Hypertensive disorders occur in 8-10% of pregnancies. Pre-eclampsia—defined as blood pressure over 140/90 mmHg with protein in the urine after 20 weeks of gestation—demands vigilant maternal-fetal surveillance to protect both mother and child.

Warning Signs of Worsening Pre-eclampsia

• Persistent severe headaches that do not respond to paracetamol
• Visual disturbances (blurriness, flashing lights, floating spots)
• Sudden swelling of the face, hands, and ankles
• Upper right abdominal pain (liver capsule distension)

Fetal Surveillance and Delivery Timing

We perform regular Doppler ultrasounds to evaluate uterine and umbilical artery blood flow, non-stress tests (NST), and biophysical profiles. When pre-eclampsia is severe, planned early delivery with Level 4 NICU standby ensures optimal neonatal outcomes.

Doctor's Clinical Insight: "Early detection with first-trimester uterine artery Doppler screening and low-dose aspirin prophylaxis can reduce the incidence of early-onset pre-eclampsia by up to 70%." — Dr. Archana, MS (OBG)