Hypertensive Diseases of Pregnancy

Although Hellp syndrome is defined as a variant of preeclampsia, hypertension and proteinuria,
which are the diagnostic features of preclampsia, can occur in the late stages of hellp syndrome. In
some cases, proteinuria and hypertension may not develop at all in hellp syndrome. Also, in one
third of cases, hellp syndrome may occur in the postpartum period [186]. The diagnosis of hellp
syndrome can be made late when it appears with vague findings such as abdominal pain, nausea and
vomiting. Realization of delivery on time is the main purpose of hellp syndrome management. In
patients with hellp syndrome without a term pregnancy, delivery may be delayed for a certain period
of time to apply the steroid for providing fetal lung maturation [180]. Also, in some cases where the
gestational week is small and the mother is stable, maintaince treatment can be applied. This
maintaince treatment is mostly performed in the tertiary centers where all conditions are met for
high-risk pregnancy and where the perinatalog is located.