Understanding and managing HELLP syndrome: the integral role of aggressive glucocorticoids for mother and child.

摘要: Antepartum or postpartum HELLP syndrome constitutes an obstetric emergency that requires expert knowledge and management skills. The insidious variable nature of disease presentation progression challenges the clinician complicates consensus on universally accepted diagnostic classification criteria. A critical review published research about this variant form severe preeclampsia, focused primarily what is known pathogenesis disorder as it relates to patient experience with corticosteroids for its management, leads conclusion there maternal-fetal benefit realized when potent glucocorticoids are aggressively used treatment. Although acknowledging need definitive multicenter trials better define limits presence any maternal fetal risk, given understanding potential cause considerable morbidity mortality, we recommend present constitute cornerstone patients considered have syndrome.