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Postpartum Emergencies: Headache, Hypertension, Eclampsia, And Cardiomyopathy
August 2010
Abstract
Postpartum emergencies often present in the
emergency department (ED) and include
headache, eclampsia, infection, heart failure, and
hypertension. The incidence of these conditions,
and of late postpartum eclampsia (LPPE) in particular,
appears to be increasing.1 Although the
reasons for this are unknown, they may be related
to earlier discharge from the hospital after delivery
and increased reliance on the ED for after-hours
care. Failure to recognize and treat these conditions
can lead to disastrous consequences for the patient,
including stroke, permanent brain damage, or
death. Eclampsia is a leading cause of pregnancyrelated
mortality in the postpartum patient, and
postpartum headache presents a major diagnostic
challenge. This issue of Emergency Medicine Practicefocuses on the most commonly encountered postpartum
emergencies: headache, LPPE, hypertension,
and cardiomyopathy.
Keywords: cardiomyopathy, cerebral venous sinus thrombosis, eclampsia, headache, HELLP syndrome, hypertension, postpartum, PRES syndrome
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