Risk Factors Associated with Haemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome among Pregnant Women
DOI:
https://doi.org/10.31674/mjn.2025.v17i01.014Abstract
Background: Haemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is considered a part of the preeclampsia disease spectrum, affecting 0.5–0.9% of all pregnancies. Objective: To identify risk factors associated with HELLP syndrome among pregnant women at Tal Afar General Hospital. Methods: A case-control study was conducted among 125 pregnant women, including 25 cases and 100 controls. The cases included 25 women with HELLP syndrome, while the controls included 100 women with gestational hypertension. A developed interviewing questionnaire was used to collect information related to mothers. The study was conducted at Tal Afar General Hospital. Results: The study found that pregnant women who were primigravida (40% vs. 26%), nullipara (48% vs. 33%), had fewer than five antenatal care visits (68% vs. 47%), consumed a high-salt diet (64% vs. 39%), had multiple pregnancies (12% vs. 9%), had a history of chronic hypertension (36% vs. 17%), used assisted reproductive technology (24% vs. 2%), had chronic liver disease (12% vs. 2%), and had a history of preeclampsia (48% vs. 33%) were at increased risk of developing HELLP syndrome compared to those with gestational hypertension. Conclusion: The study concludes that high-risk factors associated with HELLP syndrome include a family history of preeclampsia, a history of chronic hypertension, gestational diabetes, assisted reproductive technology, chronic liver disease, and multiple pregnancies.
Keywords:
HELLP Syndrome, Pregnant WomenDownloads
References
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