From grimoire
Screens pregnancy hypertension risk and creates low-dose aspirin protocol with BP monitoring to prevent preeclampsia.
How this skill is triggered — by the user, by Claude, or both
Slash command
/grimoire:design-preeclampsia-prevention-protocolThe summary Claude sees in its skill listing — used to decide when to auto-load this skill
Use risk stratification, low-dose aspirin, and monitoring to reduce preeclampsia risk and detect it early.
Use risk stratification, low-dose aspirin, and monitoring to reduce preeclampsia risk and detect it early.
Adopted by: ACOG, USPSTF, NICE, WHO — all recommend low-dose aspirin for high-risk patients based on Class A evidence. Impact: Low-dose aspirin (81 mg/day) initiated before 16 weeks reduces preterm preeclampsia by 62% (Roberge meta-analysis, AJOG 2017, 45 RCTs, n=20,909). Preeclampsia is responsible for 76,000 maternal deaths and 500,000 fetal deaths annually (WHO 2011). Why best: Preeclampsia has no cure except delivery. Prevention in high-risk women and early detection in all women are the only levers.
High-risk patient (prior preeclampsia): Start aspirin 81 mg at 12 weeks; home BP monitoring 2×/day from 20 weeks; 24-hour urine protein at 28 and 34 weeks. Moderate risk (nullipara, BMI 32): Aspirin 81 mg if second moderate risk factor present; increase calcium to 1,200 mg/day.
Health Disclaimer: Preeclampsia risk assessment and aspirin prescribing require medical evaluation. Hypertension in pregnancy is a medical emergency. Contact your provider immediately for BP ≥140/90 or any warning symptoms.
npx claudepluginhub jeffreytse/grimoire --plugin grimoireDesigns a risk-stratified plan to prevent preterm labor using progesterone, cervical monitoring, and cerclage for high-risk patients.
Searches 12+ authoritative clinical guideline sources (NICE, WHO, NCCN, AHA, ADA, SIGN, USPSTF, IDSA, ESMO, ESC, EASL) for evidence-graded treatment recommendations, dosing protocols, and screening guidance with source prioritization.
Coordinates hypertension follow-up: BP check-in calls, escalation scheduling, medication refill reminders, and trend flagging via propose-confirm-commit loop.