Study of help syndrome incidence and maternal outcome
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: Weinstein coined the acroynm “Help syndrome” to describe special group of pre-ectamptic women who had evidence of elevated liver enzymes and low platelets H-Hemolytic anaemia EL: Elevated liver enzymes LP Low platelet count Criteria for diagnosis was as defined by Sibai HELLP syndrome is a life threatening condition for both mother and her infant. At present no method is available to make a reliable diagnose before clinical manifestation of disease. Thus the HELLP syndrome can so far be only diagnosed by evaluation of the symptoms and consequent determination of Laboratory partameters. Aims and Objectives: To find out 1the incidence of HELLP syndrome in eclampsia-eclampsia; antepartum and postpartum 2Maternal morbidity and mortality in pregnancy complicated by HELLP syndrome. Material and Methods: This prospective study was conducted on 100 consecutive patients of pre-eclampsia- eclampsia at Govt. Medical College Deptt of Obstetrics and Gynaecology Jammu. These patients were divided into three groups and maternal outcome was compared in each group. Group A Women with PIH but without HELLP syndrome Group B Partial HELLP syndrome GPC Complete HELLP syndrome Observation: Incidence of HELLP syndrome in our study was 18% (11% partial and 7% complete) 22.22% of patients developed HELLP syndrome at Gestational age less than 28 weeks which was found to be statistically significant. Majority of patients had headache (72% as presenting complaint. Most common maternal complications was PPH and abruption Maternal mortality was 5.5%. Conclusion: HELLP syndrome is life threatening for mother and her foetus, Awareness and aggressive timely management will go a long way in reducing maternal morbidity and mortality in HELLP syndrome.
Authors and Affiliations
Nishu Priya, Anita Sharma
Keywords
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