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HELLP syndrome affects 10-20% of pre-eclampsia patients and is a complication in 0.5-0.9% of all pregnancies. [6] [49] Caucasian women over 25 years of age comprise most of the diagnosed HELLP syndrome cases. [50]
HELLP Syndrome is a type of preeclampsia with severe features that involves increased hemolysis, increased liver enzymes, and low platelet levels. [16] While most women with HELLP syndrome have high blood pressure and proteinuria, up to 20% of HELLP syndrome cases do not present with these classical signs of preeclampsia. [17]
Women with ITP often have a decrease in their platelet counts when they become pregnant, often requiring treatment. [63] Pregnant women with ITP are 1.83 times more likely to have bleeding episodes during pregnancy compared to non-pregnant females with ITP, however, with proper treatment, platelets rarely drop below 30,000. [ 63 ]
Eclampsia is the onset of seizures (convulsions) in a woman with pre-eclampsia. [1] Pre-eclampsia is a hypertensive disorder of pregnancy that presents with three main features: new onset of high blood pressure, large amounts of protein in the urine or other organ dysfunction, and edema.
[13] [50] Symptomatic presentations are variable: Some women can entirely ignore the symptoms, while others have mild bleeding or abdominal discomfort and pain. Hence, though symptom severity variance and precipitous placental separation are not relevant, they can still cause the diagnosis and clinical management to be complicated.
In pregnant women, preeclampsia may occur after 20 weeks of pregnancy, often in women who have no history of high blood pressure. Symptoms of preeclampsia may include severe headache, vision changes and pain under the ribs. [45] However, in some women, symptoms may not occur, until they go for a routine prenatal visit. [46]
However, the issue progressed and she explained it “turned into HELLP syndrome,” which is a severe form of preeclampsia, according to Mayo Clinic. HELLP stands for hemolysis (destruction of ...
Women diagnosed with velamentous cord insertion may also receive counselling about the condition, its risks, and potential courses of action, including preterm delivery or caesarean delivery. [ 7 ] The newborn may be delivered via normal vagina labor if there are no signs of fetal distress. [ 2 ]