Duchess of Sussex

Like Meghan Markle, I suffered from ‘scary’ postpartum preeclampsia after giving birth – this is how I finally got some closure with it after months of suffering


Cradling my newborn daughter Lily, I gingerly approached a midwife on the hospital’s busy maternity ward and pointed at the fluid pooling in my feet.

I felt vulnerable and exhausted. I was also convinced that something was not right. Lily was my second child and I had not experienced this symptom before.

The midwife reassured me: ‘Go home. I’m sure you’ll feel better soon.’ 

She was wrong. I had postpartum preeclampsia. I grabbed no more than an hour of sleep during those first few days at home.

I had a crushing headache that painkillers couldn’t touch, along with nausea and constant anxiety. My feet continued to swell. It became uncomfortable to walk. 

I was shocked to see a home blood pressure monitor reading was sky high – around 180/95. The following morning, my blood pressure was hovering around 190/105.

I gingerly approached a midwife on the hospital's busy maternity ward and pointed at the fluid pooling in my feet (Stock photo)

I gingerly approached a midwife on the hospital’s busy maternity ward and pointed at the fluid pooling in my feet (Stock photo) 

I had postpartum preeclampsia. I grabbed no more than an hour of sleep during those first few days at home (Stock photo)

I had postpartum preeclampsia. I grabbed no more than an hour of sleep during those first few days at home (Stock photo) 

Initial blood tests at A&E found I had elevated liver enzymes and there was some protein in my urine. To lower my blood pressure, I was put on a drip with a drug called nifedipine. 

After two days, my blood pressure was slightly lower but my headache and insomnia had not improved. 

Doctors began a high dose of beta blocker labetalol and after five days my blood pressure had come down enough for me to be discharged.

I began to wean myself off the beta blocker but suffered awful palpitations and tachycardia, a raised heart rate. I ended up in A&E on two more occasions.

Six months later, I developed terrible anxiety and began counselling. 

Taking part in a hospital trust study to help others with preeclampsia certainly helped towards giving me closure.

So what exactly is the condition postpartum preeclampsia?

 By Thea Jourdan

Most people will have heard of preeclampsia, which occurs after about one in 25 pregnancies and can cause high blood pressure as well as swelling of the hands and feet.

In the majority of cases, it is mild and symptoms clear up after a baby’s birth.

But postpartum preeclampsia, the type the Duchess of Sussex suffered, is rarer but has similar symptoms, spotted in antenatal checks.

Kenga Sivarajah, a consultant obstetrician at King’s College Hospital in London, said this less known condition can be a continuation of preeclampsia – linked to a poorly functioning placenta – or it can be a new issue.

She added those most at risk include ‘women pregnant with their first baby over 40 or whose previous baby was more than ten years ago’.

Dr Sara Hillman, a consultant obstetrician from the University College London Hospital, said a majority of those who develop it show symptoms within 48 hours of giving birth but it has also been known to occur up to six weeks after a baby is born.

She added: ‘In more serious cases, women may report severe headaches, pain under the ribs on the right side and nausea and vomiting.’

Left untreated, the condition can progress to eclampsia, liver damage, kidney problems, uncontrolled bleeding and a risk of heart problems.



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