Postpartum HELLP syndrome after a normotensive pregnancy.
Severe pre-eclampsia, associated with HELLP syndrome, can occur after a normal delivery and birth in a woman whose blood pressure has remained normal throughout the antenatal period. Although rare, the syndrome can lead to pulmonary oedema or renal failure, and should be borne in mind when a woman develops epigastric or right upper-quadrant pain after a normal pregnancy and delivery. A significant fall in the platelet count in the antenatal period may be a useful indicator of risk.
Esan
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Department of Obstetrics, Royal Lancaster Infirmary.
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D000328:Adult; D001794:Blood Pressure; D005260:Female; D017359:HELLP Syndrome / Q000097:blood / Q000175:diagnosis; D006801:Humans; D010976:Platelet Count; D011247:Pregnancy; D011644:Puerperal Disorders / Q000097:blood / Q000175:diagnosis