02/13/2026
February is American Heart Month, a time to focus on cardiovascular health. In the perinatal space, this conversation is incomplete without discussing Preeclampsia—and the profound psychological shadow it often leaves behind.
While medical teams work heroically to stabilize blood pressure and prevent seizures, the "all-clear" from a cardiologist or OB doesn't always mean the patient is out of the woods.
The Data on Trauma: Research shows a high correlation between hypertensive disorders of pregnancy (HDP) and Postpartum PTSD (P-PTSD). Unlike "standard" postpartum depression, P-PTSD is a specific response to the medical emergency itself.
Why does this happen?
- The "Near-Miss" Experience: A diagnosis of preeclampsia often involves a sudden shift from a "healthy" pregnancy to a life-threatening crisis. This sudden threat to life is the primary diagnostic criterion for PTSD.
- Medical Trauma: The intensity of magnesium sulfate drips, frequent blood draws, and the potential for emergency delivery can lead to "iatrogenic trauma"—trauma caused by medical intervention.
- The Nervous System Response: The body’s fight-or-flight system remains stuck in "high alert" long after the blood pressure has normalized. This manifests as flashbacks to the delivery room, hypervigilance regarding one's health, or avoiding follow-up appointments.
We cannot treat the heart and ignore the head.
Heart health is mental health.