Introduction

HELLP is an acronym for Hemolysis, Elevated Liver enzymes, and a Low Platelet count. It is a serious condition that can develop in the late stages of pregnancy. Whilst there is significant overlap with severe pre-eclampsia in terms of the features some patients present with no prior history so many specialists consider it a separate entity in its own right. However, it should be remembered that around 10-20% of patients with severe preeclampsia will go on to develop HELLP.

Epidemiology

  • Incidence: 7.00 cases per 100,000 person-years
  • Peak incidence: 30-40 years
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Features

Investigations

Investigations
  • bloods: Hemolysis, Elevated Liver enzymes, and a Low Platelet

Management

Treatment
  • delivery of the baby