In cases of severe pre-eclampsia, what findings indicate a need for delivery of the fetus?

In cases of severe pre-eclampsia, the presence of significant symptoms such as headache and visual disturbances indicates a need for delivery of the fetus due to the increased risk of complications for both the mother and the fetus. These neurological symptoms can suggest progression toward more severe outcomes, including the development of eclampsia, which involves seizures, and can be life-threatening if not addressed promptly. The need for urgent intervention is heightened, as these symptoms reflect underlying cerebral edema or other serious complications related to elevated blood pressure and vascular changes associated with severe pre-eclampsia.

While other findings—such as proteinuria, hypertension, or excessive weight gain—are relevant in the diagnosis and management of pre-eclampsia, they do not signal the immediate requirement for delivery as strongly as the presence of severe headache or visual disturbances. These latter symptoms represent a critical escalation in the condition that necessitates prompt action to ensure the safety of both the mother and the fetus.