Chapter 3: Pre-eclampsia and eclampsia

Pre-eclampsia and eclampsia: Specific recommendations

Women with a systolic blood pressure of 160 mm/Hg or more need anti-hypertensive treatment. Consideration should be given to initiating treatment at lower pressures if the overall clinical picture suggests likely rapid deterioration with anticipation of severe hypertension.

Anaesthetists should anticipate an additional rise in blood pressure at intubation in women with severe pre-eclampsia who are undergoing caesarean section under general anaesthesia and take measures to avoid a speed that compromises maternal wellbeing, even when there are concerns about fetal wellbeing.

Syntometrine should not be given for the active management of the third stage if the mother is hypertensive, or if her blood pressure has not been checked.