When is delivery recommended for severe gestational hypertension or preeclampsia diagnosed?

Delivery for severe gestational hypertension or preeclampsia is typically recommended at 34 weeks of gestation when the situation is not stabilized. This timing balances the risks associated with continuing the pregnancy against the risks of preterm delivery.

Severe gestational hypertension and preeclampsia can lead to significant maternal and fetal complications such as placental abruption, stroke, and organ failure in the mother, as well as growth restriction and preterm birth effects on the fetus. While some complications may arise earlier, waiting until about 34 weeks allows for some fetal development, minimizing risks associated with premature delivery while still addressing the immediate health needs of the mother.

In uncomplicated cases, gestational hypertension and mild preeclampsia might lead to management strategies that allow the pregnancy to continue longer, but when severe features are present, the recommendation shifts to prioritize maternal health and the well-being of the fetus with earlier delivery. Thus, 34 weeks is a critical point where delivery becomes necessary due to the significant risks present with severe gestational hypertension or preeclampsia.