1. Chronic Hypertension
If controlled hypertension, not recommended to deliver before 38 weeks
Changes if uncontrolled and especially if growth restriction found

2. Moving toward Delivery in GHTN/pre-e without severe features
Deliver at 37 weeks
Deliver at >34 weeks if: PROM, abnormal fetal tests, IUGR < 5%, concern for abruption

3. Preeclampsia with severe features
Delivery expedited taking into account fetal maternal well being and gestational age
> 34 w0d, expedite delivery after stabilizing mother
If < 34 wks, can do in-hospital expectant management depending on maternal/fetal status
Should be in a tertiary center

4. Steroids for Fetal Maturity
Give corticosteroids and defer delivery for 48 hours if maternal and fetal conditions remain stable for women with severe preeclampsia and a viable fetus at 33 6/7 weeks or less of gestation

5. Delivery Route
Vaginal delivery is recommended even with severe features
C-section is indicated with seizures refractory to medication, severely elevated BP not responding to medications, and maternal or fetal compromise when delivery not imminent