Final answer:
Severe preeclampsia before 34 weeks requires careful management, including hospitalization for monitoring, corticosteroids for fetal lung maturity, antihypertensive medications, and possibly magnesium sulfate for seizure prevention. Delivery might be considered if conditions deteriorate.
Step-by-step explanation:
Management of Severe Preeclampsia Before 34 Weeks. The management of severe preeclampsia before 34 weeks of gestation involves a balance between prolonging the pregnancy to allow for fetal maturation and ensuring the health of the mother. Treatment typically includes hospitalization for close monitoring of mother and fetus, administration of corticosteroids to enhance fetal lung maturity, and antihypertensive medications to manage blood pressure. In some cases, magnesium sulfate may be given to prevent seizures. If the mother's or fetus's condition worsens, delivery may become necessary, even preterm, to prevent complications. It is essential to work closely with a healthcare team to determine the best course of action in each individual case.