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Pre-eclampsia prevention — DRCOG MCQ

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EasyAntenatal CarePre-eclampsia preventionDRCOG

A 38-year-old woman is 13 weeks pregnant with her second baby. She had pre-eclampsia requiring delivery at 36 weeks in her previous pregnancy. Her blood pressure today is 124/76 mmHg and urine dipstick is negative. What is the most appropriate management?

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Correct answer: D — Start low-dose aspirin from now until birth

Previous pre-eclampsia is a high-risk factor, so low-dose aspirin from 12 weeks until birth is indicated to reduce the risk of recurrence. Waiting for hypertension misses the preventive window, and labetalol is used to treat hypertension rather than prevent pre-eclampsia in a normotensive patient. Calcium supplementation is not routine in UK antenatal care unless dietary deficiency is relevant. The pearl is that aspirin is a primary prevention intervention, not a response to abnormal observations.

Reference: NICE NG133; NICE NG201