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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132


ZAPATA DIAZ, Betsy Micol et al. Diagnosis and management of HELLP syndrome at a Peruvian hospital. Rev. peru. ginecol. obstet. [online]. 2020, vol.66, n.1, pp.19-24. ISSN 2304-5132.


: HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and thrombocytopenia; it is one of the most serious maternal complications of pregnancy, with significant morbidity and mortality, and high risk of renal failure, hepatic hematoma, disseminated intravascular coagulopathy and receiving multiple blood transfusions.


: To describe the clinical presentation, diagnosis, complications and management of patients with HELLP syndrome in a Peruvian hospital.


: Descriptive, retrospective study of cases with HELLP syndrome at a Peruvian hospital.


: Out of 30 618 deliveries, 71 cases of HELLP syndrome were found, with an incidence of 0.23%; 68% of cases were multiparous, with an average age of 33. Diagnosis was confirmed during pregnancy in 46% (58% of them developed HELLP syndrome before 37 weeks of gestation) and in the puerperium in 54%. Maternal morbidity included renal failure in 25%, hepatic hematoma with or without rupture in 11%, respiratory failure in 7%, eclampsia in 6%; patients required platelets or blood products transfusions in 85% of cases. Maternal mortality was 3%.


: In the population studied, HELLP syndrome was associated with high maternal morbidity. Maternal death was mainly due to liver hematoma or eclampsia.

Keywords : HELLP syndrome; Preeclampsia..

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