Question

A 30-year-old woman at 35 weeks' gestation develops new-onset hypertension (155/102 mmHg) and 3+ proteinuria with right upper quadrant pain. You diagnose pre-eclampsia with severe features. According to SOGC guidance, what is the most important next step?

Accepted Answer

Immediate delivery after maternal stabilisation

Answer

Start oral labetalol and schedule induction at 41 weeks' gestation

Answer

Start low-dose aspirin and observe expectantly

Answer

Restrict maternal fluids and avoid antihypertensives

Answer

Delay delivery until blood pressure reaches >=180/120 mmHg

Practice question

A 30-year-old woman at 35 weeks' gestation develops new-onset hypertension (155/102 mmHg) and 3+ proteinuria with right upper quadrant pain. You diagnose pre-eclampsia with severe features. According to SOGC guidance, what is the most important next step?