Adverse maternal complications in HELLP syndrome-A hospital based study

Dr Lola Ramachandran; Dr Viji Krishnan; Dr Tina Miriam Francis

Volume : IX, Issue : V, May - 2020

Adverse maternal complications in HELLP syndrome-A hospital based study

Dr Lola Ramachandran, Dr Viji Krishnan, Dr Tina Miriam Francis

Abstract :

Objective: To determine maternal complications in patients of Haemolysis, Elevated Liver enzyme and Low Platelet Count (HELLP)syndrome. Methods: The descriptive case series was conducted at the Gynaecology Unit of Jubilee Mission Medical College, Thrissur , over a period of 6 months from January 2018 to June 2018.It comprised of 40 consecutive women with pre–eclampsia along with altered platelet count who met the syndrome criteria. A pre–designed proforma was administered for data collection. Maternal and foetal outcomes were noted. Result: Among the 40 mothers, vaginal delivery was the most common outcome (n=28; 70%). Pulmonary edema was found in 3 (1%) cases, acute renal failure in (n=7,23%), disseminated intravascular coagulation in (n=12,40%),post partum hemorrhage (n=5,16%) and auptio placenta in (n=3,1%). Intrauterine growth restriction as a fetal outcome was observed in (n=18,45%) cases.Pre–term birth was the result in (n=20,50%) cases, and perinatal mortality was high (n=23; 57.5%). Statistical data with frequency and percentages were computed for mode of delivery, maternal and prenatal complications, APGAR score at 1 and 5 minutes and neonatal mortality. Conclusion: The devastating effects of HELLP syndrome can be prevented by close antenatal follow up, timely prediction of risk factors and reasonable management strategies