Abstract

Pre-eclampsia is very complex and its diagnosis is sometimes only known retrospectively as the author states, so each woman must be assessed individually. The definition of preeclampsia should be related to the aetiology of the condition and partly to the clinical presentation (Walker, 1997), which is important for epidemiological purposes and for liaison between hospitals. Knowledge of the risk factors is therefore important. There has been much work done over the years on definition (Nelson, 1955); Redman and Jefferies 1988; Perry and Beevers, 1994; Campbell et al, 1985) and this has helped with classification, particularly the incremental rise in diastolic blood pressure (25mmHg above booking BP, (Redman and Jefferies, 1988). But definition is difficult because the cause of pre-eclampsia is unknown.

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