An increase in swelling postpartum after preeclampsia is very common. It will frequently resolve on its own. However, you are correct to be concerned about the potential for other complications postpartum, (an increase in hypertension, heart failure). While these are rare, they are very serious. A week of treatment with a diuretic such as lasix may help and is not associated with risk.
If you swelling is worsening, if you have significant headaches, or if you are short of breath you should see your doctor. I will see most of my patients with severe preeclampsia within a week of delivery.
A Perinatologist in Washington State
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