Key result
Expectant management of severe preeclampsia at <28 weeks' gestation is appropriate in selected cases, with careful in-hospital maternal and fetal surveillance recommended.
Expectant management of severe preeclampsia before 28 weeks' gestation is considered appropriate in selected cases when supported by careful in-hospital surveillance.
Supports selective expectant management before 28 weeks with surveillance; leaves open need for randomized trials before practice change.
Preeclampsia with severe features (SPE) remote from term remains a major cause of maternal morbidity and mortality worldwide. With increasing diagnosis of SPE remote from term and improved methods for monitoring maternal and fetal well-being, several challenges have been made regarding management of preeclampsia. We reviewed the scientific literature of the diagnosis and outcome of SPE before 28 weeks. On the basis of this review, we will present our recommendations on management of SPE before 28 weeks' gestation. In summary, expectant management of SPE at <28 weeks is appropriate in selected cases. Careful in-hospital maternal and fetal surveillance are recommended.
No takes yet. Share an insight, caveat, or question.
Balogun et al. (2017) conducted a review in Severe preeclampsia. Expectant management was evaluated. Expectant management of severe preeclampsia at <28 weeks' gestation is appropriate in selected cases, with careful in-hospital maternal and fetal surveillance recommended.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: