PREGNANCY-BIRTH Messages for January, 2001: Re: 'Post-partum severe preeclampsia'

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Re: 'Post-partum severe preeclampsia' - is there really such a thing??

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 11 Jan 2001 01:53:47 -0600 (CST)

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In reply to: Michele: "'Post-partum severe preeclampsia' - is there really such a thing??"

At Wed, 10 Jan 2001, Michele wrote: >
>I've asked several questions in this forum during my pregnancy, and have
>always gotten great answers. I thought this would be over with by now,
>but since not, I've got a question or two.
>
>I had labor induced because of MILD preeclampsia almost two weeks ago. I
>was sent home after three days-everything was fine. Two days after I
>was discharged from the hospital, my blood pressure started rising, to
>180/110. I went to my doctor, who found I had a moderate headache,
>upper-right quadrant pain, blurry vision, and my reflexes were "hyper."
>He sent me to the emergency room for labs and tests and
>medicine-everything came back negative. So, he put me on Phenobarbitol
>and Labetolol. Now, my only symptoms are elevated blood pressures -
>160's/90's, a moderate headache, and the hyper reflexes.
>
>My doctor said that while I only had MILD preeclampsia before I
>delivered, he's calling this "post-partum SEVERE preeclampsia."
>
>Everything I've read says that preeclampsia goes away when you deliver
>the baby.
>
>My questions are these: is this pregnancy related? And, when will it go
>away? My doctor's a really nice guy, but I'm getting tired of seeing
>him!
>
>Thanks,
>Michele

Michele, Your physician is right on the money. Preeclampsia can certainly occur or worsen in the postpartum period and it did in your case. The pressures will likely take some time to moderate. Often this takes several weeks... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: high risk"
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In reply to: Michele: "'Post-partum severe preeclampsia' - is there really such a thing??"

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