The Journal of Emergency Medicine
Volume 38, Issue 2 , Pages 168-170, February 2010

Postpartum Preeclampsia Occurring After Resolution of Antepartum Preeclampsia

  • Sarah S. Andrus, MD

      Affiliations

    • Corresponding Author InformationReprint Address: Sarah S. Andrus, md, Department of Emergency Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Mailcode CDW-EM, Portland, OR 97239
  • ,
  • Allan B. Wolfson, MD

University of Pittsburgh Affiliated Residence in Emergency Medicine, Pittsburgh, Pennsylvania

Received 26 January 2006; received in revised form 4 October 2007; accepted 7 November 2007. published online 12 June 2008.

Abstract 

Preeclampsia is a syndrome characterized by hypertension, proteinuria and edema in a pregnant female after 20 weeks of gestation, including occuring 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.

Keywords: recurrent preeclampsia, postpartum preeclampsia, risk factors preeclampsia

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PII: S0736-4679(08)00498-8

doi:10.1016/j.jemermed.2008.04.039

The Journal of Emergency Medicine
Volume 38, Issue 2 , Pages 168-170, February 2010