ABSTRACT Preeclampsia is defined by the American College of Obstetrics and Gynecology (ACOG) as “the occurrence of new onset hypertension plus new‐onset proteinuria” [1]. Up‐to‐Date elaborates a little further on… Click to show full abstract
ABSTRACT Preeclampsia is defined by the American College of Obstetrics and Gynecology (ACOG) as “the occurrence of new onset hypertension plus new‐onset proteinuria” [1]. Up‐to‐Date elaborates a little further on this by defining preeclampsia as “the new onset of hypertension and proteinuria, or hypertension and end‐organ dysfunction with or without proteinuria, after 20 weeks of gestation in a previously normotensive woman. It may also develop postpartum. Severe hypertension or signs/symptoms of end‐organ injury represent the severe end of the disease spectrum” [2] In 2013, the American College of Obstetricians and Gynecologists removed proteinuria as a key component in the diagnosis of preeclampsia. They also removed massive proteinuria (previously, 5 g/24 hours) and fetal growth restriction as possible features of severe disease. They found that were was a poor correlation in many outcomes between massive proteinuria and fetal growth restriction when managed similarly, with or without preeclampsia as a diagnosis. Oliguria was also removed as a characteristic of severe disease. [3] There have been several cases reported in the literature as well as by Obstetricians citing the incidence of preeclampsia occurring upwards of 6 to even 12 weeks postpartum. We hope to demonstrate what we believe to be a case of postpartum preeclampsia at 89 days postpartum.
               
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