STUDY OF MATERNAL AND PERINATAL OUTCOME IN HELLP SYNDROME

Introduction:
HELLP syndrome is a dangerous and life-threatening complication of severe pre- eclampsia.
Incidence is 0.5-0.9% of all pregnancies and 10-20% in severe pre-eclampsia.
Objective:
Objective of this study is to know the incidence, maternal and perinatal mortality and morbidity
of HELLP syndrome in severe pre-eclampsia and to diagnose atypical clinical features, so as
to adopt timely intervention to salvage the mother and baby.
Material and methods-
It is a retrospective study conducted in a tertiary care hospital in south India. Data taken from
October 2015 to September 2018, which included 62 cases of HELLP syndrome out of total
302 cases of severe pre-eclampsia.
Results:
Incidence of HELLP syndrome was 20% in severe pre-eclampsia cases (8% partial and 12%
complete). Primigravidae (common age <25 years) accounted for 50%. Abruption- 6.6%,
oligoamnios- 20%, pathological CTG- 15%, eclampsia- 11%, most common in less than 28
weeks gestation- 46%, DIC- 8.3%, ARF- 3.3%, MODS- 3.3%, ICU admissions- 23%. Patients
who received blood products was 36.6%, preterm delivery- 58%, NICU admission- 21.6%,
IUFD- 3.3%, IUGR- 31.6%, MAS- 3.3%, fetal distress- 12%. There was no maternal mortality.
Perinatal mortality rate was 14.43%
Conclusion:
This incidence of 20% in our study is high as our hospital is a tertiary care centre which
receives referral cases – High risk with poor prognosis.Early detection and treatment can
prevent most of the complications.

DR, Poonam Rawat, Dr. Jyothi G S