EvaluationRationale
Hemoglobin and hematocritHemoconcentration supports diagnosis of preeclampsia and is an indicator of severity. Values may be decreased, however, if hemolysis accompanies the disease.
Platelet countThrombocytopenia <100 × 103 per μL (100 × 109 per L) suggests severe preeclampsia.
Quantification of protein excretionPregnancy hypertension with proteinuria should be considered preeclampsia (pure or superimposed) until proved otherwise.
Serum creatinineAbnormal or rising levels, especially when associated with oliguria, suggest severe preeclampsia.
Serum uric acidIncreased levels suggest the diagnosis of preeclampsia.
Serum transaminaseRising values suggest severe preeclampsia with hepatic involvement.
Serum albumin, lactic acid dehydrogenase (LDH), blood smear and coagulation profileIn women with severe disease, these values indicate extent of endothelial leak (albumin), presence of hemolysis (LDH increase, schistocytosis, spherocytosis) and possible coagulopathy.