Indications directory

Clinical presentation:  

Frequency of preeclampsia: approximately 9 % of all pregnant women

1. Stage:

Sodium, potassium, creatinine, urea, uric acid, GOT, GPT, gamma-GT, AP, LDH, urine status, INR, PTT, d-dimers (citrate plasma), thrombocyte count

2. Stage:

Total protein in the 24-hour urine, haptoglobin, free hemoglobin, before 34^th week of pregnancy: anticardiolipin-antibodies, lupus-anticoagulants (citrate plasma), lipoprotein (a), creatinine-clearance, urine-protein-SDS-electrophoresis, evaluation of thrombophilia (see there).

Special form:

HELLP-syndrome (hemolysis, elevated liver enzymes and low platelets).

Thrombocytes (↓), Haptoglobin (↓) (most sensitive analytic). SGOT (↑), SGPT (↑­), bilirubin (­↑), d-dimer (­↑), antithrombine III (↓), fibrinogen (↓), fragmentocytes oder schistocytes in the blood smear (in approximately 50 %), consumption coagulopathy possible.

Differential diagnosis hemolytic-uremic syndrome, thrombotic-thrombocytopenic purpura, hyperemesis gravidarum with reduction of kidney function, abruption placentae, medication intoxication

Please also refer to section “gestational hypertension”