Postpartum preeclampsia occurring after resolution of antepartum preeclampsia.
Preeclampsia is a syndrome characterized by hypertension, proteinuria and edema in a pregnant female after 20 weeks of gestation, including occurring in the postpartum period. Delivery of the infant is usually considered the definitive treatment for preeclampsia. Preeclampsia in a prior pregnancy is associated with an increased risk of recurrence in a subsequent pregnancy. However, it is unusual for preeclampsia to resolve with delivery of the infant and then recur in the same pregnancy in the postpartum period. We present here a case report of a woman who had antepartum preeclampsia treated with delivery. She then had a recurrence of the classic signs of preeclampsia in the postpartum period. Ultimately she was admitted and treated with magnesium with a final diagnosis of recurrent preeclampsia.
University of Pittsburgh Affiliated Residence in Emergency Medicine, Pittsburgh, Pennsylvania, USA.
Sarah S
SS
Andrus
Allan B
AB
Wolfson
D018450:Disease Progression; D005260:Female; D005865:Gestational Age; D006801:Humans; D036801:Parturition; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000503:physiopathology*; D011247:Pregnancy; D012307:Risk Factors; D055815:Young Adult