The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. The Public Health Quality Improvement Exchange (PHQIX) is funded by the Robert Wood Johnson Foundation under contract nos. Massoudi, PhD, MPH, eHealth, Quality and Analytics Division, RTI International, 2987 Clairmont Rd, Ste 400, Atlanta, GA 30329 ( ). Up to 1 in 5 women who have HELLP syndrome experience it a second time.EHealth, Quality and Analytics Division (Drs Pina, Massoudi, and Chester) and Research Computing Division (Mr Koyanagi), RTI International, Research Triangle Park, North Carolina.Ĭorrespondence: Barbara L. Up to half of women who had HELLP syndrome can have some type of hypertensive disorder in her next pregnancy. If you have HELLP syndrome once, your risk increases for having it again. However, HELLP syndrome itself does not affect the newborn’s liver function or other organs. Prematurity may lead to other health complications or increased mortality risk. If a newborn weighs at least two pounds, the health risks and survival rates are similar to those of a non-HELLP baby of the same size. In general, the longer the pregnancy continues, the better the outcome for the newborn. What is the outlook for the newborn of a mother with HELLP syndrome? Most women experience symptom improvement within two days of giving birth. HELLP syndrome is rarely life-threatening. Pulmonary edema (fluid buildup in the lungs).Placental abruption (placenta separating from the uterus before birth).Untreated HELLP syndrome can lead to serious complications, including: What is the outlook for people with HELLP syndrome? Seizures or uncontrollable body shakes.Less commonly, blurred vision or headache. Edema (swelling) and quick weight gain.The most common symptom is abdominal pain, usually in the right upper quadrant or mid-epigastric area.Women may notice HELLP syndrome symptoms while they are pregnant or shortly after childbirth. Previous labor and delivery, with risk increasing for women who have given birth more than once before.History of HELLP syndrome in a previous pregnancy.Age, with risk increasing for women over 25.Other risk factors for HELLP syndrome include: Up to 1 in 5 women who have preeclampsia or eclampsia develop HELLP syndrome. Women who have preeclampsia or eclampsia (uncontrolled preeclampsia) have a higher risk of HELLP syndrome. There is no known cause of HELLP syndrome. HELLP syndrome is very rare that occurs in 0.1% to 1% of pregnancies. It can lead to serious blood and liver problems. HELLP syndrome is a separate disorder from preeclampsia as patients may not have high blood pressure or proteinuria. Preeclampsia leads to high blood pressure (hypertension) and proteinuria (high levels of protein in the urine). What is the difference between HELLP syndrome and preeclampsia? LP: Low platelet count (parts of your blood that help with clotting).EL: Elevated liver enzymes (chemicals that speed up body reactions, such as breaking down proteins).H: Hemolysis, breaking down of red blood cells (cells that carry oxygen from your lungs to the rest of your body).But it also can develop in the first week after childbirth ( postpartum preeclampsia). It usually occurs during the third trimester of pregnancy. HELLP syndrome is a pregnancy complication.
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