AI Article Synopsis
- From 1983 to 1992, Bavaria recorded 150 maternal deaths, with 10% caused by preeclampsia during the puerperal period.
- Out of the women who died from preeclampsia, 14 showed evidence of HELLP syndrome, prompting the need for high-risk criteria in maternal care.
- To improve outcomes for patients with HELLP syndrome, early diagnosis, immediate delivery, and careful monitoring of liver enzymes and platelets are crucial, especially when right upper abdominal pain occurs in late pregnancy.
Article Abstract
150 cases of maternal death were registered in Bavaria from 1.1.1983-31.12.1992. 15 women (10%) died in the puerperal period due to preeclampsia. 14 of these patients either had single or complete laboratory findings in HELLP-Syndrom. Anamnesis, age, parity, nationality, way of delivery and causes of death are analysed. To improve the prognosis of patients with HELLP-Syndrom early diagnosis and immediate delivery are necessary. First signs of pre-eclampsia require regular liver-enzymes and platelet controls. In the occurrence of right upper abdominal pain in the second half of pregnancy precise diagnostics and close supervision in hospital is mandatory.
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