Expectant management of severe preeclampsia in advanced maternal age with multiple risk factors: A case report

Zakour Khadari, Mohamad, Zainal, Hadzliana, Daud, Nur Aizati Athirah and Sha'aban, Abubakar ORCID: https://orcid.org/0000-0002-5491-9851 2025. Expectant management of severe preeclampsia in advanced maternal age with multiple risk factors: A case report. Cureus: Journal of Medical Science 17 (2) , e79600. 10.7759/cureus.79600 Item availability restricted.

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Abstract

The management and outcome of severe preeclampsia are outlined in this case report of a 42-year-old multiparous woman presenting with multiple risk factors, including maternal obesity, advanced maternal age, gestational diabetes, and a significant interpregnancy interval of over eight years. The patient underwent expectant management for close monitoring of her pregnancy. However, due to the emergence of severe preeclampsia symptoms, the decision was made to deliver the baby at 29 weeks of gestation via classical cesarean section and bilateral tubal ligation. The neonate, weighing 1070 g, was born with an Apgar score of 6 and was subsequently admitted to the neonatal unit for severe prematurity. This case highlights the importance of individualized care plans tailored to patients with multiple risk factors and underscores the proactive management strategies essential for achieving favorable delivery outcomes.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Medicine
Publisher:	Springer
ISSN:	2168-8184
Date of First Compliant Deposit:	8 April 2025
Date of Acceptance:	12 January 2025
Last Modified:	09 Apr 2025 10:45
URI:	https://orca.cardiff.ac.uk/id/eprint/177492

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