Preconception screening and optimization of complications in SCD
| Chronic complications . | Action to be taken . |
|---|---|
| Renal disease and hypertension | Blood pressure, creatinine, and urinary protein |
| Pulmonary hypertension | Echocardiography if not done within a year or if symptomatic. Any anomalies should be discussed with a cardiologist. |
| Chronic sickle lung disease | Oxygen saturation in all women. Sleep studies and lung function tests where necessary. |
| Avascular necrosis | Review hip complications, which may worsen during pregnancy. |
| Stroke | If history of previous stroke, consider the role of transfusion therapy during pregnancy if not already on it. |
| Chronic pain | Women on long-term opioids should be referred to a chronic pain clinic for assessment and managed by a pain specialist. |
| Chronic complications . | Action to be taken . |
|---|---|
| Renal disease and hypertension | Blood pressure, creatinine, and urinary protein |
| Pulmonary hypertension | Echocardiography if not done within a year or if symptomatic. Any anomalies should be discussed with a cardiologist. |
| Chronic sickle lung disease | Oxygen saturation in all women. Sleep studies and lung function tests where necessary. |
| Avascular necrosis | Review hip complications, which may worsen during pregnancy. |
| Stroke | If history of previous stroke, consider the role of transfusion therapy during pregnancy if not already on it. |
| Chronic pain | Women on long-term opioids should be referred to a chronic pain clinic for assessment and managed by a pain specialist. |