All pregnant women should have an initial assessment of risk factors of HDP and or preeclampsia, such as previous preeclampsia, chronic hypertension, any related comorbidities, and age during pregnancy. | |
The women’s blood pressure should be checked at each antenatal visit. | |
Low dose aspirin is prescribed for women with high risks of preeclampsia. | |
Low dose aspirin is prescribed for women with high risks of preeclampsia from 12th week of pregnancy until the baby’s delivery. | |
Calcium supplementation is prescribed for women with low calcium intake to prevent the event of preeclampsia. | |
Women are asked about signs and symptoms of preeclampsia, such as headache, blurred visions, cramps, seizure, eclampsia feet, in each antenatal visit. | |
Proteinuria/Dipstick test should be done at least once in each trimester. | |
Once the Dipstick test are positive, the pregnant women are checked with any indicators of preeclampsia, such as: kidney function test, complete blood count, and liver function test. | |
Once diagnose with preeclampsia, women are assigned for referral. | |
Telephone communication with obstetricians prior to the referral to the hospital. | |
Paramedic companion during the referral, completed with adequate emergency kits ambulance. | |
Antihypertensive agents for the treatment of severe hypertensive disorder of pregnancy, such as calcium channel blockers, or methyldopa-should be available in the practice settings. | |
Antihypertensive agents were considered once the women’s blood pressure reached SBP > 150 and or DBP > 100. | |
Antihypertensive agents were prescribed without any delays once the women’s blood pressure reached SBP > 160 and or DBP > 110. | |
Obstetricians led delivery is booked once women are diagnosed with the hypertensive disorders in pregnancy. | |
Monitoring of sign and symptoms of preeclampsia, includes laboratories examination should be available in practice settings. | |
Magnesium sulphate IV/IM should be available for the emergency treatment of eclampsia. | |
The full regimens of magnesium sulphate IV/IM as treatment for eclampsia seizures. | |
Women should be checked for any signs and symptoms of hypertensive disorder of pregnancy (HDP) and or preeclampsia at maximum of six week postpartum in primary care clinics. | |
Almost of antihypertensive agents are safe during breastfeeding periods. | |
Postpartum counselling about the risks of cardiovascular diseases for women with previous history of HDP. | |
Women with history of HDPÂ are offered with non-hormonal contraception. | |
Periodic blood measure monitoring and cardiovascular assessment for women with history of HDP | |
Counseling about lifestyle modification is offered for women with history of HDP | |
Consideration of low dose of aspirin prescription for the next pregnancy. |