Hellp syndrome may it be a separate entity?

Laboratory Diagnostic Criteria for HELLP syndrome

• Haemolysis

• Abnormal peripheral smear : spherocytes, schistocytes, triangular cells and burr cells
• Total Bilirubin level > 1.2 mg/dL
• Lactate dehydrogenase level > 600U/L

• Elevated liver function test result

• Serum aspartate amino transferase level > 70U/L
• Lactate dehydrogenase level >600 U/L

• Low platelet count

• Platelet count < 150 000/mm3

Classification

The treatment approach should be based on the estimated gestational age and the condition of the mother and fetus.

• The treatment approach should be based on the estimated gestational age and the condition of the mother and fetus.

• Prolongation of pregnancy, in theory, may be favourable for the foetus whereas it remains controversial whether maternal condition is further deteriorated by expectant management

hypertension is controlled at less than 160/110 mm hg,

• hypertension is controlled at less than 160/110 mm hg,

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