POSTPARTUM INTRACRANIAL HEMORRHAGE IN NORMOTENSIVE USERS OF BROMOCRIPTINE FOR ABLACTATION

The authors describe three cases of severe intracranial haemorrhage, a ssociated with marked blood pressure elevation, which occurred between the 6th and 10th days postpartum in women taking bromocriptine for ab lactation. All of these patients were young, normotensive and apparent ly healthy during the pregnancy. These incidents probably present the 10-12th reported cases of gross intracranial bleeding among users of b romocriptine in the puerperium. The results suggest that early diagnos is and prompt surgical intervention may improve the outcome for this r are but potentially catastrophic postpartum complication. (C) 1998 Joh n Wiley & Sons, Ltd.