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Erol Amon, MD; Baha M. Sibai, MD
University of Tennessee Memphis

JAMA. 1986;255(17):2292.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

While we are glad that Dr Michaeli¹ has recognized the phenomenon of late postpartum eclampsia, it is not as unusual as indicated by the reporting of his case. We have managed two such cases, occurring on days 4 and 6 after delivery, in the past two weeks.

The entity of late-appearing postpartum eclampsia is clouded with confusion and controversy. As early as 1946, Stander and co-workers² reported the possibility that eclampsia can and does occur beyond 72 hours after delivery. There are authors who have clearly reported cases of postpartum eclampsia, documented by renal biopsy specimens and postmortem examination,^3-5 occurring three to 23 days after delivery. Other authors state that the majority of cases occur within the first 24 hours after delivery, with a small number of cases occurring on the second day after delivery and a progressively smaller incidence thereafter.

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