In non-severe gestational hypertension or preeclampsia, when is delivery generally recommended?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

In cases of non-severe gestational hypertension or preeclampsia, delivery is generally recommended at 37 weeks of gestation. This timing strikes a balance between minimizing risks to both the mother and the fetus.

Delivering at 37 weeks allows for sufficient fetal development while also reducing the risk of complications associated with prolonged hypertension and the potential progression to more severe forms of preeclampsia, which can pose significant risks, including maternal morbidity and fetal distress.

Waiting until 37 weeks or later ensures that the neonate is more mature and has better outcomes while managing the maternal condition effectively. The decision to deliver earlier than 37 weeks may be considered in certain circumstances, such as if the mother experiences worsening clinical symptoms or there are signs of fetal distress. However, for stable cases of non-severe gestational hypertension or preeclampsia, 37 weeks is the standard recommendation for delivery.

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