Complications of pregnancy-induced hypertension (PM) remain a leading
cause of maternal mortality in the United States. The etiology of the
disease is not fully understood, but pathologic effects of PM on mater
nal organ systems are well documented. Present strategies for manageme
nt emphasize prevention and control of eclamptic seizure and hypertens
ive crisis and correction of fluid imbalance. The article reviews curr
ent trends in drug therapy for the acute management of PIH. Topics dis
cussed include evaluation of magnesium sulfate as an anticonvulsant, h
ydralazine versus labetalol for management of hypertension, and the ro
le of colloid osmotic pressure in fluid therapy.