Results of the pregnancies with HELLP syndrome

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dc.contributor.authorÇelik, Çetin
dc.contributor.authorGezginç, Kazım
dc.contributor.authorAltıntepe, Lütfullah
dc.contributor.authorTonbul, H. Zeki
dc.contributor.authorYaman, S. Tülin
dc.contributor.authorAkyürek, Cemalettin
dc.contributor.authorTürk, Süleyman
dc.date.accessioned2020-03-26T16:46:02Z
dc.date.available2020-03-26T16:46:02Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIn this study, clinical features, developing complications, and results of thirty-six patients, which were followed up in our Obstetrics and Gynecology and Nephrology departments between 1997 and 2001, with the diagnosis of HELLP syndrome were searched retrospectively. The mean age of the cases followed up with diagnosis of HELLP syndrome were 30.2+/-5.9 (17-46) years. HELLP syndrome was diagnosed on average in the 32.6+/-4.8th (23-41) week of gestations. Seventy percent of the cases were with severe preeclampsia and 30% of the cases were with mild preeclampsia. Eleven cases (30%) were nullipara and twenty-five cases (70%) multipara. The average of arterial systolic blood pressure of the cases were 161.6+/-26 mmHg, and that of diastolic blood pressure was 98.5+/-16.8 mmHg. In thirteen cases (36%) acute renal failure (ARF), six cases (17%) placenta detachment, two cases disseminate intravascular coagulation (DIC), one case Adult Respiratory Distress Syndrome (ARDS) were developed. In seven cases (19%) intrauterine dead fetuses were detected. In twenty-three cases by cesarian section (64%), in thirteen cases by induction (36%) the pregnancies were terminated in 72 h after diagnosing HELLP syndrome. Birth weights of eleven babies (30%) were below 1500 g. Five of the eleven babies were dead in the neonatal period. Six of the thirteen patients who had ARF were given hemodialysis. Two patients died because of the development of ARF+DIC and ARDS. No predicting factors for the development of HELLP syndrome could be detected, but severe preeclampsia. Therefore we think that preeclamptic pregnancies must be followed up very closely and if HELLP syndrome develops, termination of the pregnancy would be proper as soon as possible.en_US
dc.identifier.doi10.1081/JDI-120022553en_US
dc.identifier.endpage618en_US
dc.identifier.issn0886-022Xen_US
dc.identifier.issue4en_US
dc.identifier.pmid12911166en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage613en_US
dc.identifier.urihttps://dx.doi.org/10.1081/JDI-120022553
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18553
dc.identifier.volume25en_US
dc.identifier.wosWOS:000184520800012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMARCEL DEKKER INCen_US
dc.relation.ispartofRENAL FAILUREen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectpregnancyen_US
dc.subjectHELLP syndromeen_US
dc.subjectacute renal failureen_US
dc.titleResults of the pregnancies with HELLP syndromeen_US
dc.typeArticleen_US

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