HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) is a complication of preeclampsia. Patients develop a microangiopathic hemolytic anemia associated with thrombocytopenia and elevated liver enzymes. Ten to twenty percent of these patients will have normal blood pressure, making the diagnosis sometimes difficult. Although HELLP syndrome is not an indication itself for immediate cesarean delivery, delivery is the only definite treatment for preeclampsia. Patients who develop laboratory evidence of disseminated intravascular coagulation are delivered immediately, regardless of gestational age.
Was this article helpful?