Ruba N M Hammouda
Ain Shams University, UAE
Presentation Title:
Severe HELLP Syndrome in a primigravida: Multidisciplinary management leading to a favorable maternal and neonatal outcome
Abstract
Abstract:
HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count) is a rare but potentially life-threatening complication of severe preeclampsia. Early recognition and coordinated multidisciplinary management are crucial to prevent maternal and neonatal morbidity. We report a case of a 27-year-old primigravida at 33 weeks’ gestation presenting with severe hypertension (BP 180/115 mmHg), headache, and epigastric pain. Laboratory evaluation revealed AST 560 U/L, ALT 470 U/L, LDH 780 U/L, hemoglobin 9.1 g/dL, and platelets 65,000/µL, confirming HELLP syndrome. Management included magnesium sulfate for seizure prophylaxis, intravenous labetalol, and corticosteroids for fetal lung maturation. Due to deteriorating maternal condition, an emergency cesarean section was performed, during which 2 units of packed red blood cells were transfused. Postoperatively, the patient was monitored in the ICU and discharged in stable condition on day 6. The neonate (birth weight 1.8 kg, Apgar 7/9) required NICU admission for prematurity and was discharged after 10 days in good condition. This case highlights the critical importance of early diagnosis, rapid multidisciplinary intervention, and coordinated care involving obstetrics, anesthesia, critical care, and neonatology. Timely decision-making and proactive supportive measures contributed to optimal maternal and neonatal outcomes.
Conclusion:
Severe HELLP syndrome carries significant risks for both mother and neonate. Early recognition, prompt multidisciplinary management, and vigilant peripartum monitoring are essential to improve outcomes in high-risk obstetric emergencies.
Biography
Ruba N. M. Hammouda is a medical graduate from Ain Shams University, Egypt, where she completed her clinical training across various specialties with a particular interest in obstetrics and gynecology. During her rotations at Ain Shams University Hospitals, she gained valuable experience in managing maternal and neonatal cases, which deepened her passion for women’s health and evidence-based medical care. She actively participated in academic discussions and case presentations, continuously working to improve her clinical and research skills.
Currently, she is based in the United Arab Emirates, where she is enhancing her professional profile and preparing to join a residency program in obstetrics and gynecology. Her goal is to contribute to advancing maternal and reproductive healthcare through compassion, dedication, and lifelong learning.
.webp)
