In educating a postpartum patient about recognizing signs of complications, which symptom should be emphasized?

Severe headache with visual changes is a critical symptom to emphasize when educating a postpartum patient about recognizing signs of complications. This symptom can be indicative of conditions such as postpartum hypertension or preeclampsia that may have persisted or developed after delivery. Eclampsia, which can result from untreated preeclampsia, can lead to seizures and serious complications for both the mother and baby. Therefore, a severe headache accompanied by visual disturbances should prompt immediate medical evaluation.

In contrast, minor swelling of the ankles is often a common and benign finding postpartum, typically resolving with time and does not generally indicate a serious complication. Similarly, mild abdominal cramps can be part of the normal recovery process as the uterus contracts and returns to its pre-pregnancy size, usually not requiring concern unless accompanied by other significant symptoms. Increased cramping during breastfeeding, often caused by the release of oxytocin, is also a normal experience that typically subsides, again not signaling a complication. Emphasizing the significance of severe headaches with visual changes helps ensure that potential serious issues are recognized and addressed promptly.