Table 8. Be Aware / Be Alert.

Preventing cerebrovascular accidents:

• Treat sustained systolic hypertension (≥ 160 mmHg)

• Treat fluctuating (very high levels) blood pressure (≥ 160 mmHg). Lower high blood pressure smoothly with IV antihypertensive agents

• Need for continuing close blood pressure monitoring; continuing antihypertensive drugs in the immediate postpartum period

• The use of MgS04 in severe fulminant hypertension and its continued use for up to 24 hours following delivery

Preventing pulmonary oedema:

• Fluid overload: watch out for early signs

Continuing education:

• Face-to-face training on obstetric emergencies and the use of obstetric drills