Preeclampsia: Warning Signs, Screening and Prevention
Reading time: about 7 minutes. This article is educational and does not replace an individual consultation.
Pre-eclampsia is a pregnancy condition involving raised blood pressure that, if unrecognised, can affect both mother and baby. The reassuring news is that it can often be screened for early, reduced in some women with simple measures, and managed safely when detected. This article explains the warning signs, screening, and prevention.
Who this article is for
This is for pregnant women in Ahmedabad and Gujarat who want to understand pre-eclampsia — especially those told they are at higher risk.
What pre-eclampsia is
Pre-eclampsia is a condition usually appearing after 20 weeks of pregnancy, involving high blood pressure and signs that other organs (such as the kidneys) are affected. It develops because of how the placenta forms and functions. Because it can progress, recognising and monitoring it is important [Source: NICE Guideline NG133, Hypertension in pregnancy; FIGO guidance].
The warning signs
Contact your maternity team promptly if you develop:
- A severe or persistent headache
- Visual problems such as blurring or flashing lights
- Pain just below the ribs
- Sudden swelling of the face, hands, or feet
- Nausea or vomiting later in pregnancy
These symptoms do not always mean pre-eclampsia, but they need prompt assessment, as the condition can develop quickly [Source: NICE Guideline NG133].
Screening: identifying risk early
Risk can be assessed early in pregnancy based on factors such as previous pre-eclampsia, pre-existing high blood pressure, kidney disease, diabetes, certain autoimmune conditions, and carrying twins, among others. First-trimester risk assessment helps identify women who would benefit from preventive steps [Source: FIGO guidance on pre-eclampsia screening].
Prevention for higher-risk women
For women identified as higher risk, low-dose aspirin started in early pregnancy (as advised by your doctor) has been shown to reduce the chance of pre-eclampsia, and adequate calcium intake is recommended in some settings. These are simple, evidence-based measures — not something to start on your own, but to discuss with your team [Source: NICE Guideline NG133; FIGO guidance].
How it is monitored and managed
Care involves regular blood pressure checks, urine testing, and monitoring of the baby’s growth and wellbeing. If pre-eclampsia develops, management focuses on controlling blood pressure and close surveillance, with the timing of birth planned to keep mother and baby safe — delivery is the definitive treatment when the time is right [Source: NICE Guideline NG133].
What to ask
- Am I at higher risk of pre-eclampsia, and should I take preventive aspirin?
- What symptoms should make me call urgently?
- How will my blood pressure and the baby be monitored?
- What is the plan if pre-eclampsia develops?
Pre-eclampsia care in Ahmedabad
Early risk assessment and vigilant monitoring make pre-eclampsia far safer to manage. Balaji Horizon Women’s Hospital, on Science City Road in Ahmedabad, offers first-trimester risk assessment, preventive guidance, and close monitoring as part of high-risk pregnancy care.
When to seek advice
Attend all antenatal checks, and contact your team promptly if you develop any warning signs — severe headache, visual changes, upper abdominal pain, or sudden swelling. Timely review is what keeps pre-eclampsia safe [Source: NICE Guideline NG133].
A note on next steps
For pre-eclampsia screening and monitoring, our team can help. Read more on our high-risk pregnancy and screening pages.
Frequently asked questions
What are the first signs of pre-eclampsia?
Common warning signs include a severe headache, visual disturbances, pain below the ribs, and sudden swelling of the face or hands. These need prompt assessment, as pre-eclampsia can develop quickly [Source: NICE Guideline NG133].
Can pre-eclampsia be prevented?
In higher-risk women, low-dose aspirin started early in pregnancy (on medical advice) reduces the chance of pre-eclampsia, and adequate calcium is recommended in some settings. These should be discussed with your doctor rather than started independently [Source: FIGO guidance].
Who is at higher risk?
Risk is higher with previous pre-eclampsia, pre-existing high blood pressure, kidney disease, diabetes, certain autoimmune conditions, and twin pregnancy, among others. Early risk assessment identifies who benefits from preventive measures [Source: FIGO guidance].
How is pre-eclampsia treated?
Management focuses on controlling blood pressure and close monitoring of mother and baby, with the timing of birth planned carefully. Delivery is the definitive treatment when the time is appropriate [Source: NICE Guideline NG133].
Will I get pre-eclampsia again in a future pregnancy?
Having had pre-eclampsia raises the risk in a future pregnancy, which is why preventive measures and early monitoring are arranged next time. Your team will plan accordingly.
Disclaimer: This article is for educational purposes only and does not replace a consultation with a qualified obstetrician.
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