A 27-year old primigravida presented to the OPD with pregnancy induced hypeension at 32 weeks of gestation. She had no other complications. On examination she had a blood pressure of 150/100 mm of Hg. Her blood pressure was later controlled with treatment. lf there are no complications, the pregnancy should be terminated at?

**Core Concept:** Pregnancy-induced hypertension (PIH) is a form of high blood pressure that occurs during pregnancy, usually after the 20th week. If well-managed with treatment, complications can be minimized, but the final decision on termination of pregnancy depends on various factors.

**Why the Correct Answer is Right:** In this question, the focus is on the absence of significant complications in the patient. The correct answer (C) is based on the fact that the management of PIH involves controlling hypertension, reducing the risk of complications, and ensuring optimal fetal and maternal outcomes. In the absence of complications like preeclampsia, abruptio placentae, or fetal growth restriction, the pregnancy can continue until term (37 weeks).

**Why Each Wrong Option is Incorrect:**

A) Terminating the pregnancy at 32 weeks is too early, as the fetus may not have developed fully, increasing the risk of neonatal complications.

B) Terminating the pregnancy at 36 weeks is also premature, as the fetus may still face developmental issues and the mother's risk of PIH relapse is high.

D) Terminating the pregnancy at 39 weeks is too late, as the fetus may not have reached its full developmental potential and the mother's risk of PIH relapse decreases after 37 weeks.

**Clinical Pearl:** In cases of PIH managed successfully, the decision to continue the pregnancy depends on the absence of complications and ensuring optimal fetal and maternal outcomes. Terminating the pregnancy too early or too late can lead to increased risk of neonatal issues and suboptimal development. The optimal time for termination is when there are no complications, ensuring that the mother is not at high risk of relapse, and the fetus has reached a stage where complications are less likely.

**Correct Answer:** C) Terminating the pregnancy at 37 weeks in the absence of complications and successful management of PIH ensures favorable outcomes for both the mother and the baby.

✓ Correct Answer: B. 37 completed weeks