Objective: To describe the severity of preeclampsia and identify factors associated with disease severity among pregnant women with preeclampsia at Can Tho Central General Hospital.
Methods: A cross-sectional descriptive study was conducted on 102 pregnant women diagnosed with preeclampsia from October 2025 to April 2026. The severity of preeclampsia was determined according to the treating obstetrician's diagnosis based on the American College of Obstetricians and Gynecologists (ACOG) criteria. Data were analyzed using SPSS version 23.0. Factors associated with severe preeclampsia were identified using multivariable logistic regression analysis.
Results: Among the 102 pregnant women included in the study, 83.3% were diagnosed with preeclampsia with severe features. Pregnant women with proteinuria ≥500 mg/L had a 10.15-fold higher likelihood of developing preeclampsia with severe features compared with those with proteinuria <500 mg/L (OR = 10.15; 95% CI: 2.63–39.20; p < 0.001). Multiparous women were 5.97 times more likely to develop preeclampsia with severe features than nulliparous women (OR = 5.97; 95% CI: 1.11–32.21; p = 0.038).
Conclusion: Preeclampsia with severe features accounted for a high proportion of cases. Proteinuria ≥500 mg/L and multiparity were independently associated with preeclampsia with severe features, suggesting that proteinuria may be a useful indicator for risk assessment and for identifying pregnant women at increased risk.