What Is HELLP Syndrome?
HELLP syndrome is a life-threatening pregnancy complication that usually occurs in the third trimester and is often considered to be a variant of preeclampsia (high blood pressure and signs of liver or kidney damage during pregnancy). HELLP syndrome may also occur within 48 hours of delivery, but symptoms may take up to week to show.
HELLP describes the features of the condition: Hemolysis, Elevated Liver enzyme levels, and Low Platelet levels.
What Are Symptoms of HELLP Syndrome?
Symptoms of HELLP syndrome include:
- Pain in the upper right or middle of the abdomen
- Severe headaches
- High blood pressure (hypertension)
- Swelling, especially of the face and hands
- Excess weight gain
- Vision problems such as blurred vision
- Feeling unwell (malaise)
- Protein in urine
- Bleeding such as nosebleeds, bleeding from the gums, or other places (rare)
- Seizures (rare)
What Causes HELLP Syndrome?
The cause of HELLP syndrome is not known.
Risk factors for developing HELLP syndrome include:
How Is HELLP Syndrome Diagnosed?
HELLP syndrome is diagnosed with a physical examination and patient history. Because HELLP syndrome symptoms are similar to other pregnancy conditions and complications, tests should be run on any woman experiencing symptoms during the third trimester. Tests may include:
What Is the Treatment for HELLP Syndrome?
The main treatment for HELLP Syndrome is the delivery of the baby.
During pregnancy, treatments may include:
- Blood product transfusion (red cells, platelets, plasma)
What Are Complications of HELLP Syndrome?
Complications of HELLP syndrome are more likely to occur in women with severe symptoms and severe laboratory abnormalities. Complications may include:
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