Journal article

Prenatal screening for pre-eclampsia: Frequently asked questions.

Dagmar Wertaschnigg, Maya Reddy, Ben WJ Mol, Daniel L Rolnik, Fabricio da Silva Costa

Aust N Z J Obstet Gynaecol | Published : 2019

Abstract

The current approach to screening for pre-eclampsia is based on guidelines that rely on medical and obstetric history in early pregnancy to select a high-risk group that might benefit from low-dose aspirin. However, combined screening tests with the addition of biophysical and biochemical measurements have shown significantly better detection rates for preterm pre-eclampsia. Furthermore, the administration of aspirin for the 10% screen-positive group can lead to a significant reduction in severe and preterm forms of pre-eclampsia. This review aims to answer frequently asked questions related to the clinical implementation of screening and the management of screening results.