HELLP syndrome is a life threatening pregnancy complication usually considered to be a variant of preeclampsia. These conditions usually occur during the later stages of your trimester or sometime after childbirth.
H- Hemolysis lack of break down of red blood cells
EL- Elevated liver enzymes
LP- Low platelet count
Depending on the patient’s blood platelet count the syndrome is classified into three categories:
Class I: Characterized by severe thrombocytopenia. Platelet count under 50,000/mm3
Class II: Characterized by moderate thrombocytopenia. Platelet count between 50,000/mm3 and 100,000/mm3
Class III: Characterized by mild thrombocytopenia. Platelet count between 100,000/mm3 and 150,000/mm3
The main causes of HELLP Syndrome are:
The pathophysiology of HELLP syndrome is ill defined. Some theorize that, because HELLP is a variant of preeclampsia, the pathophysiology stems from a common source.
The most common symptoms of HELLP syndrome include:
The best ways to prevent HELLP syndrome include:
The HELLP has similar symptoms such as the flu. The proper medical diagnosis will be needed to blood tests that help determine platelet levels. It counts your red blood cell count to check for hemolysis.
Additional testing will include an urine test to detect any high liver enzyme. Lastly, your doctor might recommend doing a CT scan to help determine any bleeding in your liver.
Majority of women experience HELLP syndrome within 34 weeks of gestation. The most common treatments to manage the condition are the following:
If the pregnant women have had a history of preeclampsia is between 2% and 19%.
The ICD-10 Code for HELLP syndrome is O14.2