The Incidence of HELLP Syndrome as a Complication of Preeclampsia and As a Determining Factor of Premature Birth - Abstract
Introduction: HELLP syndrome is a variant of preeclampsia that evolves with hemolysis, elevated transaminases and bilirubin as well as thrombocytopenia, being able to generate severe complications during gestation. Objective and Methodology: We did a retrospective study over a period of 6 years (2013-2018) on incidence, timing and complications generated by HELLP syndrome. At a total of 14,883 births, we reported 12 cases of HELLP syndrome representing 0.08%. At the same time it represents 5.06% of preeclampsia cases and 1.36% of the total pregnancies that have evolved with pregnancy-induced hypertension. At a number of 877 tasks that evolved with the HTA induced by pregnancy, preeclampsia cases were in the number of 238 (27.13%), and those with HELLP syndrome in the number of 12 (1.36%).Results: All 12 cases OF HELLP syndrome were born prematurely by disrupting the course of pregnancy through the predominantly performed Caesarean section, in the
percentage of 75% in maternal interest and 25% in the fetal interest resulting only in grade III and IV premature who died 2, both antepartum. Conclusions: Hepatic impairment by cytolysis, secondary anemia, thrombocytopenia, cause the syndrome to be the determining factor of premature birth and chronic fetal suffering.