An Algorithm for the Management of HELLP Syndrome

An Algorithm for the Management of HELLP Syndrome - Flowchart HELLP Syndrome HELLP Syndrome

«Flowchart»

Refer to tertiary care facility (less than 35 wk)
Admit to labor and delivery area
IV magnesium sulfate
Antihypertensives if systolic blood pressure is at least 160 mm Hg and diastolic blood pressure is at least 105 mm Hg

Delivery

End

24 to 34 wk

Complete steroid course
24 to 48 hr latency

Less than 24 wk or limits of viability
Greater than or equal to 34 wk
Fetal distress
Maternal distress:

Eclampsia
Disseminated intravascular coagulopathy
Renal failure
Abruptio placentae
Respiratory distress
Suspect liver hematoma

Less than 24 wk or limits of viability
Greater than or equal to 34 wk
Fetal distress
Maternal distress:

Eclampsia
Disseminated intravascular coagulopathy
Renal failure
Abruptio placentae
Respiratory distress
Suspect liver hematoma

Less than 24 wk or limits of viability
Greater than or equal to 34 wk
Fetal distress
Maternal distress:

Eclampsia
Disseminated intravascular coagulopathy
Renal failure
Abruptio placentae
Respiratory distress
Suspect liver hematoma

Less than 24 wk or limits of viability
Greater than or equal to 34 wk
Fetal distress
Maternal distress:

Eclampsia
Disseminated intravascular coagulopathy
Renal failure
Abruptio placentae
Respiratory distress
Suspect liver hematoma

Yes