Management of pre-eclampsia and eclampsia.

1. Definitions ................................................................................... 2 1.1 Principles .......................................................................... 2 1.2 Australasian Definition ........................................................ 2 1.3 Diagnostic Challenge ........................................................ 4 2. Organisational Aspects ................................................................ 5 2.1 Multidisciplinary Team Approach ........................................ 5 2.2 Maintenance of Clinical Skills .............................................. 5 2.3 Establishment of an Early Warning Scoring System ................. 5 3. Reduction of High Blood Pressure .................................................. 5 3.1 Non-Severe Hypertension ................................................... 5 3.2 Severe Hypertension .......................................................... 6 4. Treatment and Prevention of Seizures (Eclampsia) .......................... 7 4.1 Treatment of Seizures and Prevention of Recurrent Seizures.... 7 4.2 Prevention of Seizures ........................................................ 7 4.3 Clinical Practice Issues Related To Mgso4 ............................. 7 5. Additional Therapies for Haematological and/or Hepatic Complications ............................................................................. 8 5.1 Corticosteroids for HELLP .................................................... 8 5.2 Platelet Transfusions and Other Therapies ............................. 8 6. Intravenous Fluids ........................................................................ 9 7. Specific Clinical Contexts ............................................................. 9 7.1 Regional Blockade ............................................................ 9 7.2 Analgesia for Labour .......................................................... 10 7.3 Anaesthesia for Caesarean Birth ......................................... 10 7.4 General Anaesthesia ......................................................... 11 7.5 Monitoring ........................................................................ 11 8. Use of Oxytocic Agents ............................................................... 11 9. Postpartum Management ............................................................ 12 9.1 Continuing Critical Care Management ............................... 12 9.2 Analgesia ......................................................................... 12 9.3 Thromboprophylaxis .......................................................... 12 9.4 Discontinuation of Intravenous Mgso4 ................................. 12 9.5 Management of Acute Pulmonary Oedema (Apo) .............. 12 9.6 Management of Oliguria in the Immediate Postpartum Period .............................................................................. 13 9.7 Management of Severe Hypertension in the Immediate Postpartum Period ............................................................. 13 9.8 Implications of Interventions Related To Breastfeeding .......... 13 Key Messages ....................................................................................... 13 References ........................................................................................... 14