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HELLP Syndrome is a serious and potentially life threatening complication of pregnancy.

Typically is classified as a type of Pre-Eclampsia

Can occur late in Pregnancy and even following childbirth

Can be seen as well in those with Eclampsia

Can damage Liver and other organs

 

Abbreviation of findings

  • H –  Hemolytic anemia
  • EL –  Elevated Liver enzymes
  • LP –  Low Platelet count

 

Typically the individual has been having some Elevated Blood Pressure and pre-eclampsia may have been considered.

 

Symptoms

  • Headache
  • Fatigue
  • Nausea
  • Vomiting
  • Body aches
  • Abdominal pain
  • Edema

 

Causes

  • Activation of coagulation cascade
  • Destruction of red blood cells

Blood tests are essential in this diagnosis

 

Classifications

Severe –  platelet below 50,000

Moderate –  platelet between 50,000 and 100,000

Mild –  platelet over 100,000

 

Treatment

Delivery of the child

Bed rest prior to delivery may be an option

Magnesium sulfate –  prevention of seizures

Antihypertensive medications

Steroid medications – to mature the lungs of the fetus

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