العلاج الخط الأول لمتلازمة HELLP

References

DOI: 10.1097/AOG.0000000000003891

1. Considering the serious nature of this entity, with increased rates of maternal morbidity and mortality, many authors have concluded that women with HELLP syndrome should be delivered regardless of their gestational age.
2. Because the management of patients with HELLP syndrome requires the availability of neonatal and obstetric intensive care units and personnel with special expertise, patients with HELLP syndrome who are remote from term should receive care at a tertiary care center.
3. Magnesium sulfate should be used for the prevention and treatment of seizures in women with gestational hypertension and preeclampsia with severe features or eclampsia.
4. Antihypertensive treatment should be initiated expeditiously for acute-onset severe hypertension (systolic blood pressure of 160 mm Hg or more or diastolic blood pressure of 110 mm Hg or more, or both) that is confirmed as persistent (15 minutes or more).
5. With supportive care alone, 90% of patients with HELLP syndrome will have platelet count more than 100,000 ×10&sup9;/L and reversed trend (decrease) in liver enzymes values within 7 days after delivery.