Guideline

WHO recommendations: policy of interventionist versus expectant management of severe pre-eclampsia before term.

Year of Publication

2018

Issuing Institution

World Health Organization

Links

Pubmed,WHO IRIS

Recommendations

3 included recommendations

Induction of labour is recommended for women with severe pre-eclampsia at a gestational age when the fetus is not viable or unlikely to achieve viability within one or two weeks

Status

Maintained

Recommended in favor

Strong

Certainty of evidence

Very low

In women with severe pre-eclampsia, a viable fetus and before 34 weeks of gestation, a policy of expectant management is recommended, provided that uncontrolled maternal hypertension, increasing maternal organ dysfunction or fetal distress are absent and can be monitored

Status

Maintained

Recommended in favor

Strong

Certainty of evidence

Very low

In women with severe pre-eclampsia, a viable fetus and between 34 and 36 (plus 6 days) weeks of gestation, a policy of expectant management may be recommended, provided that uncontrolled maternal hypertension, increasing maternal organ dysfunction or fetal distress are absent and can be monitored

Status

Maintained

Recommended in favor

Conditional

Certainty of evidence

Very low