High risk for preeclampsia

[Uptown2022]

How worried should I be basically?

This is my first pregnancy. My 12-week scan is just over a week away.

I’m high risk due to an autoimmune disease and unexplained protein in urine for several years since I had treatment for my autoimmune issue.

Thanks!

Non of us can tell you. Speak to your midwife. Chances are you'll be transferred to consultant care if the risk is high enough.

They'll keep a closer eye on your blood pressure etc so if it happens then they'll catch it quick. My cousin gets it every pregnancy and hers started yesterday and she's to rest and monitor blood pressure now

I'm high risk for pre-e had it in both previous pregnancies and from 20 weeks the second time I'm now 29 weeks and no pre-e so far this time they put me in 150mg aspirin everyday from 12 weeks all people high risk for pre-e or miscarriage should be advised to do this now apparently k also see the midwife every 4 weeks and the consultant every 4 weeks alternate so see someone every 2 and regular scan they will look after you and keep a check regularly xx

I was high risk and put on aspirin at 20 weeks. I should have had aspirin from 12 weeks but the hospital messed up. Anyway everything was fine, no issues with blood pressure at all. I stopped aspirin at 36 weeks.

I had blood pressure monitoring twice weekly from 32 weeks and growth scans 2-3 weekly from 28 weeks but that was due to issues with the 20 week scan.

Thanks everyone. I’ve been told to start daily aspirin at 12 weeks, and that I’ll probably have additional scans throughout.

I have an obstetrician appointment booked for 4 weeks after my 12-week scan too. Hopefully all goes smoothly.

I was high risk in both my pregnancies. Took aspirin from ~13 weeks with my first, and from BFP with my second. Still got pre-eclampsia anyway. Though I was entirely symptomless other than high BP, protein in urine, and wonky liver enzymes. I seem to develop pre-eclampsia around 34 weeks. First time I missed the appointment that would have picked it up, second time an admin mistake meant the results from 34 weeks wasn't acted upon until 36 weeks.

In regards to additional antenatal care, there wasn't much different to any other pregnancy. I did have growth scans with my first, but that was due to raised PI found at my 20 week scan. As I didn't have raised PI in my second pregnancy I only received the normal scans (12,20, and 36 at my trust). I did see a consultant once at ~20weeks, but there's nothing they can do unless you do develop pre-eclampsia, so I was discharged back to midwife care. My second pregnancy I received the same appointment schedule as a FTM (i.e more appointments) to monitor my BP and urine. I also bought my own monitor to track BP in my second pregnancy.

Once I had developed pre-eclampsia, I was admitted to hospital immediately (36+1 both times), and advised to not leave until after I had my baby. While there I had 4 hourly checks, and was medicated to bring BP down. As baby and I were otherwise fine, induction was started at 37 weeks. Both DC were born healthy, large for gestation, and (other than a small amount of suction for DC2) needed no breathing support or SCBU/NICU stay. I remained on BP medication for 6 weeks with my first, and didn't need it post birth (kept sending my BP low) with my second.

Hopefully you won't develop pre-eclampsia. But if you do, it's taken extremely seriously, and you'll be monitored closely. If I, or baby, had showed any sign of deterioration, immediate induction, or even C-section would have happened. Best of luck with the rest of your pregnancy.

I have no idea if I was high risk or not but I did get pre eclampsia. I was induced at 37+3 and both baby and I were totally fine.

I had it in my previous pregnancy. There were signs, which I didn't realise at the time and I wasn't monitored well because I was early 20s and I guess they didn't expect it. The warning signs are swelling, I had bad swelling, face, fingers, ankles and a large swelling under my bump. Also headaches and black floaters in front of my eyes. Mine got very bad to the point of becoming an emergency before it was detected. However you are going to be monitored which is good, picking it up early will mean they it can be managed. I am currently 33 weeks pregnant and am also high risk due to a few factors, one being that I had it previously. I have been told to take asprin since 12 weeks and blood thinner injections from 28 weeks. I am under consultant led care, was seen by doctor and scanned every 4 weeks, now moving to every 2 weeks as I'm nearing my due date. I feel very well cared for and monitored. Most important thing is to look out for any of the warning signs between appointments and if you notice something get checked. You will be fine, even if it does develop, try not to worry and enjoy your pregnancy, congratulations

I had no risk factors for Pre-E and throughout my last pregnancy I didn’t have any high blood pressure. Though I started swelling up very early on and slight protein in my wee on my last midwife appointment before birth - none of which concerned the midwife.

Anyway - I had sudden onset Pre-E develop at 36 weeks which then turned into HELLP syndrome and required an EMCS the same day. I’m now 27 weeks with my second, so I am considered high risk for it this time. I’m on low dose aspirin daily since 12 weeks and regular blood pressure(I had to take a machine home to monitor myself)/urine checks until birth. I would say you will be monitored closely but it’s impossible to say how likely you are to get it or whether aspirin will prevent it.

Just be wary of any symptoms and let the midwives know anything you are concerned about! I hope you have a smooth and healthy pregnancy 🙌🏼

Thank you! 😊