Which statement regarding preeclampsia with severe features is false?

The statement that cesarean delivery is mandated for all cases of preeclampsia with severe features is considered false because management decisions are made based on the specific clinical circumstances of both the mother and the fetus. While cesarean delivery may be necessary in certain severe cases, it is not universally mandated. For some patients, particularly if they are stable and the fetus is doing well, a vaginal delivery may be possible and preferred.

Immediate delivery is often recommended in cases of preeclampsia with severe features to prevent complications such as seizures (eclampsia) or organ failure. Corticosteroids may be administered to help mature the fetal lungs especially if delivery must be delayed, counterbalancing the risks associated with preeclampsia. Antihypertensive therapy is vital to manage the mother’s blood pressure levels to reduce the risk of severe maternal outcomes. Thus, while different management strategies exist, cesarean delivery is not a blanket requirement for all cases.