Introduction
HELLP is an acronym for Hemolysis, Elevated Liver enzymes, and a Low Platelet count. It is a serious condition that can develop in the late stages of pregnancy. Whilst there is significant overlap with severe pre-eclampsia in terms of the features some patients present with no prior history so many specialists consider it a separate entity in its own right. However, it should be remembered that around 10-20% of patients with severe preeclampsia will go on to develop HELLP.
Epidemiology
- Incidence: 7.00 cases per 100,000 person-years
- Peak incidence: 30-40 years
| <1 | 1-5 | 6+ | 16+ | 30+ | 40+ | 50+ | 60+ | 70+ | 80+ |
Clinical features
Investigations
Investigations
- bloods: Hemolysis, Elevated Liver enzymes, and a Low Platelet
Management
Treatment
- delivery of the baby