The bottom line, however, is that the presence of oedema does not diagnose pre-eclampsia, and, more significantly, its absence does not rule out the condition or lessen its severity.
What will ultimately be done?
The aim is to ensure delivery of a healthy baby without putting the mother at risk.
If the condition is getting worse in spite of all the measures, immediate delivery is the only option. This is to prevent eclampsia, which could potentially seriously harm both the mother and the baby. It could even kill them.
If the mother is very far from term, the method of delivery is likely to be a caesarean section, as induction of labour is unlikely to be successful at least, not quickly enough. If she is nearer to term, let's say thirty-five weeks of gestation or more, induction of labour is a viable alternative. The mother's condition will be closely monitored all the time and, if it is seen to be worsening, the induction process may be halted and delivery achieved by caesarean section.
The decision on how to proceed will depend on a combination of factors including the severity of the condition, whether the mother can be induced, fetal condition (which may be compromised), and the mother's own wishes.
Each individual case is unique and there are no fixed rules.