Abstract: Background: HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome is a severe complication of pregnancy with high risk for both mother and fetus and it complicated 0.2–0.6 % of all pregnancies. This present study was designed to understand maternal and fetal outcome in HELLP syndrome complicating pregnancy.
Methods: Study was conducted over a period of 24 months. Antenatal women above 20 weeks gestation, who fulfilled the criteria for HELLP syndrome, were included in the study. Detailed histories, clinical examination, blood pressure measurement, obstetric examination, blood investigation were done. Maternal and fetal complications were noted and subjected to statistical analysis.
Results (n=40): Incidence of HELLP syndrome was 0.7% of all deliveries and 22.4% of preeclampsia & eclampsia cases. Mean gestational age was 32.5 weeks. Common maternal complication was acute renal damage seen in 30% cases. Perinatal mortality was 42.5%.
Conclusion: HELLP Syndrome is a life threatening complication, associated with maternal and fetal risk. It requires multidisciplinary approach and tertiary hospital care.
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