HELLP Syndrome case study
Kerbala Journal of Medicine,
Volume 7, Issue 2, Pages 2009-2013
Abstractbackground: HELLP syndrome is a serious medical condition found in pregnant women. Usually in 3rd trimester [last 3 month], HELLP syndrome comprise Hemolytic ,i.e. breakdown of red blood cell , Elevated liver enzyme & Low Platelet count it's said to be an off – shot of pre-eclampsia or eclampsia i.e. hypertension during pregnancy . Usually it is found before the birth of baby, however sometime it can occur after the delivery
Objective: This was done to describe general experience with management of HELLP syndrome by analysis of patient outcome.
Patients And Methods: The patient M.K 30 year's old primigravida, developed generalize edema, high B.P., pallor, jaundice, haematuria &convulsion. She received anti-convulsion [MgSO4] & antihypertention (apresoline), also full investigation was done ,the result revealed P.C.V 28% ,T.S.B 8mg/dl, elevated liver enzyme ,low platelet [80,000]. The decision was termination of pregnancy after 6 hours stabilization, she also received antibiotic ,hydrocortisone. platelet, fresh frozen plasma &blood ,and because of unripe cervix, caesarean section was done under spinal anesthesia ,after operation she was kept in I.C.U. for few days.
Results & Discussion: The patient developed acute renal failure, but gradual improvement of her condition was achieved and patient become well after 3 weeks with complete recovery. Other medication used was MgSO4 for fit control prevention of recurrence.
safety, high dose steroid will accelerate recovery and that conservative treatment of renal failure is so effective.
Conclusion: The result support conclusion of previous author that rapid & early diagnosis and treatment of HELLP syndrome is very important to ensure favorable maternal & prenatal outcome, also in this study we showed that the patient should be stabilized before termination & regional anesthesia will increase
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