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Society for Maternal-Fetal Medicine Special Statement: Checklists for preeclampsia risk-factor screening to guide
1, C Andrew Combs1, Douglas M Montgomery1
1Patient Safety and Quality Improvement Committee, Society for Maternal-Fetal Medicine, Washington, DC.
Insights
Low-dose aspirin prophylaxis can reduce preeclampsia risk in pregnant individuals with identified risk factors. Checklists help ensure all eligible candidates receive aspirin recommendations, improving adherence to guidelines for preventing preeclampsia.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Clinical Pharmacology
Background:
- Preeclampsia is a significant complication of pregnancy.
- Prophylactic low-dose aspirin is recommended for pregnant individuals with risk factors.
- Fifteen distinct risk factors for preeclampsia are recognized.
Purpose of the Study:
- To present checklists for identifying preeclampsia risk factors.
- To improve the likelihood of aspirin recommendation for eligible candidates.
- To suggest practical implementation strategies for these checklists.
Main Methods:
- Development of checklists based on 15 recognized risk factors.
- Focus on reducing overlooked risk factors.
- Guidance on integrating checklists into clinical practice.
Main Results:
- Checklists aim to minimize missed risk factors.
- Improved identification of candidates for aspirin prophylaxis.
- Strategies provided for practical implementation.
Conclusions:
- Checklists can enhance the consistent application of aspirin prophylaxis for preeclampsia prevention.
- Systematic risk factor identification is crucial.
- Implementation support is provided for clinical practice.
Abstract:
In pregnant individuals with risk factors for preeclampsia, prophylactic low-dose aspirin is recommended to reduce the risk of developing preeclampsia. Fifteen distinct risk factors are recognized, including elements of current and past medical and obstetrical history, family history, and examination findings. We present checklists intended to reduce the chance that risk factors might be inadvertently overlooked and to improve the probability of aspirin being recommended for all appropriate candidates. We also suggest how such a checklist can be implemented into practice.