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Revista chilena de obstetricia y ginecología

On-line version ISSN 0717-7526

Abstract

LABARCA, Laurenis et al. Prevalencia del síndrome de HELLP en gestantes críticas: Maternidad "Dr. Armando Castillo Plaza", Maracaibo, Venezuela. Rev. chil. obstet. ginecol. [online]. 2016, vol.81, n.3, pp.194-201. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262016000300005.

Aims: To determinate the prevalence of HELLP syndrome (HS) in critical pregnant women admitted to the Obstetrics Intensive Care Unit (OICU) of the "Maternidad Dr. Armando Castillo Plaza", in Maracaibo, Zulia state, Venezuela, during 2011 to 2015. Methods: A descriptive research with retrospective design was due, in which were reviewed the clinical files of all pregnant admit into the OICU complicated with HS, was analyzed establish the clinical and epidemiological features. Results: We found a prevalence of 13.60% (111/816), fatality rate of 1.23% (10/816) and specific maternal mortality rate of 15.08/100,000 live births. The most prevalent clinical characteristics were: age 25.8 ± 6.9 years, stay in UCIO 4.76 ± 4.46 days, pre-terms pregnancies (69.37%), history of abortions (24.32%), primiparous (42.34%), absent or inadequate prenatal care, singleton pregnancies (95.50%), preeclampsia (67.57%), history of pre-existing conditions (47.75%), without habits such as tobacco or alcohol (81.99%), admitted pregnant (89.19%) and cesarean section (74.77%). Also, were mainly diagnosed cases of incomplete HS (56.76%); the most observed com-plications were hematologic dysfunction (98.2%), liver dysfunction (91.9%) and renal dysfunction (70.3%). Conclusión: The prevalence of HELLP syndrome was higher than reported in national and international studies, presenting clinical and epidemiological characteristics that should be considered for prevention and early diagnosis.

Keywords : Pregnancy; critically ill pregnant; preeclampsia; HELLP syndrome.

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