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August 16, 1985

Late Appearance of Postpartum Eclampsia

JAMA. 1985;254(7):909. doi:10.1001/jama.1985.03360070047014

To the Editor.—  Postpartum eclampsia is uncommon. When it occurs it usually does so within 12 hours after delivery.1 Occurrence during the first five days following delivery is exceedingly rare.1 Eclampsia occurring six days after delivery is so rare that the diagnosis can only be entertained after all other causes of convulsive disorders have been unequivocally excluded. I wish to report an unusual case of late postpartum eclampsia appearing seven days after delivery.

Report of a Case.—  A 26-year-old woman at term was admitted to the delivery room, complaining of severe headache and nausea. Two previous pregnancies and her present pregnancy had been uneventful. Her blood pressure was 140/95 mm Hg, and there was +1 ankle edema. Neurological examination findings were normal. While in labor, she became confused and her blood pressure rose to 170/100 mm Hg. She was treated with 5 mg of diazepam intravenously, 10 g