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Women with hypertensive disorders in pregnancy, including pre-eclampsia, are at risk of maternal and fetal complications. Delivery ameliorates the disease-related risks. The definitive treatment for pre-eclampsia is delivery of the baby and placenta. In term pregnancies, at or after 37 weeks of gestation, this is achieved by planned delivery. In women with mild or moderate hypertensive disorder between 34 and 37 weeks of gestation, the timing of delivery needs to balance the maternal risks due to the worsening of the condition against the iatrogenic, prematurity-related neonatal risks of early delivery. Furthermore, there are concerns about the neurodevelopment of infants delivered in the late preterm period. Without strong evidence, current national …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.