Skip to main content

Table 1 Factors that must be considered at each prenatal care visit First level of care. Responsible: Family Physician and maternal and child health nurse. Please also refer to Figure 1.

From: Critical pathways for the management of preeclampsia and severe preeclampsia in institutionalised health care settings

PHYSICAL EXAM MUST INCLUDE FOLLOWING DATA:
   Blood pressure Weight
   Height Body mass index (BMI = kg/m2)
   Uterine size Foetal movements
RISK FACTORS FOR THE DEVELOPMENT OF PREECLAMPSIA:
   • History of Preeclampsia/Eclampsia in previous pregnancies
   • ≥ 3 pregnancies
   • Family history of Preeclampsia/Eclampsia in first degree relative
   • Obesity (get data from physical exam. Obesity criteria: BMI > 27)
   • Primigravida
DEFINITION OF HYPERTENSION IN PREGNANCY:
   SBP ≥ 140 mm Hg or DPB ≥ 90 mm Hg
   Mean arterial pressure above 106 mm Hg
   Increase of 30 mmHg of SBP or increase of DPB above 15 mm Hg above baseline measures
   Measure blood pressure twice on the left arm, using the muffling of the sound (5th Korotkoff).
   The patient should be seated and external stimuli should be eliminated