Discussion
The most common cause of postpartum preeclampsia is presence of gestational hypertension or preeclampsia during the pregnancy. Other causes include volume overload with intravenous fluids at the time of delivery, non-steroidal anti-inflammatory drugs for pain leading to water retention and use of uterine atony drugs like ergotamine (8). Therefore, injudicious use of these drugs should be prevented.
Preeclampsia can occur in the postpartum period with one-third of them developing eclampsia especially 48 hours after the delivery (9). Untreated postpartum preeclampsia, can lead to eclampsia, intracranial hemorrhage and reversible cerebral vasoconstriction syndrome (8). The management of postpartum preeclampsia includes avoidance of non-steroidal anti-inflammatory drugs and use of selected anti-hypertensives like calcium channel blockers (8) and furosemide (10).