Incidence of Hellp Syndrome in Preeclampsia and Eclampsia & Maternal and Perinatal Outcome Including Morbidity and Mortality.
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 7
Abstract
Objective-To study the incidence of HELLP in pre-eclampsia and eclampsia and maternal and perinatal outcome including morbidity and mortality. Material and methods – A prospective study was conducted where 136 cases of HELLP syndrome diagnosed on the basis of abnormal laboratory findings in preeclampsia and eclampsia women after gestational age of 24 weeks. Result- The incidence of HELLP syndrome in total live births from July 2013 to June 2014 constitutes 0.73% and 4.28% in pre-eclampsia, and 33.54% in eclampsia. The present study shows maternal mortality of 2.2% but still perinatal mortality is 44.5%. Conclusion-Once the diagnosis of HELLP syndrome has been made it warrants aggressive intervention with control of blood pressure, anti-seizure prophylaxis, corticosteroid treatment for fetal lung maturity and expeditious delivery. HELLP syndrome among pre-eclampsia and eclampsia cases are associated with significant maternal morbidity and perinatal mortality and morbidity.We have to intensify our efforts to reduce pre-eclampsia with HELLP syndrome from the grass root level with regular antenatal care, early detection of pre-eclampsia and its prompt management.
Authors and Affiliations
Dr. Shaheen Ara, Dr. Bhati Balgopal Singh, Dr. Nandani Birla, Dr. Jyothi D
Keywords
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