Question

Patients with features of severe preeclampsia should *deliver after 34 wks*, but what other conditions would make expectant management contraindicated < 34 wks GA?

Answer 1

Conditions that may contraindicate expectant management before 34 weeks GA include signs of fetal compromise, placental abruption, fetal growth restriction, severe maternal complications, persistent severe hypertension, and significant worsening of laboratory abnormalities.

Step-by-step explanation:

In cases of severe preeclampsia, expectant management is usually indicated until after 34 weeks of gestational age (GA). However, there are certain conditions that may contraindicate expectant management before 34 weeks GA. These conditions include:

• Signs of fetal compromise, such as abnormal fetal heart rate patterns or decreased fetal movement
• Placental abruption, where the placenta detaches from the uterine wall prematurely
• Fetal growth restriction, where the baby is not growing adequately
• Severe maternal complications, such as HELLP syndrome or acute renal failure
• Persistent severe hypertension
• Significant worsening of laboratory abnormalities

These conditions may require immediate delivery to protect the health and well-being of both the mother and baby.