[2019] To find out why the committee made the 2019 recommendations on assessment of women with pre-eclampsia and how they might affect practice see rationale and impact. Treatment of pre-eclampsia 1.5.5 Offer women with pre-eclampsia the tests and treatments listed in Table 2 Management of pregnancy with pre-eclampsia Degree of hypertension Hypertension: blood pressure of 140/90 159/ Severe hypertension: blood pressure of 160/ 110 mmHg or more Admission to hospital Admit if any clinical concerns for the wellbeing of the woman or baby (see recommendation 1.5.2) or if high risk of adverse events suggested by the fullPIERS or PREP-S risk prediction models Admit, but if BP falls below 160/110 mmHg then manage as for hypertension Antihypertensive pharmacological treatment Offer pharmacological treatment if BP remains above 140/90 mmHg Offer pharmacological treatment to all women Target blood pressure once on antihypertensive treatment Aim for BP of 135/85 mmHg or less Aim for BP of 135/85 mmHg or less Blood pressure measurement At least every 48 hours, and more frequently if the woman is admitted to hospital Every 15 30 minutes until BP is less than 160/110 mmHg, then at least 4 times daily while the woman is an inpatient, depending on clinical circumstances Dipstick proteinuria testinga Only repeat if clinically indicated, for example, if new symptoms and signs develop or if there is uncertainty over diagnosis Only repeat if clinically indicated, for example, if new symptoms and signs develop or if there is uncertainty over diagnosis Blood tests Measure full blood count, liver function and renal function twice a week Measure full blood count, liver function and renal function 3 times a week Fetal assessment Offer fetal heart auscultation at every antenatal appointment Carry out ultrasound assessment of the fetus at diagnosis and, if normal, repeat every 2 weeks Carry out a CTG at diagnosis and then only if clinically indicated (See section 1.6 for advice on fetal monitoring) Offer fetal heart auscultation at every antenatal appointment Carry out ultrasound assessment of the fetus at diagnosis and, if normal, repeat every 2 weeks Carry out a CTG at diagnosis and then only if clinically indicated (See section 1.6 for advice on fetal monitoring) a Use an automated reagent-strip reading device for dipstick screening for proteinuria in a secondary care setting. 