بررسي عوارض و عوامل خطر سندرم HELLP

Evaluation of Maternal and Neonatal Complications of HELLP Syndrome and Its Risk Factors

Introduction: HELLP syndrome is one of the severe complications of preeclampsia which is accompanied by serious fetal and maternal effects. The purpose of the present smay,: is to evaluate the maternal and neonatal complications ofthe HELLP syndrome and its risk factors, Methods: A retrospective study was performed on the documentations of 46628 women who were delivered during 5 years in Akbarabadi Hospital . There were 1811 cases (3.88%) of preeclampsia. 1380 cases of preeclampsia bad complete documentation records which were evaluated for the study. 1196 patients were Iranian and 184 patients were Afghans. The preeclamptic patients were divided into two groups; patients with HELLP syndrome (case group; 164 cases) and patients without HELLP syndrome (control group; 1216 cases). Characteristic of these two groups were then compared. Results: There were 46628 deliveries and 1811 cases of preeclampsia (3.88%). 164 cases (11.9%) out of 1380 preeclamptic patients who had complete documentation records had HELLP syndrome. The mean platelet count of case and eontrol groups were 81.3 ± 20Ax 103/mrrrʹ and 198.1± 55.9x103 /mrrrʹ , respectively (p