HELLP syndrome

HELLP syndrome is a complication of pregnancy, often regarded as a variation or progression of pre-eclampsia.

HELLP syndrome comprises of:
  • Haemolysis 
  • Elevated Liver enzymes 
  • Low platelets 

It complicates 10-20% of cases of severe pre-eclampsia 

HELLP occurs pre-partum in 70% of cases and post-partum in around 30%, usually within 48 hours of delivery 

Presentation tends to be
  • Epigastric pain
  • Headache 
  • Nausea and vomiting 

Treatment is delivery of baby

Mortality can be as high as 25%

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