All You Need To Know about HELLP Syndrome

HELLP syndrome is a life-threatening pregnancy complication usually considered to be a alternative of preeclampsia. Both conditions usually occur during the later stages of pregnancy, or sometimes after childbirth.

HELLP syndrome was named by Dr. Louis Weinstein in 1982 after its characteristics:The name HELLP stands for

H—Hemolysis(breakdown of red blood cells)

EL– Elevated liver enzymes

P– low platelets counts

It can be difficult to diagnose, especially when high blood pressure and protein in the urine aren’t present. Its symptoms are sometimes mistaken for gastritis, flu, acute hepatitis, gall bladder disease, or other conditions.

The global mortality rate of HELLP syndrome has been reported to be as high as 25%. That’s why it’s critical for expecting mothers to be aware of the condition and its symptoms so they can receive early diagnosis and treatment.



The physical symptoms of HELLP Syndrome may seem at first like preeclampsia. Pregnant women developing HELLP syndrome have reported experiencing one or more of these symptoms:

  • Severe headaches,
  • Nausea
  • continue to get worse vomiting,
  • high blood pressure
  • pain in upper side of tummy
  • tieredness, difficulty in seeing
  • swelling all over the body
  • or any unusual bleeding

The blood test symbols include-

  • low haemoglobin
  • low platelets
  • high liver enzymes
  • high Lactate dehydrogenase more than 600U/L
  • high Bilirubin more than 1.2 mg /dl

Treatment of HELLP Syndrome

The treatment of HELLP syndrome depends on the duration of pregnancy and extent of the problems. If duration is less than 34 weeks then the doctor’s try to give corticosteroids for making the baby’s lung strong to breath outside the uterus. The patient may need blood /platelets transfusion depending on the counts. Intensive Care Unit care for monitoring medicine to control the blood pressure of the patient.Early delivery by Caesarian section is prescribed as symptoms will go away within 2 to 3 days once the baby is out.

Prevention of HELLP Syndrome

Since the reasons for HELLP SYNDROME to happen is still unknown , there are no identified ways to prevent it. Regular checkups and treatment is the best way to avoid complications.The other best ways include-

  • Stay vigilent about your diet
  • Prescribed exercises
  • Regular checkups
  • Continuous monitoring of blood pressure.

BEWARE-There is 19 to 27 % of chance it may come back in the next pregnancy if it has already occurred in the 1st one. Dr Usha M Kumar Sr Consultant & one of the Best Laparoscopic surgeon in Max Smart Hospital Saket Press Enclave road Delhi.



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