What is the target gestational age for delivery in cases of preeclampsia without severe features?

The target gestational age for delivery in cases of preeclampsia without severe features is generally around 37 weeks. This timing is based on balancing the risks associated with continued pregnancy against the potential complications of preterm delivery.

Delivering at 37 weeks allows for the fetus to attain sufficient maturity to reduce the risks typically associated with prematurity, such as respiratory distress syndrome and other neonatal complications. Moreover, at this gestational age, maternal outcomes also tend to improve as the risks of complications related to preeclampsia, such as the development of severe features, increase with prolonged pregnancy.

Waiting until 39 weeks or beyond risks worsening maternal health if the condition progresses or the development of severe features of preeclampsia occurs. In contrast, delivering significantly earlier, such as at 34 weeks, could expose the neonate to higher risks associated with preterm birth without a compelling medical reason. Thus, the recommendation is to plan for delivery at 37 weeks when the clinical situation allows.