In primary care, women diagnosed with mild pre-eclampsia should be assessed for symptoms of pre-eclampsia at each consultation, including severe headache, visual problems, epigastric pain, vomiting, and swelling of face, hands, or feet NICE CKS.
Women with pre-eclampsia who are discharged to primary care should have an individual care plan that includes who will provide follow-up, the frequency of blood pressure monitoring, thresholds for reducing or stopping treatment, and indications for referral to secondary care NICE CKS.
Blood pressure should be monitored regularly, with antihypertensive treatment initiated if blood pressure reaches 150/100 mmHg or higher NICE CKS.
Repeat blood tests for platelet count, transaminases, and serum creatinine should be performed until results return to normal, especially if blood results are abnormal at discharge NICE CKS.
Women who did not take antihypertensive treatment should have their blood pressure measured between days 3–5 postpartum, then on alternate days until it normalizes NICE CKS.
Women on antihypertensive treatment should have their blood pressure checked every 1–2 days for up to 2 weeks after transfer to community care, with treatment adjustments based on blood pressure readings NICE CKS.
Women should be advised to seek immediate medical review if they develop symptoms of pre-eclampsia during postpartum or follow-up NICE CKS.