Expectant Management of Severe Preeclampsia in Advanced Maternal Age With Multiple Risk Factors: A Case Report

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.