Нe word “Preeclampsia” is derived from the Greek word Eklampsis meaning “lightening” or “convulsions”. In a woman with term pregnancy and preeclampsia there is contracted plasma volume, normal or increased cardiac output, vasoconstriction, and hyper dynamic leÑ– ventricular function. Нere may also be a coexisting leÑ– ventricular dysfunction in systole and diastole. Other problems are increased airway edema, decreased glomerular filtratLon and platelet dysfunction superimposed on the exaggerated hypercoagulable state of pregnancy. In severe preeclampsia there is chronic placental hypo perfusion. Нe uteroplacental circulation is not auto regulated and the fetus may poorly tolerate any further decline in perfusion. Нus the primary peripartum aim in the management of a severely preeclampsia parturient is the optimization of maternal blood pressure, cardiac output and uteroplacental perfusion.