Severe pregnancy-induced hypertension: postpartum care of the critically ill patient

SPIH is a disease of unknown cause that contributes to maternal and neonatal morbidity and mortality rates. Familiarity with the normal physiologic adaptations of pregnancy and the confounding pathologic changes of SPIH will enable the health care professional to better understand the principles of management. Immediate therapeutic interventions are necessary to reverse hypertension and to prevent the life-threatening sequelae that may arise from this condition. Postpartum management is directed toward decreasing vasospasm and central nervous system irritability and maintaining fluid and electrolyte balance. Attention must be given to the special obstetric needs of these patients.