Of 23,600 patients who delivered during the past four years, 2,311 patients had to be followed in a toxemia clinic. Serial studies on these patients revealed that 464 (20%) showed the highest level of arterial pressure during the 3-to-17-week postpartum period. In 133 of these patients this respresented the first appearance of hypertension. Their history, pregnancy, delivery, and immediate postpartum period were entirely normal. In 331 patients there was a history of prior hypertension. It would seem from these studies that a previously unrecognized pressor phenomenon, practically confined to multiparas, was active during the postpartum period. Since the condition is self-limited, therapy by drugs, restriction of activity, or diet is not indicated. The possibility of a relationship to a vascular disease later in life remains to be studied.
Finnerty FA, Buchholz JH, Guillaudeu RL. A PRESSOR PHENOMENON ASSOCIATED WITH THE POSTPARTUM PERIOD. JAMA. 1957;165(7):778–780. doi:10.1001/jama.1957.02980250012003
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: