Care Plan to Prevent Preeclampsia AJOG 2023

Summary Checklist for Preventing Preeclampsia

Download this summary checklist to ensure that more patients receive the optimal preeclampsia prevention strategy.

Mirvie Care Plan for Preeclampsia Checklist

Click these links to download the front or back of the checklist.

Special report in the American Journal of Obstetrics and Gynecology

“Care plan for individuals at risk for preeclampsia: Shared approach to education, strategies for prevention, surveillance and follow up”

J. Roberts, et, al. AJOG 2023

DOI: https://doi.org/10.1016/j.ajog.2023.04.023

There are several effective interventions that have been associated with reduced risk of preeclampsia in individuals at increased risk.^1-3 The new AJOG report synthesizes them all into an objective, evidence-based recommendation for the first time and provides checklists for both individuals at risk and health care providers, which can be easily downloaded and shared.

AJOG Special Report

Full guidelines for persons at-risk for preeclampsia

If you are at risk of getting preeclampsia, this handout can help you learn what you and your healthcare provider can do to keep you healthy. This handout's back page has instructions for taking your blood pressure and additional resources to learn about preeclampsia.

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J. Roberts, et al. Care plan for individuals at risk for preeclampsia: Shared approach to education, strategies for prevention, surveillance and follow up. AJOG. 2023
DOI: https://doi.org/10.1016/j.ajog.2023.04.023

Full health care provider guidelines for care of individuals at risk for preeclampsia

The Care Plan for Individuals at Risk for Preeclampsia is for pregnant persons considered at risk for preeclampsia at least sufficient to recommend prophylactic aspirin therapy during pregnancy. This checklist summarizes the Care Plan’s recommendations for health care providers.

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Special report is a groundbreaking approach to preeclampsia, one of the most pressing issues in maternal health today, and will translate the prediction of risk into prevention of disease.

Today, most pregnant individuals at increased risk do not receive even one of the interventions to prevent preeclampsia. For example, less than half of high-risk patients receive low-dose aspirin.⁴ By streamlining the evidence-based recommendations into a straightforward Care Plan, the report systematically outlines the multi-pronged preventive approach that patients at risk should be receiving.

Press Release

References:

1. US Preventive Services Task Force; Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, Donahue KE, Doubeni CA, Kubik M, Li L, Ogedegbe G, Pbert L, Silverstein M, Simon MA, Stevermer J, Tseng CW, Wong JB. Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: US Preventive Services Task Force Recommendation Statement. JAMA. 2021 Sep 28;326(12):1186-1191. doi: 10.1001/jama.2021.14781. PMID: 34581729.

2. Woo Kinshella ML, Sarr C, Sandhu A, Bone JN, Vidler M, Moore SE, Elango R, Cormick G, Belizan JM, Hofmeyr GJ, Magee LA, von Dadelszen P; PRECISE Network. Calcium for pre-eclampsia prevention: A systematic review and network meta-analysis to guide personalised antenatal care. BJOG. 2022 Oct;129(11):1833-1843. doi: 10.1111/1471-0528.17222. Epub 2022 Jun 28. PMID: 35596262.

3. Davenport MH, Ruchat SM, Poitras VJ, Jaramillo Garcia A, Gray CE, Barrowman N, Skow RJ, Meah VL, Riske L, Sobierajski F, James M, Kathol AJ, Nuspl M, Marchand AA, Nagpal TS, Slater LG, Weeks A, Adamo KB, Davies GA, Barakat R, Mottola MF. Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2018 Nov;52(21):1367-1375. doi: 10.1136/bjsports-2018-099355. PMID: 30337463.

4. Krishnamurti T, Davis AL, Rodriguez S, Hayani L, Bernard M, Simhan HN. Use of a Smartphone App to Explore Potential Underuse of Prophylactic Aspirin for Preeclampsia. JAMA Netw Open. 2021 Oct 1;4(10):e2130804. doi: 10.1001/jamanetworkopen.2021.30804. PMID: 34714341; PMCID: PMC8556626.

An unprecedented collaboration between medical experts and preeclampsia advocates created this novel patient-centered Care Plan. It represents a critical step in preventing preeclampsia and saving lives.