 This is diagnosed when there is new-onset or worsening baseline hypertension (defined as BP of

> 140/90 mmHg before pregnancy, or before 20 weeks AOG, or both) accompanied by new-
onset proteinuria or other findings in preeclampsia such as thromobocytopenia, renal
insufficiency, liver involvement, cerebral symptoms, and pulmonary edema. 
 Compared with “pure” preeclampsia, superimposed preeclampsia commonly develops earlier in
pregnancy 
 It also tends to be more severe and often is accompanied by fetal-growth restriction.