FREQUENCY OF HELLP SYNDROME IN PRE- ECLAMPSIA AND ECLAMPSIA PATIENTS OF THE CATCHMENT AREA OF SAIDU TEACHING HOSPITAL SWAT
DOI:
https://doi.org/10.52206/jsmc.2012.2.2.201-205Abstract
Objectives: The objective of the study was to determine the frequency of HELLPsyndrome in preeclampsia
and eclampsia patients presented to saidu teaching hospital Swat.
Methodology: This was a descriptive, cross sectional study. It was conducted in the department of
gynaecology and obstetrics of Saidu Teaching Hospital Swat. All pregnant women attending antenatal clinic
during T1 Jan 2007 to 31s' Dec 2009 were included in the study. Women after 20 weeks of gestation with
preeclampsia requiring admission in obstetric ward for monitoring and controlling blood pressure and all
who were admitted in labour room with severe preeclampsia and eclampsia were included while women
with gestational hypertension but no proteinurea were excluded. Non probability purposive sampling
technique was used in the study.
Result: During three years time period, 16722 pregnant women were registered, out of which 537 were
diagnosed having preeclampsia, 3.21% (n = 16722) . While 39 patients among 537, were diagnosed with
HELLPsyndrome, 7.26% (n = 537) in limited and 0.227% (n = 16722) in the overall sample population. Out
of total 39 patients 38 were antenatal 1 was post-natal. About 69.25% women were between 30 to 40 weeks
of gestation and 30.7% were less than 30 weeks of gestation. In our study the frequency of HELLPsyndrome
was high between 26-30 years (38.46%) and in multigravidas (46.15%).
Conclusion: The study revealed that although in spite of backward area, lack of education and health care
awareness with special reference to mother and child health the incidence of HELLP syndrome is less than
the internationally reported data, but this may be due the fact that all patients with eclampsia and pre
eclampsia do not reached hospital and treated at home due to superstitious believes. A community based
intervention is needed to improve health awareness and education. All patients with preeclampsia and
eclampsia needs to be investigated for HELLP syndrome and those with HELLP syndrome should be
provide the best possible care at the appropriate time.
Key words: Pre-Eclampsia, Eclampsia, HELLPsyndrome
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