Headache is common after childbirth and may be attributed to sleep deprivation. Yet postpartum hypertension and delayed preeclampsia can emerge after discharge and require rapid recognition in first-contact primary care.A 32-year-old woman, 10 days after an uncomplicated vaginal delivery, attended a FHC with sudden severe frontal headache and blurred vision since the previous night. She denied fever and had no migraine history. On triage her BP was 168/112 mmHg, pulse 92/min, temperature normal. Focused neurological examination was non-focal. Urine dipstick in the clinic showed 2+ protein. The combination of postpartum status, severe headache, hypertension, and proteinuria raised concern for postpartum preeclampsia. The patient was advised to avoid driving, was given clear safety-netting (seizure, worsening vision, chest pain, dyspnea), and was urgently referred to the emergency department with a written note. Hospital evaluation confirmed postpartum preeclampsia; magnesium sulfate and antihypertensive therapy were started. At FHC follow-up two weeks later, BP was controlled, symptoms had resolved, and she received counseling on home BP monitoring and warning signs for recurrence.This case shows how basic measurements available in FHC settings can trigger life-saving referral decisionsPostpartum headache should be treated as a red-flag symptom until BP is checked. A short “postpartum red-flag” triage checklist can reduce missed cases.Delayed postpartum preeclampsia may present subtly and is easy to mislabel as normal postpartum fatigue. Continuity in family medicine supports follow-up and prevention.Delayed postpartum preeclampsia may present subtly and is easy to mislabel as normal postpartum fatigue. Continuity in family medicine supports follow-up and prevention