If the sister has been diagnosed with preeclampsia and hospitalized at 35 weeks, it would be likely a significant risk to leave that environment, especially to consider a prolonged transatlantic flight. Should severe hypertension ensue during transit, or an eclamptic seizure, treatment for such is lacking on aircraft and maternal and/or fetal death could result. Hospitalization in Nigeria likely was undertaken because of concern for the patient and her pregnancy--a recognition of risk and a need for close maternal and fetal surveillance, something that can't be undertaken safely during the circumstances to be encountered with a flight as described.
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