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Patient handout · High-Risk Pregnancy (Preeclampsia, GDM)

Preeclampsia: Your Warning Signs Guide

Preeclampsia is high blood pressure in pregnancy, after 20 weeks, that harms organs such as the kidneys, liver, and brain. It can also start up to 6 weeks after birth.

Check your blood pressure

  • Check it at home if your care team advises. Use an upper-arm cuff that fits.
  • Rest 5 minutes. Sit with your back supported, feet flat, and arm at heart level.
  • Write down every reading.

Know your numbers

  • Top number 140 or higher, or bottom number 90 or higher: call your provider today.
  • Top number 160 or higher, or bottom number 110 or higher: go to the hospital now.
  • Your care team's numbers, if different: ____________.

Take aspirin only if prescribed

  • Low-dose aspirin (81 mg) lowers the risk of preeclampsia for some people.
  • If prescribed, take it every day until your baby is born. Do not start it on your own.

Go to labor and delivery or the emergency room now if you have

  • A severe headache that medicine does not help
  • Spots in your vision or blurry vision
  • Pain under your right ribs or in your upper belly
  • Sudden swelling of your face or hands
  • Shortness of breath
  • Nausea or vomiting late in pregnancy

After your baby is born

  • Watch for these signs for 6 weeks. Tell the emergency team you recently had a baby.
  • Keep your blood pressure visit, usually within 7 to 10 days.
  • Take blood pressure medicine as prescribed.

Call your provider today if you have

  • A top number of 140 or higher, or a bottom number of 90 or higher
  • Swelling of your face or hands without other signs
  • Your baby moving less than usual: go to labor and delivery now

Call 911 or your local emergency number if you have

  • A seizure (shaking fit)
  • Chest pain or trouble breathing
  • Confusion or passing out

This handout supports, not replaces, advice from your own nurse or doctor.

For nurses and nursing students: the teaching guide behind this handout →