Clinical management

The final chapter of the fourth edition summarizes management of gestational hypertension with a focus on the preeclampsia syndrome. The importance of preeclampsia as a multisystem disorder is emphasized, with the goal of arriving at management interventions that are based on scientific observations that describe the pathophysiology of the syndrome. Over the past three decades there has been an unprecedented accrual of high-quality evidence-based studies that underpin clinical management of the woman and her fetus in pregnancies complicated by severe preeclampsia or eclampsia. In that regard, this chapter describes management principles that are based on many of the scientific and clinical observations elucidated in the preceding 19 chapters.