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PubMed This is a summary of 29 peer-reviewed journal articles Updated
Obstetrics · Postpartum Preeclampsia

Can You Get Preeclampsia After Delivery? | Inciteful Med

At a Glance

The risk of preeclampsia does not end with delivery. You can develop postpartum preeclampsia up to six weeks after giving birth, with the highest risk in the first week. Seek immediate medical care for severe headaches, upper belly pain, vision changes, or blood pressure over 160/110 mmHg.

In this answer

4 sections

01

The Myth of an “Instant Cure”

02

Your Timeline of Risk

03

Red Flag Symptoms You Must Not Ignore

04

Protecting Yourself at Home

Many people believe that once you deliver your baby and the placenta, the risk of preeclampsia vanishes entirely. However, you are not instantly safe from preeclampsia once you go home. Preeclampsia can develop or worsen after delivery, a condition known as postpartum preeclampsia [1][2]. In fact, the risk of developing this dangerous complication continues for up to six weeks after you give birth [3][4].

The Myth of an “Instant Cure”

It is a common misconception that delivery is an instant cure for preeclampsia. Even if you had a completely healthy, uncomplicated pregnancy and delivery, you can still develop what is called de novo postpartum preeclampsia—meaning preeclampsia that appears for the very first time after the baby is born [3][5][6].

Because you are likely exhausted and focused on your newborn, it is easy to dismiss warning signs as normal postpartum fatigue. However, postpartum hypertensive disorders (conditions causing high blood pressure after birth) are a major cause of severe maternal complications and even maternal mortality [7][8][9].

Your Timeline of Risk

While you must remain vigilant for the entire six-week postpartum recovery period [3][10], there is a specific window when your risk is highest. The most dangerous time for postpartum preeclampsia to strike is often within the first 48 hours up to the first week after you are discharged from the hospital [11][12][13].

During this critical first week, your body is undergoing massive fluid and hormone shifts, which can suddenly drive up your blood pressure. Patients who leave the hospital with slightly elevated blood pressure (even just borderline readings like 130-139/80-89 mmHg) have a significantly higher risk of being readmitted for postpartum preeclampsia [14].

Red Flag Symptoms You Must Not Ignore

Postpartum preeclampsia is a medical emergency that requires immediate evaluation [3]. Do not wait to see if these symptoms resolve on their own, and do not assume they are just part of normal recovery. If you need to go to the emergency room or call 911, always state immediately: “I recently gave birth.” Symptoms of postpartum preeclampsia are often under-triaged (not treated as urgently as they should be) in standard emergency settings [15].

Seek emergency care immediately if you experience:

  • Severe stomach pain: Sharp or dull pain in your upper right abdomen (just below your ribs) or severe heartburn-like pain. This is a classic symptom of severe preeclampsia and can indicate dangerous liver involvement or HELLP syndrome (a severe complication of preeclampsia involving hemolysis, elevated liver enzymes, and low platelets) [16][3].
  • Severe headaches: A persistent, severe headache that does not get better after taking over-the-counter pain medication like acetaminophen or ibuprofen [17][18].
  • Visual changes: Seeing spots, flashes of light, blurry vision, or any sudden visual impairment [17][19]. These neurological symptoms can be warning signs of life-threatening complications like seizures (eclampsia) or strokes [20][18].
  • Shortness of breath: Having difficulty breathing or feeling like you cannot catch your breath, especially when lying down [21]. This can indicate pulmonary edema (fluid building up in your lungs) [22][15].
  • Sudden, severe swelling: While some swelling is normal after birth, rapid and sudden swelling in your face or hands (such as your rings suddenly not fitting) is a warning sign of massive fluid shifts [23][24].

Protecting Yourself at Home

Because the highest risk occurs after you have left the hospital, keeping track of your health at home is vital [13]. Using a home blood pressure monitor is a proven, effective way to catch dangerous spikes in your blood pressure before they cause severe damage [25][26].

While you should always follow your doctor’s personalized instructions, general medical guidelines state that a reading of 140/90 mmHg or higher is considered high and requires a call to your doctor [3][23]. A reading of 160/110 mmHg or higher is a hypertensive emergency that requires immediate medical treatment to prevent stroke or other severe complications [27][28][29].

Common questions in this guide

Can I get preeclampsia after my baby is born?
Yes, you can develop postpartum preeclampsia up to six weeks after delivery. This dangerous complication can happen even if you had a completely healthy, uncomplicated pregnancy and delivery.
When is the highest risk for postpartum preeclampsia?
The highest risk period is typically within the first 48 hours to the first week after you are discharged from the hospital. During this critical window, your body goes through massive fluid and hormone shifts that can suddenly drive up your blood pressure.
What are the warning signs of postpartum preeclampsia?
Red flag symptoms include severe upper stomach pain, persistent severe headaches, vision changes like seeing spots, shortness of breath, and sudden massive swelling in your face or hands. If you experience these, seek emergency care immediately and state that you recently gave birth.
What blood pressure numbers should prompt me to seek care?
A blood pressure reading of 140/90 mmHg or higher is considered high and means you should contact your doctor. A reading of 160/110 mmHg or higher is a hypertensive emergency that requires immediate medical treatment at the emergency room.

Questions to Ask Your Doctor

Curated prompts to bring to your next appointment.

  1. 1.What specific blood pressure numbers should prompt me to call you, versus going straight to the emergency room?
  2. 2.If I need to go to the emergency room for suspected postpartum preeclampsia, what treatments (like a magnesium drip) should I expect?
  3. 3.How often should I check my blood pressure at home, and for exactly how many weeks?
  4. 4.Is it safe for me to take standard pain medications like ibuprofen for my postpartum recovery, or could they affect my blood pressure?

Questions For You

Tap a prompt to share your answer — we'll use it plus this page's context to start a tailored conversation.

Related questions

HELLP Syndrome vs Preeclampsia: What's the Difference?Does Preeclampsia Cause Heart Disease Later in Life?Does Baby Aspirin Prevent Preeclampsia in Next Pregnancy?Why Do You Need a Magnesium Drip for Preeclampsia?Is My Pregnancy Headache Normal or Preeclampsia?Is My Pregnancy Swelling Normal or a Sign of Preeclampsia?Preeclampsia Without Protein in Urine? | Inciteful MedWhat BP Medications Are Safe During Preeclampsia?What is the sFlt-1/PlGF Ratio Test? | Inciteful MedWhat Causes Upper Right Abdominal Pain in Preeclampsia?What Causes Preeclampsia and Can It Be Prevented?Is It Preeclampsia or White Coat Hypertension?

References

References (29)
  1. 1

    Outcomes of Postpartum Preeclampsia: A Retrospective Cohort Study of 1.3 Million Pregnancies.

    Amar S, Potter BJ, Paradis G, et al.

    BJOG : an international journal of obstetrics and gynaecology 2025; (132(6)):752-759 doi:10.1111/1471-0528.18030.

    PMID: 39623781
  2. 2

    Placental Findings in Postpartum Preeclampsia: A Comparative Retrospective Study.

    Ditisheim A, Sibai B, Tatevian N

    American journal of perinatology 2020; (37(12)):1217-1222 doi:10.1055/s-0039-1692716.

    PMID: 31266066
  3. 3

    Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy.

    Hauspurg A, Jeyabalan A

    American journal of obstetrics and gynecology 2022; (226(2S)):S1211-S1221 doi:10.1016/j.ajog.2020.10.027.

    PMID: 35177218
  4. 4

    Clinical Course, Associated Factors, and Blood Pressure Profile of Delayed-Onset Postpartum Preeclampsia.

    Redman EK, Hauspurg A, Hubel CA, et al.

    Obstetrics and gynecology 2019; (134(5)):995-1001 doi:10.1097/AOG.0000000000003508.

    PMID: 31599846
  5. 5

    Comparison of process outcomes, clinical symptoms and laboratory values between patients with antepartum preeclampsia, antepartum with persistent postpartum preeclampsia, and new onset postpartum preeclampsia.

    Tran S, Fogel J, Karrar S, Hong P

    Journal of gynecology obstetrics and human reproduction 2020; (49(5)):101724 doi:10.1016/j.jogoh.2020.101724.

    PMID: 32173630
  6. 6

    De Novo Postpartum Hypertension: Incidence and Risk Factors at a Safety-Net Hospital.

    Parker SE, Ajayi A, Yarrington CD

    Hypertension (Dallas, Tex. : 1979) 2023; (80(2)):279-287 doi:10.1161/HYPERTENSIONAHA.122.19275.

    PMID: 36377603
  7. 7

    Maternal Mortality Among American Indian/Alaska Native Women: A Scoping Review.

    Heck JL, Jones EJ, Bohn D, et al.

    Journal of women's health (2002) 2021; (30(2)):220-229 doi:10.1089/jwh.2020.8890.

    PMID: 33211616
  8. 8

    Applying the WHO ICD-MM classification system to maternal deaths in a tertiary hospital in Nigeria: A retrospective analysis from 2014-2018.

    Akaba GO, Nnodu OE, Ryan N, et al.

    PloS one 2021; (16(1)):e0244984 doi:10.1371/journal.pone.0244984.

    PMID: 33395441
  9. 9

    Postpartum readmission associated with severe maternal morbidity: A systematic review.

    Huang WC, Lin CC

    Taiwanese journal of obstetrics & gynecology 2025; (64(4)):629-636 doi:10.1016/j.tjog.2025.04.008.

    PMID: 40602958
  10. 10

    Postpartum Sequelae of the Hypertensive Diseases of Pregnancy: A Pilot Study.

    Babah OA, Olaleye O, Afolabi BB

    Nigerian medical journal : journal of the Nigeria Medical Association 2018; (59(1)):1-6 doi:10.4103/nmj.NMJ_101_18.

    PMID: 31198271
  11. 11

    Maternal Stroke Associated With Pregnancy.

    Miller EC

    Continuum (Minneapolis, Minn.) 2022; (28(1)):93-121 doi:10.1212/CON.0000000000001078.

    PMID: 35133313
  12. 12

    Maternal Cardiovascular Morbidity Events Following Preeclampsia: A Retrospective Cohort Study.

    Meng ML, Frere Z, Fuller M, et al.

    Anesthesia and analgesia 2023; (136(4)):728-737 doi:10.1213/ANE.0000000000006310.

    PMID: 36729641
  13. 13

    Hypertensive Disorders of Pregnancy: Innovative Management Strategies.

    Radparvar AA, Vani K, Fiori K, et al.

    JACC. Advances 2024; (3(3)):100864 doi:10.1016/j.jacadv.2024.100864.

    PMID: 38938826
  14. 14

    Factors associated with early readmission for postpartum hypertension.

    Pressman K, Wellcome J, Pooran C, et al.

    AJOG global reports 2024; (4(2)):100323 doi:10.1016/j.xagr.2024.100323.

    PMID: 38919706
  15. 15

    Accuracy in identification of pre-eclampsia patients at emergency department triage: A quantitative descriptive study.

    Wolf L, Russell A, Brecher D, Simon C

    International emergency nursing 2025; (79()):101583 doi:10.1016/j.ienj.2025.101583.

    PMID: 39904169
  16. 16

    A Case Report on Managing Hemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP Syndrome) During a Rapid Response Code.

    Hasan N, McGrath M, Cortes G, et al.

    Cureus 2020; (12(10)):e11028 doi:10.7759/cureus.11028.

    PMID: 33214956
  17. 17

    Case report: A case of posterior reversible encephalopathy in postpartum preeclampsia.

    Rho JD, Kim YH, Shin JH, Kim TK

    Medicine 2023; (102(47)):e36023 doi:10.1097/MD.0000000000036023.

    PMID: 38013383
  18. 18

    Is magnesium sulfate therapy warranted in all cases of late postpartum severe hypertension? A suggested approach to a clinical conundrum.

    Cagino K, Prabhu M, Sibai B

    American journal of obstetrics and gynecology 2023; (229(6)):641-646 doi:10.1016/j.ajog.2023.07.021.

    PMID: 37467840
  19. 19

    Clinical Analysis of Postpartum Preeclampsia After an Uncomplicated Pregnancy.

    Fehr SL, Frelier S

    Cureus 2024; (16(4)):e57834 doi:10.7759/cureus.57834.

    PMID: 38721196
  20. 20

    Bilateral Vertebral Artery Dissections Associated With Postpartum Preeclampsia: A Case Report.

    Dadrat AC, Costantino V, De Leon RJ

    Cureus 2025; (17(11)):e98101 doi:10.7759/cureus.98101.

    PMID: 41473648
  21. 21

    A case report on acute pulmonary edema induced by adverse drug event immediately after cesarean section.

    Diress GM, Mohammed AS, Yesuf MH, Minda Z

    International journal of surgery case reports 2025; (128()):110991 doi:10.1016/j.ijscr.2025.110991.

    PMID: 39904275
  22. 22

    Relative Sinus Bradycardia: An Unexpected Finding in Preeclampsia With Acute Pulmonary Edema.

    Angsubhakorn N, Benditt D

    Cureus 2021; (13(2)):e13262 doi:10.7759/cureus.13262.

    PMID: 33728199
  23. 23

    Hypertensive Disorders of Pregnancy.

    Khedagi AM, Bello NA

    Cardiology clinics 2021; (39(1)):77-90 doi:10.1016/j.ccl.2020.09.005.

    PMID: 33222817
  24. 24

    Management of Hypertensive Crisis for the Obstetrician/Gynecologist.

    ElFarra J, Bean C, Martin JN

    Obstetrics and gynecology clinics of North America 2016; (43(4)):623-637 doi:10.1016/j.ogc.2016.07.005.

    PMID: 27816151
  25. 25

    Hypertension in Pregnancy and Postpartum: Current Standards and Opportunities to Improve Care.

    Countouris M, Mahmoud Z, Cohen JB, et al.

    Circulation 2025; (151(7)):490-507 doi:10.1161/CIRCULATIONAHA.124.073302.

    PMID: 39960983
  26. 26

    Postpartum Home Blood Pressure Monitoring Program: Improving Care for Hypertension During Postpartum after a Hospital Birth.

    Hayden-Robinson KA, Deeb JL

    MCN. The American journal of maternal child nursing 2023; (48(3)):134-141 doi:10.1097/NMC.0000000000000908.

    PMID: 36744869
  27. 27

    IV labetalol and oral nifedipine in acute control of severe hypertension in pregnancy-A randomized controlled trial.

    Zulfeen M, Tatapudi R, Sowjanya R

    European journal of obstetrics, gynecology, and reproductive biology 2019; (236()):46-52 doi:10.1016/j.ejogrb.2019.01.022.

    PMID: 30878897
  28. 28

    Severe hypertension in pregnancy.

    Wiles K, Damodaram M, Frise C

    Clinical medicine (London, England) 2021; (21(5)):e451-e456 doi:10.7861/clinmed.2021-0508.

    PMID: 34507929
  29. 29

    Hypertensive Crisis in Pregnancy.

    Wautlet CK, Hoffman MC

    Obstetrics and gynecology clinics of North America 2022; (49(3)):501-519 doi:10.1016/j.ogc.2022.02.016.

    PMID: 36122982

This page provides educational information about postpartum preeclampsia risks and warning signs. It does not replace professional medical advice. If you experience severe symptoms or high blood pressure after birth, seek emergency medical care immediately.

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