After severe pre-eclampsia, HELLP or eclampsia, the person who will manage the next pregnancy is often not the team who managed this one. The details that determine risk, gestation at onset and which phenotype, are rarely in the discharge letter.
A three-line entry fixes that: what happened and at what gestation, the approximate recurrence risk, and the plan for next time (early booking, aspirin before 16 weeks, blood pressure and urine checks from the first visit).
- Gestation at onset and phenotype: severe features, HELLP, eclampsia.
- Approximate recurrence risk in plain words.
- Aspirin before 16 weeks and early booking next time.
- Postnatal blood pressure follow-up and long-term cardiovascular risk review.
Why it matters
The information that sets recurrence risk is lost between pregnancies unless someone writes it down at discharge.
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