Korean J Obstet Gynecol.  2007 Feb;50(2):352-356.

Late postpartum eclampsia 11days after delivery without preeclampsia: A case report

• Hyun SH
• Lee MA
• Lee JG
• Kim BY
• Park JH
• Lee KE
• Lee AY
• Rhee YE

Abstract

Eclampsia, defined as peripartum seizure activity commonly associated with hypertension, proteinuria and edema. Historically, eclampsia was believed not to occur more than 48 hours after delivery and late postpartum eclampsia was thought to be uncommon. However, recent evidence suggests that its incidence is increasing. In addition, clinical signs of late postpartum eclampsia may differ from that occurring during the pregnancy. In case of late postpartum eclampsia, headache and visual disturbance may precede seizure but classic preeclampsia signs as edema, proteinuria, and hypertension are not presented until shortly before seizure onset. So it should be needed that patient education about prodromal symptoms of late postpartum eclampsia, including headache, visual disturbance, and abdominal pain at the time of hospital discharge. We described a case of eclampsia occurring 11days after delivery without preeclampsia symptom including a review of the literature.

Keyword

Late postpartum eclampsia

MeSH Terms

Abdominal Pain
Eclampsia*
Edema
Female
Headache
Hypertension
Incidence
Patient Education as Topic
Peripartum Period
Postpartum Period*
Pre-Eclampsia*
Pregnancy
Prodromal Symptoms
Proteinuria
Seizures