Dr Ailsa Borbolla Foster

Should we stack care early in first trimester?

Pre-eclampsia

• History

• FTS algorithm

  • 75% predictive of early PE < 37w (perfect screening) versus 39%

  • 45% versus 34% for > 37 weeks

PE is preventable

Treatment

• Aspirin 150mg at night from <16/40 to 36/40

Long term effects of PE

• Pre-term babies

• Mother

  • 4x HTN

  • 2x IHD

  • 2x Storke

  • 2 x CKD

  • 2 x T2DM

Current guidelines = Safer baby bundle

Screen other complications such as preterm birth

IMAP 11-14/40 for all women

• US

• Midwife + history

• Obstetrician + plan

• Low risk > GP or Midwife

• High risk > Obstetrician

Growing evidence for CMV screening ? antivirals