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[HELLP syndrome in routine obstetrical care. Three case reports]

A Brunner1, I Geiss, S Ihra

  • 1Abteilung für Gynäkologie und Geburtshilfe, Landeskrankenhaus Mödling/Wien, Osterreich.

Zeitschrift Fur Geburtshilfe Und Perinatologie
|May 1, 1994
PubMed
Summary

The hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a serious pregnancy complication. Early recognition of its symptoms is crucial for effective obstetric management and positive infant outcomes.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Critical Care in Pregnancy

Background:

  • The HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) is a severe obstetric complication.
  • It can occur independently or with EPH-gestosis/eclampsia.
  • Increasing interest in HELLP syndrome necessitates a review of its clinical presentation.

Observation:

  • Three cases of severe HELLP syndrome were observed in 1126 deliveries.
  • Common symptoms included general malaise and upper abdominal pain.
  • All patients underwent cesarean section, delivering healthy infants.

Findings:

  • Clinical characteristics and laboratory findings of severe HELLP syndrome were analyzed.
  • The syndrome presents a distinct set of symptoms beyond traditional EPH-gestosis markers.

Related Experiment Videos

  • Prompt identification is key to managing this obstetric emergency.

    • Implications:

    • Traditional diagnostic criteria for pregnancy complications may be insufficient.
    • Awareness of HELLP syndrome is vital for obstetricians.
    • Early diagnosis and management can lead to favorable maternal and fetal outcomes.