Background: Pregnancy-induced hypertension (PIH) is the most common medical disorder of pregnancy contributing significantly to maternal/fetal morbidity and mortality. Hemostatic abnormalities that range from thrombocytopenia, consumption coagulopathy to hemolysis, elevated liver enzymes, and low platelets (HELLP) are the most ominous complications seen. This study was taken to evaluate the nat...

BACKGROUND The oxysterol 27-hydroxycholesterol (27-OHC) plays an important role in the regulation of cholesterol homeostasis. Pregnancy pathologies like preeclampsia (PE), HELLP-syndrome (HELLP), intrauterine growth restriction (IUGR) and intrahepatic cholestasis in pregnancy (ICP) are linked to disturbances in lipid metabolism. In the present study, we hypothesized a specific gestational regul...

This chapter summarizes the clinical presentation, pathophysiology, evaluation and management of six commonly encountered complications unique to pregnancy that require critical care management: obstetric haemorrhage; pre-eclampsia/HELLP (haemolysis-elevated liver enzymes-low platelets) syndrome; acute fatty liver of pregnancy; peripartum cardiomyopathy; amniotic fluid embolism; and trauma.

Haptoglobin (Hp) is an acute phase α2-sialoglycoprotein, which is characterised by molecular heterogeneity. Owing to a genetic polymorphism, different Hp phenotypes exist of which Hp1-1, Hp1-2, and Hp2-2 are the three major isoforms in humans. Hp consists of two different polypeptide chains, the heavy β chain, which is identical in all haptoglobins, and the light α chain, consisting of two α ch...

Haptoglobin (Hp) is an acute phase α2-sialoglycoprotein, which is characterised by molecular heterogeneity. Owing to a genetic polymorphism, different Hp phenotypes exist of which Hp1-1, Hp1-2, and Hp2-2 are the three major isoforms in humans. Hp consists of two different polypeptide chains, the heavy β chain, which is identical in all haptoglobins, and the light α chain, consisting of two α ch...

Introducción: El síndrome de Hellp y rotura hepática es una complicación poco frecuente especialmente en casos embarazo gemelar, presentamos el caso un hematoma subcapsular hepático roto por HELLP que complicó gemelar requirió cesárea emergencia para manejo la hipovolemia empaquetamiento hepático.Presentación del caso: Femenina, 41 años, gestación 35 semanas, acude a contracciones uterina ausen...

Mirror syndrome is a rare clinical entity consisting of fetal and placental hydrops with maternal edema. It is associated with an increase in fetal mortality and maternal morbility. We describe the anesthetic management of a parturient with Mirror syndrome complicated by HELLP syndrome and massive postpartum hemorrhage, who required general anesthesia for cesarean delivery.

In the last trimester of an uncomplicated pregnancy a woman developed a spontaneous vitreous haemorrhage. She was later diagnosed as having HELLP syndrome, a recently described disorder comprising haemolytic anaemia, elevated liver enzymes, and a low platelet count in women with severe pre-eclampsia or eclampsia. We believe this rare complication of pregnancy to be the cause of the intraocular ...

INTRODUCTION Subarachnoid hemorrhages of spinal origin are extremely rare during pregnancy. We present the case of a patient with hemolytic anemia, elevated liver enzymes and low platelet count (the so-called HELLP syndrome), a potentially life-threatening complication associated with pre-eclampsia, who presented with an idiopathic spinal subarachnoid hematoma. CASE PRESENTATION At 29 gestati...

The activity of ADAMTS13, the von Willebrand factor (VWF) cleaving protease is low in several conditions, including HELLP (haemolysis, elevated liver enzymes, and low platelet count) syndrome. As HELLP syndrome develops in most cases on the basis of preeclampsia, our aim was to determine whether plasma ADAMTS13 activity is decreased in preeclampsia. Sixty-seven preeclamptic patients, 70 healthy...