The study focused on the management of severe preeclampsia. It was an operational research conducted as a clinical audit based on criteria that aimed to identify shortcomings in the management of severe preeclampsia (SPE). At the end of this study, it appeared that severe preeclampsia accounted for 5.6% of deliveries. The mean age of the patients was 25.5 ± 6.5 years and the latter were especially nulliparous (47.8%). Dysfunctions were identified at all stages of care: referral (25.85%), initial assessment (30.95%), patient biological monitoring and treatment monitoring with magnesium sulfate (58.8%). To address those shortcomings, a close collaboration is necessary between the laboratory, the gynecology and obstetrics unit and the hospital managing team.