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PP085. Hypertensive complication in pregnancy - HELLP syndrome - One year study (2012)
Pregnancy Hypertension
|June 25, 2015
Summary
HELLP syndrome, a serious pregnancy complication, can lead to severe maternal issues. This study found no fatal outcomes in a small cohort, highlighting the importance of monitoring HELLP syndrome risks.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Hematology
Background:
- HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) affects 10-20% of severe preeclampsia cases.
- Associated maternal morbidities include DIC, renal failure, pulmonary edema, and hepatic complications.
- Severe cases may necessitate transfusions or surgical intervention for bleeding.
Purpose of the Study:
- To investigate the incidence and risk factors of HELLP syndrome in pregnancy.
- To evaluate maternal and fetal outcomes associated with HELLP syndrome.
Main Methods:
- Retrospective study of HELLP syndrome admissions in 2012.
- Statistical analysis performed using Excel 2007.
Main Results:
- Three cases of HELLP syndrome identified among 55 hypertensive pregnancy admissions.
- Maternal age averaged 29; two cases developed post-severe preeclampsia.
- Fetal outcomes included prematurity (2 cases), average birth weight 1798g, Apgar score >7; no fetal deaths.
- One maternal ICU admission for internal bleeding requiring laparotomy and transfusions; no maternal deaths.
Conclusions:
- HELLP syndrome is linked to significant morbidities, with risk escalating with symptom and lab severity.
- This study observed no aggressive or fatal maternal outcomes.
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