Postpartum Management

Postpartum Management

The risk of complications from pre-eclampsia and eclampsia does not end with delivery. Some clients may develop postpartum pre-eclampsia or eclampsia, which can occur up to six weeks after delivery. Therefore, close monitoring and follow-up care are essential for these clients.

Some general principles for managing pre-eclampsia and eclampsia in the postpartum period include:

• Monitor blood pressure, urine output, neurological status, and laboratory tests daily or more frequently as needed
• Continue magnesium sulfate intravenously for 24 hours after delivery or the last seizure, whichever is later
• Continue antihypertensive therapy (e.g., methyldopa, nifedipine, hydralazine, labetalol) until blood pressure is stable below 140/90 mmHg
• Encourage early ambulation and mobilization to prevent thromboembolism
• Promote breastfeeding if possible and not contraindicated
• Provide health education and counselling on the following topics:
  • The signs and symptoms of postpartum pre-eclampsia or eclampsia and when to seek medical attention
  • The importance of regular blood pressure monitoring and follow-up visits
  • The potential effects of pre-eclampsia or eclampsia on future pregnancies and the need for preconception counselling
  • The possible impact of pre-eclampsia or eclampsia on mental health and well-being and the availability of support resources