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Postpartum preeclampsia occurring after resolution of antepartum preeclampsia

Sarah S Andrus1, Allan B Wolfson

  • 1University of Pittsburgh Affiliated Residence in Emergency Medicine, Pittsburgh, Pennsylvania, USA.

The Journal of Emergency Medicine
|June 13, 2008
PubMed

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.

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