gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

HELLP syndrome ? cases report


Author(s): Sławomir Suchocki, Małgorzata Bańczerowska-Górska, Jerzy Słobodzian

The HELLP syndrome is a variant of severe preeclampsia. The acronym HELLP stands for : hemolysis, elevated liver enzymes and low platelet count. The syndrome is characterized by different clinical presentation in moment of appearance, changeable rate of progression and course dependent on kind of intervention .There are still difficulties in identifying and conducting pregnant women with the HELLP syndrome due to lack of common standpoint among scientists on delineating unequivocal standards of procedure with proved efficiency. We present cases of three pregnant women (a 38-year-old woman,26wk; a 30-year-old woman,38wk; a 27-year-old woman,36wk), who were admitted to our hospital with symptoms of the onset of the HELLP syndrome. In two cases of pregnant woman a cesarean section was performed. The acute renal failure was the complication. In case of the third woman , the attempt at vaginal delivery was finished by a cesarean section due to premature detachment of placenta. Puerperium was complicated by kidney dysfunction and severe anemia. Owing to timely intervention and adequate medical treatment,, this severe complication of a pregnancy had a successful outcome both for the mothers and for the infants. The authors would like to underline that prompt recognition of HELLP syndrome based on clinical symptoms results of laboratory tests and timely initiation of aggressive therapy leads to maternal and fetal benefit.