This chapter contains sections titled: Introduction Etiology of pre - eclampsia Diagnosis of pre - eclampsia General management principles for pre - eclampsia Fluid therapy for pre - eclampsia Seizure prophylaxis for pre - eclampsia Antihypertensive therapy for severe pre - eclampsia Analgesia – anesthesia for pre - eclampsia Hemodynamic monitoring for pre - eclampsia Cardiopulmonary complications of pre - eclampsia Renal complications of pre - eclampsia HELLP syndrome Liver rupture Pancreatitis Neurologic complications of pre - eclampsia Eclampsia Uteroplacental – fetal complications of pre - eclampsia Conclusions References