Description

Rarely a woman may develop preeclampsia following delivery.


Onset: <= 6 weeks after delivery

 

Features of pre-eclampsia:

(1) hypertension: blood pressure greater than 140/90 mm Hg on more than 2 occasions greater than 6 hours apart

(2) proteinuria: greater than 300 mg per 24 hours or urine dipstick greater than 1+ on 2 occasions more than 6 hours apart

(3) edema

(4) hyperuricemia greater than 5 mg/dL

 

Complications:

(1) seizures (eclampsia)

(2) oliguria less than 400 mL per 24 hours

(3) cerebral or visual disturbances

(4) pulmonary edema or cyanosis

 

Differential diagnosis:

(1) continuation of antepartum preeclampsia

(2) another cause of hypertension


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