Prompt 35: The Pre-Eclampsia Self-Monitor
When to use it
You want to know the warning signs of preeclampsia, when to worry, and what to do. Especially if you have risk factors (high BP, first pregnancy, family history, etc.).
The Prompt
I'm [N] weeks pregnant and I want to monitor for preeclampsia.
My risk factors:
- [E.G., "first pregnancy" / "previous preeclampsia" / "chronic hypertension" / "family history (mother/sister)" / "BMI over 30" / "age over 35" / "IVF pregnancy" / "none"]
- My baseline BP (if known): [E.G., "110/70" / "I don't track at home" / "I have white-coat hypertension"]
- Recent readings: [E.G., "consistent at 120/80" / "I haven't checked at home" / "130/85 last two OB visits"]
- Symptoms I've had: [E.G., "headache that won't go away with Tylenol" / "swelling in hands/face" / "visual changes" / "upper abdominal pain" / "none"]
Please give me:
1. What preeclampsia actually is (and what it isn't)
2. The actual warning signs (and the false alarms)
3. How to monitor at home (what device, how often, what numbers to flag)
4. When to call OB vs. go to L&D vs. ER
5. What increases my specific risk given my factors
6. What I can do preventively (low-dose aspirin if high-risk, etc.)
7. What to ask at my next appointment (so I don't get dismissed)
Important: I want to be informed, not paranoid. Help me know the difference.Example output
*"Preeclampsia: pregnancy-specific hypertensive disorder, usually T2+, can affect liver, kidneys, brain. Affects 5-8% of pregnancies. Real warning signs (not just 'normal pregnancy symptoms'): severe headache unresponsive to Tylenol, vision changes (spots, blurred, flashing lights), upper abdominal pain (especially right side, under ribs), sudden severe swelling of face/hands, BP >140/90 on 2 readings 4 hrs apart, decreased urine output. Home monitor: $30-50 upper-arm cuff, validate against OB's cuff at one visit. Frequency: 2-3x/week if low-risk, daily if high-risk. Flag: BP >140/90, or any of the symptoms above. Action: call OB same day; go to L&D if symptoms are severe. Prevention: low-dose aspirin (81mg) starting 12-16 weeks if high-risk (USPSTF recommendation). Ask your OB: 'Given my risk, should I be on low-dose aspirin?'"*
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