsia. Another form of severe preeclampsia is eclampsia that can be defined as the incidence of seizures that cannot be attributed to other causes.
KEY WORDS: preeclampsia, preeclampsiaseverity, Diagnostic criteria