How is preeclampsia managed postpartum?

Updated: Nov 29, 2018
  • Author: Kee-Hak Lim, MD; Chief Editor: Ronald M Ramus, MD  more...
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Answer

Answer

Postpartum management

  • Many patients will have a brief (up to 6 hours) period of oliguria following delivery

  • Magnesium sulfate seizure prophylaxis is continued for 24 hours postpartum

  • Liver function tests and platelet counts must document decreasing values prior to hospital discharge

  • Elevated BP may be controlled with nifedipine or labetalol postpartum

  • If a patient is discharged with BP medication, reassessment and a BP check should be performed, at the latest, 1 week after discharge

  • Unless a woman has undiagnosed chronic hypertension, in most cases of preeclampsia, the BP returns to baseline by 12 weeks’ postpartum

  • Patients should be carefully monitored for recurrent preeclampsia, which may develop up to 4 weeks postpartum, and for eclampsia that has occurred up to 6 weeks after delivery


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