H.EL - LP. Syndrome: By: Arniel Murillo BSN 2-A

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H.EL.LP.

SYNDROME
by: Arniel Murillo BSN 2-A
What is
HELLP syndrome is a life-threatening
pregnancy complication usually
HELLP considered to be a variant of
preeclampsia. Both conditions usually
Syndrome ? occur during the later stages of
pregnancy, or sometimes after childbirth.
HELLP syndrome was
named by Dr. Louis
Weinstein in 1982 after its
characteristics:

H (hemolysis breaking down of RBC)


EL (elevated liver enzymes)
LP (low platelet count)
• Especially when high blood pressure and
protein in the urine aren't present.

Why it is • Its symptoms are sometimes mistaken for


gastritis, flu, acute hepatitis, gall bladder

Difficult to disease, or other conditions.


• The mortality rate of HELLP syndrome is
Diagnose ? 30%.
• That's why it's critical for expecting mothers
to be aware of the condition and its
symptoms so they can receive early diagnosis
and treatment
Symptoms of • Headache
HELLP • Nausea/vomiting/indigestion with pain

Syndrome after eating


• Abdominal or chest tenderness and upper
right upper side pain (from liver distention)
• Shoulder pain or pain when breathing
deeply
• Bleeding
SIGNS TO LOOK FOR:
-High Blood Pressure • Changes in vision
-Protein in the urine • Swelling
Treatment of • Most often, the definitive treatment for
women with HELLP Syndrome is the
HELLP delivery of their baby.
Syndrome • Transfusion of blood product (red cells,
platelets, plasma).
• Corticosteroids can be used in early
pregnancy to help the baby's lungs
mature.
• Some healthcare providers may also
use certain steroids to improve the
mother's outcome, as well. 
Who's at Risk of • Two out of every 200 women with
untreated pre-eclampsia progresses to
Getting HELLP eclampsia.
Syndrome? • Most cases of eclampsia occur in the third
trimester of pregnancy or within 4 days
after delivery.
• Rarely, it may develop up to 6 weeks after
delivery.
• We can help lower the cases of HELLP
syndrome by properly and quickly
diagnosing and treating preeclampsia.
Unfortunately, there's currently no way to prevent
this illness. The best thing to do is:

• Get yourself in the good physical shape before getting


Preventing pregnant
HELLP • Have regular prenatal visits during pregnancy
Syndrome • Inform your care providers about any previous high-risk
pregnancies or family history of HELLP syndrome,
preeclampsia, or other hypertensive disorders
• Understand the warning signs and report them to your
healthcare provider immediately
• Trust yourself when "something just doesn't feel right"
How HELLP The severity of HELLP syndrome is measured
according to the blood platelet count of the
syndrome is mother and divided into three categories,
according to a system called "the Mississippi
classified: classification.“

• Class I (severe thrombocytopenia): platelets


under 50,000/mm3
• Class II (moderate thrombocytopenia): platelets
between 50,000 and 100,000/mm3
• Class III (AST > 40 IU/L, mild
thrombocytopenia): platelets between 100,000
and 150,000/mm3
Risk of Getting Women with a history of
HELLP in HELLP syndrome are at
Future increased risk of all
Pregnancies forms of preeclampsia in
subsequent pregnancies.

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