PRECOG Guideline
PRECOG GUIDELINE recommendations
This guideline has been made to guide what action should be taken if a pregnant woman presents with New onset Hypertension , Proteinuria or Symptoms.
NEW ONSET HYPERTENSION WITHOUT PROTEINURIA
| DBP 90 or more, but less than 100, No symptoms | Hospital Step Up assessment within 48 hours |
| DBP 90 or more, but less than 100, WITH symptoms | Same day Hospital Step Up assessment |
| SBP >= 160, OR DBP >= 100 | Same day Hospital step up assessment |
NEW HYPERTENSION WITH PROTEINURIA ( Proteinuria more than or = 1 + on dipstick)
| DBP ≥90 mm Hg and new proteinuria | Same day Hospital Step Up assessment |
| DBP > = 100 mmHg and new proteinuria | Arrange immediate admission |
| SBP ≥170 mm Hg and new proteinuria | Arrange immediate admission |
| DBP > = 90 and New proteinuria WITH Symptoms | Arrange immediate admission |
NEW PROTEINURIA WITHOUT HYPERTENSION
| 1+ | Repeat pre-eclampsia assessment in community within one week |
| 1+ or more, with symptoms | Same day Hospital step of assessment |
| 2 + o r more | Refer for hospital Step Up assessment within 48 hours |
Maternal symptoms or fetal signs and symptoms without hypertension or proteinuria include- Headache, visual disturbance or Epigastric pain
Disclaimer- This is only a suggested management plan. The content displayed here is for information only. It is not a guideline, and does not replace the Clinical practice guideline of any institution. Optimal clinical discretion should be used in any clinical scenario. Obgresource.blogspot.com is not responsible for errors or omissions in reporting or explanations. No individual should rely solely on this information to use self -diagnose or self treat any health condition, nor should any individual rely solely on this information to treat any health condition. Obgresource.blogspot.com cannot provide any assurance or warranty regarding the accuracy, timeliness or applicability of the content. Any external links which are followed are done at your sole responsibility. Utmost clinical discretion is advised in dealing with any clinical situation.
Read the full guideline here