How is preeclampsia managed?

Updated: Nov 29, 2018
  • Author: Kee-Hak Lim, MD; Chief Editor: Ronald M Ramus, MD  more...
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Answer

Answer

Patients with preeclampsia without severe features are often induced after 37 weeks' gestation. Before this, the immature fetus is treated with expectant management with corticosteroids to accelerate lung maturity in preparation for early delivery.

In patients with preeclampsia with severe features, induction of delivery should be considered after 34 weeks' gestation. In these cases, the severity of disease must be weighed against the risks of infant prematurity. In the emergency setting, control of BP and seizures should be priorities. In general, the further the pregnancy is from term, the greater the impetus to manage the patient medically.


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