Patient's question:
A pregnant woman with preeclampsia and twins had her blood pressure rise from 140/100 mmHg before admission to 160/100 mmHg within 6 hours after cesarean section. The uterus feels soft, and there is significant vaginal bleeding. Can carboprost and oxytocin be used to reduce postpartum hemorrhage?Doctor's answer:
24 hours postpartum, magnesium sulfate is not necessary; if breastfeeding, it is best to switch from captopril to oral antihypertensive drugs such as perindopril or sustained-release tablets of nitrendipine, or use oral labetalol for blood pressure control. At the same time, attention should be paid to liver and kidney function tests and monitoring changes.