In what situation should delivery take place to manage preeclampsia without severe features?

Delivery is indicated at 37 weeks gestation for patients with preeclampsia without severe features. This recommendation is based on the understanding that while preeclampsia can develop into more severe forms, the mother and fetus are generally more stable by this point. Delivery at 37 weeks balances the benefits of allowing more fetal maturation, especially for lung development, while also reducing the risks associated with continuing the pregnancy under the influence of preeclampsia.

In managing preeclampsia, timing is crucial. Waiting until 38 weeks might push the pregnancy into a higher risk category if severe features develop, while delivering earlier, at 36 or 35 weeks, might preclude the fetus from reaching a more optimal level of development. Fetal health considerations, alongside maternal safety, are taken into account, which is why the threshold for delivery is strategically set at 37 weeks for women diagnosed with preeclampsia without severe features.