OBJECTIVE: We sought to review the risks and benefits of expectant management of
severe preeclampsia remote from term, and to provide recommendations for expectant
management, maternal and fetal evaluation, treatment, and indications for delivery.
METHODS: Studies were identified through a search of the MEDLINE database for relevant
peer-reviewed articles published in the English language from January 1980 through
December 2010. Additionally, the Cochrane Library, guidelines by organizations, and
studies identified through review of the above documents and review articles were utilized
to identify relevant articles. Where reliable data were not available, opinions of respected
authorities were used.