DELIVERY YEARS 1986-2015

HELLP SYNDROME (n = 42)

Maternal Age (years)

29 (16 - 43)

Gestational Age (weeks)

34 2/7

Race (# White/# Black)

25/11

Parity (% Nulliparity)

62%

Epigastric Pain (%)

100%

RX: Magnesium Sulfate

83%

RX: Antihypertensives

41%

RX: CORTicosteroids

0%

MAJOR MATERNAL MORBIDITY

CNS: Stroke/ICH

50%

LIVER: Bleed/Rupture

21%

Severe Systolic HTN (SSH)

79%

Acute Pulmonary Edema

52%

Acute Kidney Injury (AKI)

33%

DIC

33%

LABORATORY INDICES

Mean Admission AST IU/L

315 (31 - 2771)

Mean Admission PLTs/uL

122,400/uL

Mean Admission LDH IU/L

514 (143 - 1568)

Mean Admission LDH:AST

1.6:1

Peak AST IU/L

1461 (73 - 3902)

Peak LDH IU/L

3061 (344 - 11,796)

Peak LDH:AST Ratio

2.1:1

MATERNAL OUTCOMES

Maternal Deaths

22/42 (52.4%)

Maternal Disability

7/42 (16.7%)

Maternal Intact Survival

13/42 (31%)