A 27 year primigravida presents with pregnancy induced hypertension with blood pressure of 150/100 mm of Hg at 32 weeks of gestation with no other complications. Subsequently, her blood pressure is controlled on treatment. If there are no complications, the pregnancy should be terminated at:

Explanation

The patient in the question has BP = 150/100 mm of Hg i.e. mild hypertension (severe hypertension is when systolic BP is > 160 mm or diastolic BP > 110 mm of Hg) and has no other complications. Her BP is controlled on treatment i.e. she is being managed expectantly. In such patients pregnancy should be terminated at 37 weeks. “If Pregnancy is beyond 37 completed weeks termination is to be considered without delay.” ... Dutta Obs. 7/e, p229 Management of Mild Preeclampsia: Fernando Arias 3/e, p 419 Detailed examination for symptoms indicative of severe preeclampsia should be done daily.