Final answer:
The management of mild preeclampsia at 37+ weeks generally involves preparing for delivery, as the fetus is at an early-term stage. Monitoring, blood pressure management, and possibly corticosteroids to aid fetal lung maturity are typical steps unless the situation calls for immediate delivery through induction or cesarean section.
Step-by-step explanation:
Management of mild preeclampsia at or beyond 37 weeks of gestation typically involves preparing for delivery since the benefits of expediting delivery generally outweigh the risks. At this stage of pregnancy, the fetus is considered early-term and has a high likelihood of survival without significant morbidity. Primary goals in treating preeclampsia include the prevention of seizures (eclampsia) and the management of blood pressure.
Milder cases may be managed with close monitoring of both the mother and fetus, blood pressure control with medications, and possibly corticosteroids to enhance fetal lung maturity, especially if delivery is anticipated before 39 weeks. It is important to monitor the mother's blood tests to assess liver function, kidney function, and platelet count. Expectant management can occur either in a hospital setting or at home with frequent follow-ups, depending on the stability of both the mother and the fetus.
However, delivery is the definitive treatment for preeclampsia. If the mild preeclampsia progresses or other indicators suggest that the health of the mother or baby is at risk, labor induction or a cesarean section may be recommended.