title: PP085. Hypertensive complication in pregnancy - HELLP syndrome - One year study (2012).
abstract: BACKGROUND
  HELLP syndrome is characterized by hemolysis with a microangiopathic blood smear, elevated liver enzymes, and low platelet count. It develops in 10-20% of women with severe preeclampsia/eclampsia. The syndrome is associated with maternal morbidities - DIC, renal failure, pulmonary edema and hepatic hematoma/rupture. Some need transfusions and others require laparotomies for intraabdominal bleeding.
  
  
  OBJECTIVE
  Study the incidence and related risk factors of HELLP syndrome in Pregnancy, as well as the maternal/fetal outcome.
  
  
  METHODS
  A retrospective study of admissions for HELLP syndrome in 2012.The statistical analysis was based on Excel 2007.
  
  
  RESULTS
  In 55 admissions for hypertensive complications in pregnancy, 3 women had HELLP syndrome - 2 were black race and 1 was caucasian. The average maternal age was 29. None had relevant medical history. 2 of the women developed HELLP syndrome after severe preeclampsia. The fetal/neonatal outcomes were prematurity in 2 cases, birth weight average was 1798g and none had apgar-index below 7. There was no fetal death. Premature delivery occurred in 2 cases and all were by cesarean. Maternal complications that determined Intensive Care Unit Admission was recorded in one case - laparotomy for internal bleeding and transfusions were needed. No maternal death occured.
  
  
  CONCLUSIONS
  HELLP syndrome is associated with many morbidities which risk increases with severity of symptoms/lab results. We had no aggresive/fatal outcomes.
authors.forename: Mariana
authors.initials: M
authors.lastname: Miranda
authors.forename: Bruna
authors.initials: B
authors.lastname: Ambrosio
authors.forename: Rui
authors.initials: R
authors.lastname: Gomes
authors.forename: Isabel
authors.initials: I
authors.lastname: Santos
authors.forename: Teresa
authors.initials: T
authors.lastname: Matos
authors.forename: Antonia
authors.initials: A
authors.lastname: Nazare