HELLP Syndrome: “I Need Somebody HELLP, Not Just Anybody…”

  • Yuxuan (Tony) QiuEmail author
  • Simiao Li-Sauerwine


Hemolysis, elevated liver enzymes, low platelet (HELLP) syndrome is a complication of pregnancy with significant maternal and fetal morbidity that can occur from estimated gestational age (EGA) of 20 weeks to postpartum period. HELLP can result in rapid deterioration, but the initial presentation may be vague. Hemolysis, elevated liver enzymes, and thrombocytopenia are its classic lab features. The only curative treatment is delivery for which the timeframe should be established as early as possible. Emergency department (ED) providers are crucial in initial recognition of the disorder, stabilization of the patient, and arrangement for definitive obstetric (OB) care.


HELLP Thrombotic microangiopathy Pregnancy 


Disclosure Statement

The authors of this chapter report no significant disclosures.


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Emergency MedicineWexner Medical Center at The Ohio State UniversityColumbusUSA

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