Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari
Objective: The aim of this study was to ascertain the presentation, diagnosis, severity and complications of HELLP syndrome and evaluation of the maternal and fetal outcome. Methods: Pregnancy induced hypertension (PIH) between 1st February 2016 and 31st January 2017 was included in the study. Diagn...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2018-07-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/0518.pdf |
| _version_ | 1818542676255965184 |
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| author | Shiva Kumar HC Hiriyur Chidanandaiah Prathiba M Chandrashekhar T Tharihalli Suman Gaddi |
| author_facet | Shiva Kumar HC Hiriyur Chidanandaiah Prathiba M Chandrashekhar T Tharihalli Suman Gaddi |
| author_sort | Shiva Kumar HC Hiriyur Chidanandaiah |
| collection | DOAJ |
| description | Objective: The aim of this study was to ascertain the presentation, diagnosis, severity and complications of HELLP syndrome and evaluation of the maternal and fetal outcome. Methods: Pregnancy induced hypertension (PIH) between 1st February 2016 and 31st January 2017 was included in the study. Diagnosed cases of HELLP syndrome were classified according to Tennesses criteria after assessing inclusion and exclusion criteria. The analysis of the data was done on all the patients diagnosed with HELLP syndrome. Results: The incidence of HELLP syndrome during the period was 1.14% of total deliveries and 3.82% of pregnancy induced hypertension (PIH). Majority (50%) patients belong to age group of 21 to 25 years. Mean age was 22.5 years. Most of them were primigravida (55%). Majority (52.5%) was in 36-40 weeks gestation and mean gestational age was 33.6 weeks. Head ache (56.25%) was the most common imminent symptom. Most of symptoms were nonspecific like malaise (50%), edema (45%), vomiting (20%) and epigastric pain (7.5%). Out of 80 patients of HELLP syndrome 19 delivered by LSCS and 61 delivered vaginally. Ascites (26.25%), PPH (25%) and placental abruption (22.5%) were the most common maternal complications in HELLP syndrome followed by acute renal failure (18.75%), pulmonary edema (12.5%), DIC (6.25%) and cerebrovascular accidents (6.25%). Maternal mortality in our study was 11.25%. Perinatal mortality was 41.25%. Conclusion: The reason for higher morbidity in our study is delay in identifying the problem by referring doctors. Earlier diagnosis and intervention improves maternal and perinatal outcome. |
| first_indexed | 2024-12-11T22:25:14Z |
| format | Article |
| id | doaj.art-be283af4a103458fb0af16e4171ded76 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-12-11T22:25:14Z |
| publishDate | 2018-07-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-be283af4a103458fb0af16e4171ded762022-12-22T00:48:18ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422018-07-0151182310.21276/obgyn.2018.5.1.5Maternal and perinatal outcome in HELLP syndrome at VIMS, BallariShiva Kumar HC Hiriyur Chidanandaiah0Prathiba M1Chandrashekhar T Tharihalli2Suman Gaddi3Associate Professor, Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India; 2Senior Specialist, ESIMC & RC, BangaloreSenior Specialist, ESIMC & RC, BangaloreProfessor, Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India; 2Senior Specialist, ESIMC & RC, BangaloreProfessor & HOD, Department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, IndiaObjective: The aim of this study was to ascertain the presentation, diagnosis, severity and complications of HELLP syndrome and evaluation of the maternal and fetal outcome. Methods: Pregnancy induced hypertension (PIH) between 1st February 2016 and 31st January 2017 was included in the study. Diagnosed cases of HELLP syndrome were classified according to Tennesses criteria after assessing inclusion and exclusion criteria. The analysis of the data was done on all the patients diagnosed with HELLP syndrome. Results: The incidence of HELLP syndrome during the period was 1.14% of total deliveries and 3.82% of pregnancy induced hypertension (PIH). Majority (50%) patients belong to age group of 21 to 25 years. Mean age was 22.5 years. Most of them were primigravida (55%). Majority (52.5%) was in 36-40 weeks gestation and mean gestational age was 33.6 weeks. Head ache (56.25%) was the most common imminent symptom. Most of symptoms were nonspecific like malaise (50%), edema (45%), vomiting (20%) and epigastric pain (7.5%). Out of 80 patients of HELLP syndrome 19 delivered by LSCS and 61 delivered vaginally. Ascites (26.25%), PPH (25%) and placental abruption (22.5%) were the most common maternal complications in HELLP syndrome followed by acute renal failure (18.75%), pulmonary edema (12.5%), DIC (6.25%) and cerebrovascular accidents (6.25%). Maternal mortality in our study was 11.25%. Perinatal mortality was 41.25%. Conclusion: The reason for higher morbidity in our study is delay in identifying the problem by referring doctors. Earlier diagnosis and intervention improves maternal and perinatal outcome.https://journal.barpetaogs.co.in/pdf/0518.pdfhellpmaternal mortalityperinatal mortality |
| spellingShingle | Shiva Kumar HC Hiriyur Chidanandaiah Prathiba M Chandrashekhar T Tharihalli Suman Gaddi Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari New Indian Journal of OBGYN hellp maternal mortality perinatal mortality |
| title | Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari |
| title_full | Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari |
| title_fullStr | Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari |
| title_full_unstemmed | Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari |
| title_short | Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari |
| title_sort | maternal and perinatal outcome in hellp syndrome at vims ballari |
| topic | hellp maternal mortality perinatal mortality |
| url | https://journal.barpetaogs.co.in/pdf/0518.pdf |
| work_keys_str_mv | AT shivakumarhchiriyurchidanandaiah maternalandperinataloutcomeinhellpsyndromeatvimsballari AT prathibam maternalandperinataloutcomeinhellpsyndromeatvimsballari AT chandrashekharttharihalli maternalandperinataloutcomeinhellpsyndromeatvimsballari AT sumangaddi maternalandperinataloutcomeinhellpsyndromeatvimsballari |