Caracterización del síndrome Hellp como complicación de la preclampsia severa. Hospital Matilde Hidalgo de Procel 2020 - 2022.

Abstract

HELLP syndrome is a multisystemic complication of pregnancy characterized by hypertension, microangiopathic hemolysis, elevated liver enzymes, and a significant decrease in platelet count. This condition is associated with severe perinatal complications and an increase in maternal mortality, making it one of the most critical obstetric emergencies. Globally, it is estimated that HELLP syndrome affects between 0.5% and 0.9% of all pregnancies, although the incidence may vary depending on factors such as the studied population and the diagnostic methods employed. In Ecuador, while exact statistics are limited, it is believed that the prevalence is similar to that observed globally. It represents a significant cause of maternal morbidity and mortality, particularly in areas where access to specialized healthcare services is limited. Associated complications, such as placental abruption, renal failure, and intracranial hemorrhage, further worsen the prognosis, underscoring the need for timely and effective clinical management. Addressing the prevention of hypertensive disorders in pregnancy in a timely manner will significantly determine the reduction of maternal deaths in our country.