Main findings
In our study, 12.8% and 15.9% of women were identified as high risk for the development of PE using the NICE and FMF methods, respectively. Of those who screened positive by NICE, aspirin prophylaxis was not prescribed in 25%, with the majority having a least one major risk factor for the development of PE. Preterm PE was associated with a significantly higher rate of emergency caesarean delivery and neonatal admission to and duration of stay in NICU when compared to uncomplicated pregnancies and those with term PE.
Use of the FMF algorithm was associated with 7 fewer cases of preterm PE, an estimated cost saving of £9.06 and a QALY gain of 0.00006 per pregnancy screened.