Timing of Delivery

  • Severe preeclampsia

    • Mandatory obs consult

    • Immediate delivery (vaginal or c-section) - regardless of gest age

  • Non-severe preeclampsia

    • <24 wks gest: counselling should include info re delivery w/in days

    • 24+0 to 33+6 wk gest: expectant mgt (only in perinatal centres w/ capacity to care for very preterm infants)

    • 34+0 to 36+6 wks gest: insufficient evidence to make recommendation

    • ≥37+0 wks gest: immediate delivery recommended

  • Non-severe preeclampsia w/ HELPP syndrome

    • 24+0 to 34+6 wk gest: consider delaying delivery to give corticosteroids

    • ≥35+0 wks gest: consider for immediate delivery

 

 

Adapted from SOGC Clinical Practice Guideline. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. J Obstet Gynaecol Can 2014;36(5):416–438