Check-in

How do you feel, and what is the number?

• Severe or persistent headacheSame-day review
• Visual change — flashing lights, spots, or loss of visionEmergency if present
• Pain under the ribs or in the upper tummySame-day review
• Shortness of breath or chest painEmergency if present
• Sudden swelling of the face or handsSame-day review
• Baby moving less than usualEmergency if present
• A fit, collapse, or you cannot stay awakeEmergency if present
• New vomiting later in pregnancySame-day review

Preeclampsia risk factors

SOMANZ offers prevention to people with one high-risk factor, or two or more moderate factors. Combined first-trimester screening can refine this where it is available.

High risk — one is enough

• Previous hypertensive disorder of pregnancy
• Chronic kidney disease or kidney impairment
• Twins or other multifetal pregnancy
• Pre-existing chronic hypertension
• Pre-existing type 1 or type 2 diabetes
• Autoimmune disease (for example lupus or APS)

Moderate risk — two or more

• Age over 40
• BMI 35 or higher
• First ongoing pregnancy
• Family history of preeclampsia
• Ten or more years since last pregnancy
• Conceived with assisted reproduction
• Systolic over 130 or diastolic over 80

• Aspirin, if you are at increased risk

  SOMANZ strongly recommends starting aspirin before 16 weeks when risk is high (one high-risk factor, or two or more moderate factors). The guideline dose is 150 mg daily, taken at bedtime. Stopping is usually considered between 34 weeks and birth, by shared decision. Willow cannot prescribe it.

• Calcium if your diet is low

  Supplemental calcium is recommended when usual intake is under 1 g/day. Your team may check dietary intake and a serum calcium first.

• Movement you can keep

  Moderate-intensity activity — aerobic, stretching, or resistance — for about 2.5 to 5 hours a week is recommended as part of ordinary pregnancy wellbeing, started early if you can.