Managing pre-eclampsia 1: establishing guidelines

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Abstract
The introduction of guidelines for the management of severe pre-eclampsia in the Yorkshire region has led to the development of a Regional Midwifery Network. The appointment of a central co-ordinating audit midwife has facilitated this development. The network has primarily provided the structure required to audit a large series of cases of severe pre-eclampsia and eclampsia, providing knowledge about the use of the guidelines within the region and enabling improvements in care and outcome to be made. Secondary effects for the midwives have been increased clinical confidence in caring for pre-eclamptic or eclamptic women, educational resources, the evolution of a focused high-risk midwifery forum and improved multidisciplinary working in what has previously been a highly medicalised area of care.