(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: The mother had no previous history of hypertension, she had been infertile after marriage and conceived two children by IVF. After 36 weeks of gestation, she had contractions automatically and had a normal delivery, and was treated actively after delivery to prevent postpartum hemorrhage. She was diagnosed with preeclampsia and given antihypertensive treatment to control her blood pressure. The woman reported that she had no previous history of hypertension and had been married for 3 years without any pregnancy. She had an amniocentesis at the antenatal clinic at 19 weeks of pregnancy, which showed no significant chromosomal abnormalities in the fetus. On April 10 (35 weeks of pregnancy), she went to the hospital for follow-up blood pressure measurement of 155/92 mmHg, edema of both lower limbs, urine protein (+), normal fetal monitoring, and was diagnosed as preeclampsia and admitted to the hospital. The fetal ultrasound indicated late intrauterine pregnancy, double live fetuses, F1 fetal head position, equivalent to 34 weeks and 3 days of gestation, F2 fetal head position, equivalent to 33 weeks and 6 days of gestation, and no obvious abnormalities in fundus examination. After admission, blood pressure was monitored intensively and labetalol hydrochloride tablets were given to lower blood pressure, which was basically stable, fluctuating from 120-72 mmHg to 135/88 mmHg. The first child was delivered at 11:05. However, the contractions weakened afterwards, and the contractions were immediately strengthened by the administration of contractin injection. The treatment was effective and the postpartum blood loss was about 380 ml. III. Postpartum neonate was generally in good condition, but was transferred to the neonatal unit for observation because it was not full term. The woman felt fatigue, but improved after giving sufficient rest, did not feel special discomfort, no dizziness, blurred vision, normal blood pressure monitoring, no fever, good lactation of both breasts, no abdominal pain, good uterine regeneration, not much vaginal bleeding, bilateral lower extremity edema gradually subsided, postpartum rechecking of routine blood count, hematocrit 102g/L, given blood production treasure combination to replenish blood treatment, after treatment, the woman recovered well and was discharged on April 22. After treatment, the mother recovered well and was discharged from the hospital on April 22, and was hospitalized for 12 days. We are glad that the maternal blood pressure was controlled within a reasonable range before pregnancy and did not cause any adverse effects on the fetus. If the maternal blood pressure is high before delivery, it is also important to monitor the blood pressure after delivery and to ensure sufficient rest to avoid postpartum eclampsia. Since high blood pressure is prone to postpartum hemorrhage and anemia, it is important to pay attention to the uterine regeneration after delivery, to follow up immediately once increased vaginal bleeding is detected, and to take oral blood-generating formula to replenish blood and to increase dietary nutrition. Twin pregnancies and deliveries are prone to damage the pelvic floor tissues. An individualized pelvic floor and rectus abdominis rehabilitation program should be formulated at the hospital 42 days after delivery, otherwise, urine leakage and organ prolapse will easily occur. Breastfeeding is recommended after delivery, which is good for increasing mother-child bonding and promoting uterine recovery. The risk of twin pregnancies is significantly greater than that of singleton pregnancies, which can easily lead to hypertensive disorders of pregnancy and preterm delivery. Patients with twin pregnancies must strengthen their maternity checkups, pay attention to monitoring blood pressure, hospitalize for observation once abnormalities are detected, and terminate the pregnancy when appropriate. For women with twin pregnancies and preeclampsia, they are very prone to postpartum hemorrhage. Therefore, after delivery of the fetus, it is important to take active contraction treatment to prevent postpartum hemorrhage.