Final answer:
Severe preeclampsia at 34+ weeks is managed by delivery of the baby, with measures such as corticosteroids for fetal lung maturity, antihypertensive medications for blood pressure control, and magnesium sulfate to prevent seizures.
Step-by-step explanation:
The management of severe preeclampsia at 34+ weeks of pregnancy typlically involves the delivery of the baby as this condition poses risks to both the mother and fetus. If the preeclampsia is severe, prompt treatment is necessary to prevent complications, including eclampsia, HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count), and other organ damage.
Upon diagnosis, the health care provider will monitor the mother and fetus closely. The mother may receive corticosteroids to enhance fetal lung maturity in preparation for delivery if immediate birth is not indicated. Antihypertensive medications may be used to control blood pressure, and magnesium sulfate could be given intravenously to prevent seizures.
The definitive treatment is delivery, which may be carried out vaginally or by cesarean section, depending on the mother's and fetus's condition, and the progression of labor. It's crucial to have a multidisciplinary team to manage the mother and neonate effectively during and after delivery.