Midwifery

HELLP Syndrome

Hellp-Syndrome
  • Haemolysis (H), elevated liver enzyme (EL) & low platelet count (LP) (<100000/mm3). A rare complication of pre-eclampsia. It may develop without maternal HTN.
  • It is manifested by nausea, vomiting, epigastric pain (right upper quadrant pain). Parenchymal necrosis of liver causes (SGPT & SGOT) elevation in hepatic enzymes (>70 IU/L) & bilirubin (>1.2 mg/dl)




Management

  • Principle management is same as pre-eclampsia with magnesium sulphate is started.
  • Caesarean section is a common mode of delivery.
  • Platelet transfusion can be given if count is <50,000/mm
  • When pregnancy <34 weeks, bed rest, plasma volume expansion, antithrombotic agent (dipyridamole), immunosuppressive agents (steroids).
  • The patient should be managed in an ICU until there is an improvement in platelet count, urine output, B.P, liver enzymes.

Download the App: Android App

For more Lectures, please visit-

YouTube Channel NursingLecture

FacebookFacebook Page



Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem?

Temporibus autem quibusdam et aut officiis debitis aut rerum necessitatibus saepe eveniet.

Copyright © 2019 Nursinglecture.

To Top
Share via
Copy link
Powered by Social Snap