Conclusion

Management of severe pre-eclampsia should be co-ordinated by a multidisciplinary team of obstetricians, anesthetists, and, when appropriate, an intensive care specialist. Control of hypertension, fluid management, and safe expeditious delivery, at an optimum time to minimize maternal and fetal mortality and morbidity, are the main goals of therapy. High-dependency care should be reserved for the few critically ill patients who do not respond to standard therapy. There still remains a need for multicenter clinical trials to define the value of available hemodynamic interventions.

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