Abstract
Pre-eclampsia is a nebulous term. Literally meaning 'prior to a seizure in pregnancy', the name of the syndrome does not accurately depict the clinical reality. The disease rarely leads to eclampsia even if untreated, and this is a rare neurological complication. The definition has been equally imprecise; it has been recognised for many years there is a lack of consistency, even in research papers (Chappell et al. BJOG 1999;106(9)983-5). Original definitions were pragmatic, usually based on consensus, and constructed on blood pressure thresholds known to equate to increased perinatal mortality.
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