Eclampsia and HELLP

Syndrome

eclampsia
Acute cases of pre -eclampsia were
accompanied by a thorough convulsions
or coma.
eclampsia is always preceded by preeclampsia . but could have been preeclampsia is not detected.
convulsions began with tonic seizures
followed by clonic seizures . then the
contraction will be weakened , and there

Treatment:
treatment of eclampsia:
prevent seizures .
controlling blood pressure .

medical treatment :
anti-seizure drugs : MgSO4
treatment of seizures : prevent trauma
treatment of coma : keep the airway to keep
it open
pulmonary edema treatment : ICU

obstetric treatment : determination of

pregnancy

HELLP syndrome
H = Hemolysis
petechiae , ecchymosis , and hematuria

EL = Elevated Liver enzyme

SGOT, SGPT (>70IU), and LDH
(>600IU)

LP = Low Platelets count

Platelets <100.000/mm3

classification :
Class 1
Trombosit 50.000/ml
LDH 600 IU/l
AST/ALT 40 IU/l

Class 2
Trombosit >50.000 100.000/ml
LDH 600 IU/l
AST/ALT 40 IU

Class 3
Trombosit >100.000 150.000/ml
LDH 600 IU/l
AST/ALT 40 IU

 Medical treatment :
monitoring the levels of platelets every
12 hours .
administration of dexamethasone rescue
( double dose )

obstetric treatment : determination

of pregnancy