Main characteristics of HELLP complicating the APS and comparison with series of HELLP in referral obstetric centres
APS present series(n = 16) | Martin6Class3–Class1 | Sibai1 | Audibert3 | |
---|---|---|---|---|
HELLP onset: | ||||
Ante-partum | 14 (87.5%) | – | 70% | – |
Post-partum | 2 (12.5%) | – | 30% | – |
Elevated aminotransferase | 15 (94%) | 100% | 100% | 90% |
Thrombocytopenia | 15 (94%) | 100% | 100% | 75% |
Hypertension | 11 (69%) | 70–90% | 65% | – |
Proteinuria >0.5g/day | 11 (69%) | 80–90% | 100% | – |
Haemolysis | 10 (62.5%) | 100% | 100% | 51% |
Abdominal pain | 7 (44%) | 16–50% | 100% | 73% |
Eclampsia | 5 (31%) | 4–13% | – | 8% |
Ascites | 3 (19%) | – | 32% | – |
Seizures | 3 (19%) | – | – | – |
Coagulopathy | 2 (12.5%) | 8–32% | 21% | 11% |