A 30-year-old with severe pre-eclampsia at 31 weeks is managed expectantly with betamethasone and antihypertensives. Which of the following is an absolute indication for delivery?
- A Fetal growth restriction
- B Persistent severe headache despite magnesium sulfate and antihypertensives ✓
- C Oligohydramnios
- D Gestational age 32 weeks
Correct answer: B. Persistent severe headache despite magnesium sulfate and antihypertensives
Explanation
Persistent severe headache or visual disturbances in severe pre-eclampsia indicate ongoing central nervous system involvement and impending eclampsia, mandating delivery. Fetal growth restriction and oligohydramnios are relative indications, and expectant management may continue if the mother is stable.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.