Need 1 major or 2 moderate criteria to qualify for ASA.
Major:
- •History of preeclampsia, especially with adverse outcome
- •Multifetal gestation
- •Chronic hypertension
- •Pregestational type 1 or 2 diabetes
- •Kidney disease
- •Autoimmune disease (e.g. SLE, APS)
Moderate:
- •Nulliparity
- •Obesity (BMI > 30)
- •Family history of preeclampsia (mother or sister)
- •Black race (as a proxy for underlying racism)
- •Low income
- •Age 35+
- •Personal history (low birth weight or SGA, prior adverse outcome, >10-year pregnancy interval)
- •IVF
Everyone gets 1 point for low SES. Anyone with major criteria other than history of preE goes to HROB.
If positive screen:
- •Low-dose ASA until delivery.
- •Receive BP cuff + sheet to document.
- •>140/90 — write down + call DCHD.
- •Severe ≥160/110 — go to triage immediately.