What does the term “severe features” refer to in preeclampsia?

The term "severe features" in preeclampsia refers to serious symptoms and/or organ dysfunction that occur in conjunction with elevated blood pressure. This classification is important because it indicates a higher risk for complications for both the mother and the fetus. Severe features may include conditions such as kidney impairment, liver abnormalities, neurological symptoms like seizures, or significant edema. Identifying these severe features is crucial for timely management and intervention, which can prevent serious health risks.

Although hypertension is a characteristic component of preeclampsia, the presence of hypertension alone does not denote "severe features" since it may be present in milder forms of the condition. A history of hypertension can be related to a patient's overall health but does not specifically define the acute complications associated with preeclampsia. Similarly, while gestational age less than 32 weeks can add complexity to the case, it alone does not encapsulate the severe features of the condition. Thus, the correct understanding of "severe features" focuses on the presence of serious symptoms and/or organ dysfunction.