FAQ - Hellp Syndrome
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Headaches during menstation? Had HELLP Syndrome and bleeding in my brain post child birth any suggestions?

as to what might be wrong, my doctors seem to be clueless. My head hurts SOoooooo bad, everytime I have my period, this never happened before I had my baby, but, when I had her, I had a severe form of toxcemia, which turned into HELLP Syndrome after she was born and I had bleeding in my brain, I don't think the problem is in my brain, I think its a hormonal problem, or a vitamin deficiency, any suggestions on what to do, anyone else get SEVERE headaches during menstration?

I'm not sure, but to me it sounds like you would benefit from seeing a doctor. i'm sure they can tell you what's going on and can help you feel a lot better. feel better!!!  (+ info)

can a woman have a normal Pregnancy after HELLP SYNDROME?

I was diagnosed with HELLP SYNDROME when I was 6 Months pregnant with my second child and had to deliver the baby then, he's doing well now it's been 3 years, but my husband want's another child in the future. I'm afraid because of what happened with our last pregnancy, will i be able to have a normal pregnacy in the future?

There seems to be some chance of recurrence of HELLP syndrome in subsequent pregnancies, but it's a chance. Which means you may or may not get it again in future pregnancies.

Either way, if/when you are pregnant again, you'll probably be monitored very closely throughout your pregnancy (you'll be a "high-risk" pregnancy) for any signs and symptoms of not just HELLP, but also eclampsia and pre-eclampsia.

Talk to your doctor. That's the best place to get medical advice.  (+ info)

HELLP Syndrome signs. Does anyone know if I should be worried?

I'm 34w into pregnancy #2. The first I had HELLP, it was an awful experience and I don't want to ever experience that again.
I have been told to monitor my blood pressure at home daily, which I have been doing.
Originally going into the pregnancy and for the duration I was averging 110/60.
Over the last couple of weeks I have noticed a slight increase, today I was 123/82...I know it's not a huge increase..should I just leave it or should I be concerned. (it was about the same time in my first pregnancy that I started to have problems like this also).
It's not that I'm stressed or anything..I'm taking it easy.
Opinions? Advice?

id say you are okay... but call your doctor and make sure.. also depending on your first pregnancy and what those problems were you might need to be seen.... :)

Hope this helped!  (+ info)


Currently I am 24 weeks pregnant with my second.
I had Labor induced Hypertension with her. And SEVERE bleeding during my C section.

Im curious about HELLP because of some things I have going on. My doctor doesnt think anything of them. But i just want to do my own research to ease my mind. And if Im right, at least IM doing something to protect myself and my child.

My blood pressure has been ok over all. BUT before I got pregnant my BP was always 115/70. As soon as I got pregnant this time, and last it goes up around 125/72.
It makes me think if they even do it right..
But any way I know that isnt to high.

* As in a previous question I stated I am constantly seeing floating specs. (floaters) But They never go away. They do get worse at times.
* In the first couple months I had a headache every single day, and nothing would help at all. FINALLY that stopped.

* The big thing is my Red blood cells. I have a low red blood cell count. My OB didnt specify. But I didnt have this disorder before. She said its a blood disorder, and its nothing to worry about. BUT even she said I didnt have it with my last pregnancy. And I never had it before that.

I know one of the symptoms is a breakdown in red blood cells. Im not sure if its the same thing.

They do the urine tests at every visit and never mentioned any protein in it.

I had some terrible abdominal pain in the first couple months. That went away. I thought maybe it was TERRIBLE gas pains. Like my contractions didnt hurt that bad. lol

Im actually surprised that my doctor is acting like my low red blood cells are ok.

But i thought If I understood this, which seems to be the only thing that may make sense. I know it usually starts developing or showing in the 3rd trimester. So If it is this I can do something about it.

HELLP syndrome is
H= HEMOLYSIS ir breakdown of red cells
EL= elevated liver enzymes
LP= low platelet count

ur BP is normal, no protein in urine so there is no chance of pre eclampsia. as for headache in beginning thats normal and due to hormonal changes. dont stress. trust ur doc and enjoy ur preg  (+ info)

What is Hellp syndrome?

HELLP syndrome is a life-threatening obstetric complication considered by many to be a variant of pre-eclampsia. Both conditions occur during the latter stages of pregnancy, or sometimes after childbirth.

HELLP is an abbreviation of the main findings:

Hemolytic anemia
Elevated Liver enzymes and
Low Platelet count

Read more of the article:

I hope you're not having any health problems :(  (+ info)

Has anyone been diagnosed with HELLP syndrome? I'm interested in hearing your story...?

HELLP Syndrome is a severe variant of preeclampsia - or hypertension in pregnancy - characterized by Hemolysis, Elevated liver enzymes and low platelets, there may also be proteinuria - protein secreted in urine - and edema - or swelling of face and extremities. It is a dangerous condition, the only definitive treatment is termination of pregnancy - usually this means trying to extend the pregnancy upto 38weeks, giving corticosteroid injections to the mother to enhance fetal lung maturity and then inducing labor. I have seen a couple of people with it - in both labor had to be induced by about 36 weeks, but luckily both mothers and babies were all right. medications can be given to control blood pressure, but sometimes, rarely, pregnany must be terminated.  (+ info)

anyone had hellp syndrome?

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HELLP syndrome
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HELLP syndrome
Classifications and external resources ICD-10 O14.1
ICD-9 Not assigned
DiseasesDB 30805
HELLP syndrome is a life-threatening complication of pre-eclampsia. Both conditions occur during the latter stages of pregnancy, or sometimes after childbirth.

HELLP is an abbreviation of the main findings:

Hemolytic anemia
Elevated Liver enzymes and
Low Platelet count
Contents [hide]
1 Signs and symptoms
2 Diagnosis
3 Classification
4 Pathophysiology
5 Treatment
6 Epidemiology
7 History
8 See also
9 References

[edit] Signs and symptoms
Often, a patient who develops HELLP syndrome has already been followed up for pregnancy-induced hypertension (gestational hypertension), or is suspected to develop pre-eclampsia (high blood pressure and proteinuria). Up to 8% of all cases present after delivery.

There is gradual but marked onset of headaches (30%), blurred vision, malaise (90%), nausea/vomiting (30%), "band pain" around the upper abdomen (65%) and tingling in the extremities. Oedema may occur but its absence does not exclude HELLP syndrome. Arterial hypertension is a diagnostic requirement, but may be mild. Rupture of the liver capsule and a resultant hematoma may occur. If the patient gets a seizure or coma, the condition has progressed into full-blown eclampsia.

Patients who present symptoms of HELLP can be misdiagnosed in the early stages, increasing the risk of liver failure and morbidity (Padden, 1999).

[edit] Diagnosis
In a patient with possible HELLP syndrome, a batch of blood tests is performed: a full blood count, liver enzymes, renal function and electrolytes and coagulation studies. Often, fibrin degradation products (FDPs) are determined, which can be elevated. Lactate dehydrogenase is a marker of hemolysis and is elevated (>600 U/liter). Proteinuria is present but can be mild.

[edit] Classification
The platelet count has been found to be moderately predictive of severity: under 50 million/L is class I (severe), between 50 and 100 is class II (moderately severe) and >100 is class III (mild). This system is termed the Mississippi classification (Martin et al 1990).

[edit] Pathophysiology
The exact cause of HELLP is unknown, but general activation of the coagulation cascade is considered the main underlying problem. Fibrin forms crosslinked networks in the small blood vessels. This leads to a microangiopathic hemolytic anemia: the mesh causes destruction of red blood cells as if they were being forced through a strainer. Additionally, platelets are consumed. As the liver appears to be the main site of this process, downstream liver cells suffer ischemia, leading to periportal necrosis. Other organs can be similarly affected. HELLP syndrome leads to a variant form of disseminated intravascular coagulation (DIC), leading to paradoxical bleeding, which can make emergency surgery a serious challenge.

[edit] Treatment
The only effective treatment is delivery of the baby, preferably by cesarean section. Several medications have been investigated for the treatment of HELLP syndrome, but evidence is conflicting as to whether magnesium sulfate decreases the risk of seizures and progress to eclampsia. The DIC is treated with fresh frozen plasma to replenish the coagulation proteins, and the anemia may require blood transfusion. In mild cases, corticosteroids and antihypertensives (labetalol, hydralazine, nifedipine) may be sufficient. Intravenous fluids are generally required.

[edit] Epidemiology
Its incidence is reported as 0.2-0.6% of all pregnancies. Of women with (pre)eclampsia, 4-12% also develop signs of a "superimposed" HELLP syndrome. Mortality is 7-35% and perinatal mortality of the child may be up to 40%. HELLP usually begins after the third trimester, and usually in Caucasian women over the age of 25. (Padden, 1999.) Rarely, cases have been reported as early as 23 weeks gestation.

[edit] History
HELLP syndrome was identified as a distinct clinical entity (as opposed to severe preeclampsia) by Dr Louis Weinstein in 1982.

[edit] See also
Acute fatty liver of pregnancy

[edit] References
Martin JN Jr, Blake PG, Lowry SL, Perry KG Jr, Files JC, Morrison JC. Pregnancy complicated by preeclampsia-eclampsia with the syndrome of hemolysis, elevated liver enzymes, and low platelet count: how rapid is postpartum recovery? Obstet Gynecol 1990;76:737-41. PMID 2216215.
Weinstein L. Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy. Am J Obstet Gynecol 1982;142:159-67. PMID 7055180.
Padden MO. "HELLP Syndrome: Recognition and Perinatal Management." Am Fam Physician. 1999 Sep 1;60(3):829-36, 839. PMID: 10498110
Retrieved from "http://en.wikipedia.org/wiki/HELLP_syndrome"  (+ info)

I have several questions, all info appretiated, I had a case of severe ecclampsia, and HELLP syndrome while I?

was pregnant, the baby was taken early, my blood platlet count dropped to 30,00, I guess taht they are supposed to be at around 100,000, so they had to give me a transfusion, and I ended up getting a tear in my brain and bleeding in my brain because my platlet level was so low. I am out of the hospital now, and am functioning pretty well normal, but my head still hurts and I still get dizzy and stuff, my question is how long is it going to take me to feel back at 100%? I hate this feeling, I have 3 kids now and I like to be able to play with them the way I always do, my 3rd was taken 3 weeks ago, I was released from the hospital 1 week ago. Okay then my next question is, should my doctor have caught this before it esscelated to this point? I went to him severl times in the month prior to me being hospitalized and told him, something was wrong, I told I was having problems urinating, and that my ffet were swollen, he insisted nothing was wrong, I asked him to test me for toximia,

Ask another doctor's opinion and consider a lawsuit.  (+ info)

HELLP Syndrome/Preeclamsia information?

Im 32 weeks pregnant. I just contacted my midwife and she has asked me to come in to see her first thing in the morning. I have just put on 2.5 kgs in the last 2 days, I feel like I have to urinate all the time but only a little bit comes out, I have had a massive head ache yesterday where I had to go to sleep and I have had rib and back ache the last week. Last night also I woke up with severe heart burn. My platelet count has been dropping also but not severe it is 130000 last check at 28 weeks. Whats going on?? Has this happened to anyone else?

I really have no idea what your problem may be. Usually a beginning sign of preeclamsia is an elevated blood pressure. I would go to a doctor, not a midwife. This sounds like it could be too much for the midwife to handle. A doctor can run the proper tests to see if there is anything wrong and can take steps immediately to benefit both you and your child. I had the beginning of preecamsia with both of my children. The doctor figured out that if I did not go to work, my blood pressure stayed at a safe level. So I had to stay home for a couple of weeks before both of my kids were born.
I am not bashing midwives. I know of several women who had normal pregnancies who have used them. It is cheaper and the child can be born at home. You sound like maybe you have a bit of a high risk pregnancy, please, see a doctor.  (+ info)

If I had HELLP Sydrome with my last pregnancy, will it happen again?

I'm terrified that if I become pregnant again, that I will have HELLP Syndrome again. I know that I'll be more aware of the signs (since I didn't even know what it was when my liver platelets started to plummet w/ my last pregnancy), but I'm just concerned that it might happen to me again.

  (+ info)

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