Postpartum preeclampsia
Overview
Postpartum preeclampsia is a serious condition increasing the blood pressure and showing the excess of protein in the urine. Preeclampsia and other pregnancy-related hypertension illnesses share many of its characteristics with this condition, and usually disappears after birth, without affecting the baby.
Postpartum preeclampsia is a condition that only happens after birth, and this condition can occur in people who have never experienced high blood pressure or preeclampsia. Most commonly, postpartum preeclampsia occurs within 48 hours of the birth of the child, however late postpartum preeclampsia can develop up to six weeks or even later after the delivery of the child.
Postpartum preeclampsia requires early medical attention. If left untreated, this illness can cause death, brain damage, and stroke. The chances of a full recovery is indeed very high after diagnosis and treatment.
Symptoms
Pregnancy often goes undetected by the majority of women who develop postpartum preeclampsia.
Postpartum preeclampsia can present with symptoms similar to those with preeclampsia prior to delivery, such as:
- Hypertension with blood pressure greater than 140/90 mmHg
- High protein level in the urine (proteinuria)
- Swelling of the extremities
- Blurred vision, sensitivity to light, or temporary loss of vision
- Upper abdominal pain, commonly on the right side under the ribs
- Severe Headache
- Nausea and vomiting
- Shortness of breath
- Decreased urination
If the patient is experiencing any signs and symptoms of postpartum preeclampsia after giving a birth, they have to contact their healthcare practitioner, as they might require emergency medical attention depending on the situation.
Causes
The exact reason of postpartum preeclampsia is not yet known but there are several circumstances that raise the risk. Patients are recommended to attend all prenatal and postnatal checkups; they need to disclose their medical history with their provider and bring up any unusual symptoms they experience. The healthcare professional may be able to identify postpartum preeclampsia.
Risk factors
Postpartum preeclampsia shares many of the same risk factors as preeclampsia during pregnancy, but any woman is vulnerable regardless of their history of blood pressure issues, weight, nutrition, or exercise.
The likelihood of developing postpartum preeclampsia is affected by a number of factors. The patient might be at greater risk if they have any of the following conditions:
- Blood pressure: If patients experience high blood pressure after 20 weeks of pregnancy or uncontrolled high blood pressure before becoming pregnant, they might have a higher chance of developing postpartum preeclampsia.
- Family History: The risk increases if there is a history of preeclampsia or postpartum preeclampsia in the family.
- Obesity: Patients have higher risk for postpartum preeclampsia if their body mass index is categorized as obese.
- Twins or more: The risk of preeclampsia increases if the mother is expecting twins, triplets, or more.
- Diabetes: The likelihood of developing preeclampsia and postpartum preeclampsia is increased if the patient have type 1 or type 2 diabetes or gestational diabetes.
Diagnosis
Early diagnosis by identifying symptoms and acting appropriately is the most important aspect. The following tests may be carried out if the healthcare professional suspects the patients have postpartum preeclampsia:
- Blood tests: Through these tests, the liver, kidneys, and blood can all be examined to see how well they’re working and whether platelets are present in the blood in a normal amount.
- Urinalysis: A small sample of a urine may be analyzed to discover if it includes protein, or a 24-hour sample of urine so the total amount of protein can be determined.
- Brain scan: if the patient had history of seizure, then brain scan is recommended to check for any brain damage.
Treatment
The following treatments could be recommended if the doctor determines the patient have postpartum preeclampsia:
- Blood pressure medicines: Prescribe medications that lower the blood pressure.
- Antiseizures medicines: Magnesium sulfate will be prescribed to prevent seizures. Usually, magnesium sulfate is given for 24 hours. Healthcare professionals will regularly monitor their blood pressure, urine, and other symptoms after they finish taking magnesium sulfate.
- Blood thinner: Anticoagulants medicines will be given to reduce the risk of blood clots.
It’s typically regarded as safe to breastfeed while taking these medications for breastfeeding mothers.
