🩺 Delivery Timing Decision Simulator

Mild Preeclampsia — Expectant Management

Mild preeclampsia without severe features generally allows continued monitoring.

• <160/110: Typical BP threshold (placeholder value)
• 37 wk: Delivery target (placeholder timing)
• Twice weekly: Monitoring frequency (placeholder cadence)
• Often outpatient: Hospitalization (placeholder setting)

Rationale for expectant management

Placeholder: waiting reduces prematurity risk when maternal status is stable.

Severe Features Accelerating Delivery

Severe findings shift management toward earlier delivery regardless of gestational age.

• ≥160/110: Severe BP threshold (placeholder value)
• Low platelets, high LFTs: Key labs (placeholder panel)
• Headache, vision changes: Symptom flags (placeholder list)
• Deliver <34 wk if severe: Typical action (placeholder guidance)

Why severity overrides prematurity concerns

Placeholder: maternal organ risk can outweigh benefits of further fetal maturation.

Gestational Age and Viability Consideration

Weeks of gestation determine the fetal-risk weight in the timing decision.

• ~24 wk: Viability edge (placeholder threshold)
• 24–34 wk: Steroid window (placeholder course)
• 37 wk: Term threshold (placeholder cutoff)
• Sharp after 34 wk: NICU risk drop (placeholder trend)

How gestational age shifts the scale

Placeholder: later gestational age lowers prematurity risk on the balance.

Fetal Status and Growth Restriction Factor

Fetal growth restriction or abnormal Doppler findings add urgency to delivery.

• <10th percentile: Growth restriction flag (placeholder cutoff)
• Absent/reversed flow: Doppler concern (placeholder finding)
• Biophysical profile: Monitoring tool (placeholder test)
• Moves toward delivery: Effect on timing (placeholder impact)

Fetal compromise as a tipping factor

Placeholder: poor fetal status can force earlier delivery despite prematurity risk.

Delivery Timing — Final Decision

Severity, gestational age, and fetal status combine into one timing recommendation.

• Severe + viable GA: Deliver now trigger (placeholder rule)
• Mild + preterm: Expectant trigger (placeholder rule)
• Deliver ≥37 wk: Term default (placeholder rule)
• Always individualized: Shared decision (placeholder note)

Putting it together

Placeholder: the final call weighs all factors, not any single one.

Placeholder: this tool is illustrative, not a clinical decision aid.