A primigravida at 38 weeks has BP 145/95 mmHg recorded twice 6 hours apart with no proteinuria and no severe features. She is asymptomatic. Induction of labour is planned at this visit rather than expectant management. The single finding that mandates delivery in gestational hypertension at term is:

• A Diastolic BP above 90 mmHg
• B Gestational age of 37 weeks or more ✓
• C Absence of proteinuria despite hypertension
• D Primigravid status

Explanation

Gestational hypertension without severe features is managed expectantly until 37 weeks; at or beyond 37 weeks delivery is recommended because the risk to the fetus outweighs continued pregnancy. Mild diastolic elevation alone does not mandate delivery before term, absence of proteinuria actually favours conservative management, and parity has no bearing on the timing decision. This timing rule is a standard Williams Obstetrics recommendation.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.