Emergency Approach in HELLP Syndrome
PDF

Review

Emergency Approach in HELLP Syndrome

Eurasian J Emerg Med 2009;8:9-12 DOI: 10.4170/jaem.2009.16878
, , , , , ,
PDF
Permissions

Abstract

HELLP syndrome (haemolysis, elevated liver enzymes, low platelet count) is a multisystemic disorder that has a poor prognosis and occurring usually in older multiparous women in the third trimester of pregnancy due to a generalized microangiopathy. If patient has complications such as hepatic rupture, cerebral hemorrhage and disseminated intravascular coagulation (DIC), materno-fetal mortality is high. Severe thrombocytopenia worsens prognosis. The early recognition of HELLP syndrome and the rapid initiation of therapy are required for the improvement of materno-fetal prognosis. The only specific therapy in HELLP syndrome is induction of delivery.

Keywords: HELLP syndrome, pregnancy, emergency department, diagnosis, therapy