Maternal-neonatal outcome in HELLP syndrome and severe preeclampsia.

Jin, Ki Hong; Kim, Min Jung; Ahn, Hyun Young; Kil, Ki Cheol; Park, In Yang; Lee, Young; Lee, Gui Sera; Shin, Joung Chul; Kim, Sa Jin

Original Article

Korean Journal of Obstetrics & Gynecology 2007;50(10):1308-1312.
Published online October 1, 2007.

Maternal-neonatal outcome in HELLP syndrome and severe preeclampsia.

Ki Hong Jin, Min Jung Kim, Hyun Young Ahn, Ki Cheol Kil, In Yang Park, Young Lee, Gui Sera Lee, Joung Chul Shin, Sa Jin Kim

Department of Obstetrics and Gynecology, Catholic University of Korea. ksajin@catholic.ac.kr

Abstract

OBJECTIVE
To assess the clinical characteristics, laboratory findings, the maternal and neonatal complications between HELLP syndrome and severe preeclampsia. METHODS: We reviewed the material and neonatal charts of 34 pregnancies complicated by HELLP syndrome and 40 pregnancies complicated by severe preeclampsia managed at our hospital between January, 2001 and December, 2005. We compared the clinical characteristics, laboratory findings, the maternal and neonatal complications between two groups. Results were compared by student T test, chi-square test. RESULTS: Our study showed that in HELLP syndrome patients had the less gestational age at admission, gestational age at delivery, the lower platelet counts, the higher AST, ALT, LDH, and the longer hospitalization period than in severe preeclampsia. Steroid (dexamethasone) use, cesarean delivery rate and MgSO4 use were more frequent in HELLP syndrome than severe preeclampsia. Neonatal birth weight was lower with HELLP syndrome. There was no significant difference in maternal and neonatal complications. CONCLUSION: HELLP syndrome need to be recognized a unique form of severe preeclampsia. It was associated with serious maternal and fetal mortality, the appropriate management would be done by early diagnosis using laboratory tests.

Key Words: HELLP syndrome, Severe preeclampsia