In a stable woman with pre-eclampsia without severe features diagnosed at 36 weeks, the recommended plan is:
- A Delivery after 37 completed weeks once maternal condition is stable ✓
- B Expectant management until 39 weeks regardless of maternal status
- C Immediate caesarean delivery irrespective of cervical findings
- D Antenatal corticosteroids followed by delivery at 40 weeks
Correct answer: A. Delivery after 37 completed weeks once maternal condition is stable
Explanation
Pre-eclampsia without severe features at or beyond 37 weeks warrants delivery, usually vaginally if obstetrically suitable, because prolongation adds maternal and fetal risk without benefit. Expectancy beyond 37 weeks applies only to trials settings. Immediate caesarean is not required; induction is standard. Corticosteroids add nothing at term unless indicated otherwise.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.