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A clinical study of HELLP syndrome and its outcome in a tertiary health care system

Ashwini Mallesara, Srushti R. Kanta, Prashanth Shivappa.

Background: The objective was to study the cases of HELLP syndrome and its management and outcome in a tertiary health care system.
Methods: Three Hundred Twenty patients with gestational age >20 weeks were selected whose BP recorded more than 140/90 mm Hg. This study was done from July 2014 to July 2016. Required laboratory investigations were carried out and the outcome was studied with respect to maternal and fetal outcome.
Results: The association with HELLP/ Partial HELLP was not significantly associated with the parity and the family history. There was a strong association of HELLP/ Partial HELLP with Pre eclampsia and all the three tests (hemolysis, liver enzymes, platelet count) that was considered to be the gold standard tests to identify the pathology.
Conclusions: The association points towards only one point, that is to identify and treat the patients immediately in order to reduce maternal and neonatal morbidity and mortality.

Key words: HELLP Syndrome, Hemolysis, Liver Enzyme, Platelets

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