**Question:** Not a complication of Hypertensive disorders of pregnancy -

A. Eclampsia
B. Preeclampsia
C. Gestational hypertension
D. Proteinuria

**Core Concept:** Hypertensive disorders of pregnancy are a group of medical conditions characterized by high blood pressure and other complications during pregnancy. These include preeclampsia, eclampsia, gestational hypertension, and proteinuria.

**Why the Correct Answer is Right:** Gestational hypertension is a form of high blood pressure that develops during pregnancy but resolves within 12 weeks postpartum, without any significant damage to the organs. This condition is not considered a complication of Hypertensive disorders of pregnancy, as it does not lead to the severe complications seen in preeclampsia or eclampsia.

**Why Each Wrong Option is Incorrect:**

A. Eclampsia: This is a severe form of preeclampsia, which is characterized by seizures or convulsions in a pregnant woman with preeclampsia. It is a complication of preeclampsia and not gestational hypertension.

B. Preeclampsia: Preeclampsia is a type of hypertensive disorder in pregnancy characterized by high blood pressure and proteinuria (excess protein in the urine). It is a complication of preeclampsia but not gestational hypertension.

C. Proteinuria: Proteinuria is the presence of protein in the urine. While it is a common symptom of preeclampsia and eclampsia, it is not considered a complication of gestational hypertension.

**Clinical Pearl:** Adequate monitoring and management of hypertensive disorders in pregnancy are essential to prevent severe complications for both the mother and the fetus. These conditions require timely diagnosis and appropriate treatment to ensure a successful pregnancy outcome.