Pregnancy-induced hypertension (PIH) is a condition characterized by new onset hypertension after 20 weeks of gestation without prior chronic hypertension. It can range from mild to severe preeclampsia and eclampsia. Severe PIH is associated with multiple organ involvement and risks to both mother and baby. Care involves careful monitoring, controlling blood pressure, delivering the baby when term, and preventing and treating seizures with magnesium sulfate. Anesthetic management focuses on regional techniques like epidural anesthesia to control blood pressure, while preparing for potential difficulties like airway edema during general anesthesia if needed.