[Comment] Gestational hypertension before term: observe or deliver?

Pre-eclampsia and other hypertensive disorders of pregnancy are common, and carry risks for both mother and baby. The only cure is delivery. Severe hypertension and severe pre-eclampsia are associated with increased risk of maternal morbidities such as stroke, coagulopathy, and eclampsia, and of maternal death.1 For these women, if gestation is over 34 weeks, the aim should be medical management with timely delivery. If gestation is less than 34 weeks, expectant care with stabilisation and careful monitoring of the woman to delay delivery might be better for the baby than immediate delivery.

Source: LANCET - March 25, 2015 Category: Journals (General) Authors: Jim Thornton, Lelia Duley Tags: Comment Source Type: research