HELLP Syndrome Information (Hellp Syndrome)

HELLP Syndrome

HELLP Syndrome basically begins with a client having flu-like symptoms as early as the middle of the second trimester to after the baby is born (about the first week postpartum). Blood pressure and proteinuria, cardinal signs of impending pre-eclampsia, may or may not be present.

Hemolysis may produce symptoms similar to those of anemia or hepatitis.

Elevated Liver Enzymes: HELLP Syndrome impairs liver function; levels may be elevated or may not be affected. These enzymes include aspartate aminotranaminase (AST) and alanine aminotransaminase (ALT)

Right Upper quadrant pain is the result of the obstruction of blood flow in the liver. There may also be hyperbilirubinemia, thus making a misdiagnosis of hepatitis sometimes likely. Other symptoms may include:

• Nausea
• Vomiting
• Headache
• Despondency
• Edema
• Bleeding gums (this is rare)
• Shortness of breath (due to pulmonary edema)
• Decreased placental perfusion
• IUGR (Intrauterine growth retardation of fetus)
• Maternal cerebral edema causing headaches and visual disturbances
• DIC (Disseminated Intravascular Coagulation - a disorder where anticoagulation and procoagulation effects exist at the same time causing an array of physical complications)

HELLP Syndrome may be misdiagnosed as hepatitis, gallbladder disease, idiopathic thrombocytopenic purpura, or thrombotic thrombocytopenic purpura.

HELLP Syndrome

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