الفهرس 
Aim Of The WorkOnly 14 pages are availabe for public view
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Abstract
Pre-eclampsia is a multisystem disorder that occurs in 5–8% of all pregnancies. Despite improvements in the diagnosis and management of pre -eclampsia, severe complications can occur in both the mother and the fetus, and there is no effective method of prevention. Obstetric management of pre-eclampsia focuses on medical management of blood pressure and prevention of seizures using magnesium sulfate, but the only reasonable maternal cure is delivery of the fetus and placenta. In cases of maternal and foetal well being, expectant management to allow foetal growth and lung maturation may be a reasonable alternative. The most devastating complication of pre-eclampsia is cerebral haemorrhage, accounting for most cases of maternal mortality.
If general anaesthesia is indicated, care must be taken to prevent additional stress responses to endotracheal intubation. In women with pre-eclampsia, spinal anaesthesia for caesarean delivery provides excellent haemodynamic stability and shows the best risk–benefit analysis.
The risk of haematoma in spinal anaesthesia is significantly less than the risk of haematoma in epidural anaesthesia or combined spinal–epidural anaesthesia, whereas the detrimental effects of general anaesthesia on maternal haemodynamics and the risk of failed intubation are avoided.