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.