CLINICAL UPDATE 10-minute evidence review
Pre-eclampsia in 2026: What Has Changed?
Proteinuria is not mandatory, antenatal hypertension should be treated, calcium still matters in low-intake settings, and postpartum surveillance cannot be neglected.
Read the clinical updatePRIMARY54 CLINICAL PATHWAY
Pre-eclampsia: From Recognition to Follow-up
01
After 20 weeks or postpartum
Remain alert before and after birth
02
New hypertension
Confirm and assess promptly
03
Assess the multisystem picture
Proteinuria · maternal organs · fetal and placental status
04
Stabilise and treat
Use the locally authorised blood-pressure pathway
05
Prevent seizures when indicated
Magnesium sulphate according to local protocol
06
Plan timing and place of birth
Maternal–fetal condition and gestational age guide the decision
07
Monitor after birth
Give particular attention to postpartum days 3–6
08
Continue long-term follow-up
Cardiovascular, renal and future-pregnancy risk
Proteinuria is not mandatory.
Calcium: consider where dietary intake is low.