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Pre-eclampsia Complicated by HELLP Syndrome in a Primigravida: A Case Report
Nabeelah Ismail1, Muhammad Faraaz Ismail1, Eman Ibrahim2
1General Medicine, Thumbay University Hospital, Ajman, ARE.
Severe pre-eclampsia rapidly progressed to HELLP syndrome in a pregnant patient. Early recognition and timely delivery were crucial for managing this high-risk pregnancy and preventing severe maternal and fetal complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Nephrology
Background:
- Pre-eclampsia is a serious hypertensive disorder of pregnancy.
- It can rapidly progress to HELLP syndrome, posing significant risks to mother and fetus.
Observation:
- A 33-year-old primigravida at 28+1 weeks gestation presented with severe hypertension and proteinuria.
- She developed progressive thrombocytopenia, worsening liver function, and oligohydramnios despite initial management.
Findings:
- Biochemical markers indicated worsening disease, necessitating an emergency cesarean section at 28+6 weeks.
- A growth-restricted neonate was delivered, and histopathology confirmed placental malperfusion.
Implications:
- This case highlights the critical need for early recognition of severe pre-eclampsia.
- Close biochemical monitoring and prompt delivery are essential for managing complications and improving outcomes.
- Effective management strategies are vital for preventing life-threatening conditions in high-risk pregnancies.
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