[Management of preeclampsia in a perinatal network]

At community level, the perinatal management can be summarized as follows: - A patient with a previous history of PE, with a currently uneventful pregnancy, may be followed-up at community level by a midwife or her GP, on the condition that she underwent a preliminary OG consultation, preferably pre-conceptually, producing a series of written recommendations for this patient's follow-up. - In case of moderately severe PE, investigations are to be carried out by the OG on an in-patient basis and a tight follow-up organized. (convention or written protocol). - In case of severe PE, immediate admission is compulsory. The birthplace is to be chosen according to gestational age, criteria for maternal and foetal distress and the anticipated need for post-natal intensive care admission. This must be concluded by a post-partum consultation with the OG.