Dr. M Shonima, Dr. Nirupama, Dr. Sowmini
HELLP syndrome is a life threatening condition requiring ICU admissions among obstetric patients.it is most of the times seen with preeclampsia-eclampsia and is characterised by hemolysis, elevated liver enzymes and low platelet count. It is associated with maternal and fetal complications. Aims and Objectives: To study Hellp syndrome cases as a complication in hypertensive disorders of pregnancy, mode of delivery, foeto maternal outcome. Materials and Methods: This is a prospective observational study conducted in Rangaraya medical college in the department of Obstetrics and Gynaecology from January 2019 to October 2019 Results: Pregnancy induced hypertension complicating pregnancy diagnosed in 920 women. HELLP syndrome was a complication in (n=6 cases)that is 0.65%,5 cases of Partial HELLP and one case of Complete HELLP in a total of 7850 deliveries. There are 2 preterm deliveries and 4 term deliveries, vaginal delivery in 4 cases,2 caesarean sections. Maternal morbidity of Hellp syndrome in our cases include abruptio placentae(16.6%),disseminated intravascular coagulation(16.6%), pulmonary edema (16.6%),acute renal failure(16.6%), maternal death (16.6%).Fetal complications were prematurity, LBW, IUD, RDS out of 6 cases Conclusion: Hellp syndrome has deleterious complication of hypertensive disorders of pregnancy with high maternal and foetal morbidity and mortality. Early diagnosis and multimodal team approach at teritary care center can reduce foeto maternal morbidity and mortality.
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