managing postpartum PE

[tammy]

I realize that stats for having PE in another pregnancy after already having in with one. I was wondering how should you manage a patient who you delivered 6 weeks early for Pe and then readmitted 10 days PP for increased symptoms and B/p (placed on Mag). I did want to start trying in about a year but I am scared to death that I will have severe problems in the PP period. Also what are the stats for PE PP in subsequent pregnancies.

Tammy

Liam 10/26/03/34weeks/PE

[expert on call]

The treatment of post-partum preeclampsia is the same as for that identified antepartum or intrapartum and involves the use of magnesium sulfate and, where necessary, control of blood pressure. In your favor is the fact that you developed preeclampsia fairly late in the third trimester, so your recurrence risk should be in the range of 20%, and this risk does not seem to depend on whether your diagnosis was antepartum or post-partum, though intuitively I would speculate that a case such as yours (post - partum) would carry a better prognosis.

Good luck.


Expert on Call

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