A 28-year-old primigravida is diagnosed with pre-eclampsia without severe features at 37 weeks. Her BP is 148/96 mmHg, proteinuria 1+, and labs are otherwise normal. According to ACOG and ISSHP guidelines, what is the recommended management?
- A Immediate magnesium sulfate prophylaxis and induction of labor within 24-48 hours ✓
- B Expectant management with twice-weekly monitoring until 40 weeks
- C Outpatient management with daily BP monitoring and no intervention until 39 weeks
- D Corticosteroid administration for fetal lung maturity followed by delivery at 38 weeks
Correct answer: A. Immediate magnesium sulfate prophylaxis and induction of labor within 24-48 hours
Explanation
ACOG and ISSHP recommend delivery at or after 37 weeks for pre-eclampsia without severe features, as expectant management beyond this point does not improve maternal or neonatal outcomes and increases risk of disease progression. Delivery within 24-48 hours is advised. Magnesium sulfate prophylaxis is considered based on clinical judgment. Corticosteroids are unnecessary at 37 weeks as fetal lung maturity is achieved.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.