When I had severe HELLP syndrome in 1997 it was unheard of. My case was so bad that I slipped into a coma. My son was delivered 3 months early and we both survived
I had HELLP syndrome 14 years ago. I had never heard of it. I had pre eclampsia with my first two kids. Pre Eclampsia and HELLP syndrome with my third. They immediately induced me as my due date was 3.5 weeks away. He is healthy, I am healthy. Dr recommended I never have another pregnancy. So, we stopped having kids.
Me and my 33 weeker survived severe HELLP Syndrome - Feb.12,2022. I had edema for almost 2 months including face. I never knew about HELLP Syndrome and getting confined in a hospital during pandemic is the last thing on my mind. I turned yellow in just a day, my urine is dark colored. I had maintained 150-160/110 blood pressure and oral medicines(methyldopa) or juicing won't help. When I got to the hospital, my bp went up to 180/120 but no headache, just abdominal pain. I am thankful to the doctors and nurses who took care of me and my baby. My baby boy is still in Nicu right now.
had HELLP 17 years ago. I was 23. The entire pregnancy and delivery were without complications. About 20 minutes after the birth I started having extreme RUQ pain, headache, blurry vision. I passed out and bleed quite a bit. Needed two transfusions. Thankfully my doctor knew what it was and treated me quickly. I’ve since had several other children with absolutely no complications.
My baby and I are survivors , I threw up for the whole 34 weeks of my pregnancy. My vision was terrible. I would see black dots there was a time were I couldn’t drive because everything would be a blur a random black spots. I didn’t have pre clampsia. Just a surprise c section under general anesthesia to save our lives
I had severe HELLP 40 years ago ( that wasn't named so then) and delivered a little girl at 26+1 weeks by C-section when my body couldn't take it anymore. We both survived, but I still have problems with my heart
I survived HELLP syndrome. If anyone is studying this I would be more than happy to discuss my experience. I did not exhibit signs of preeclampsia before the onset of HELLP.
I was diagnosed with HELLP syndrome at my 38 week appointment. (No clear symptoms until this appointment). Thank you so much for this video. Really informative to help me understand this black sheep complication. My son would then have to stay in the NICU for 10 days for breathing issues. I don’t believe I remember if I was given a cortical steroid. Would my son have had a shorter stay in the NICU if this would have been provided? Dealing with the NICU stay was the worst out of the entire experience.
I had HELLP with my daughter in 2014 at 36 weeks. They opted emergency C-section within 12 hours in the hospital. I don't think I was hypertension prior it really snuck up on me and a situation I believe may have triggered it with stress and dehydration. Currently I'm pregnant and the doctors are prescribing Baby aspirin 1/day. Any thoughts on this treatment for avoiding a similar delivery (plus no stress and plenty of water)
Aspirin 140-150mg daily as a prophylactic against pre eclampsia, normally given on the 10-12th weeks, it has a very good outcome with 80-85 success rate. Pregnant women with normally develop pre eclampsia or vice versa
Isn't nausea and vomiting in the third trimester normal? I mean after all, you have a fetus pushing against the stomach. When my mom was pregnant with my brother, she had morning sickness right up until birth. And headache, isn't that normal for pregnancy as well?
When I had HELLP syndrome, the vomiting was projectile and constant and came about violently. It was much different than morning sickness type of nausea. That was my experience anyway!
My vomiting during the onset of HELLP was violent, as the commenter below stated. I threw up all of the bile in my stomach, which never happened earlier in the pregnancy when I vomited.
As the other two ladies mentioned, my vomiting was insane. I had HELLP 5 months ago. I had awful upper stomach pain, and was throwing up even a spoon of water. It wouldn't be just the spoon of water I would throw up (I was told to drink by the spoon, as first, the doctor on the emergency line told me I had stomach flu and that I should just try to stay hydrated spoon by spoon). It was every single ounce of bile. It was the most painful vomiting I've ever experienced in my life. Nothing like the vomiting of the first trimester. It also came quite suddenly. Perfect pregnancy, blood pressure at 105, no gestational diabetes, all urine and blood tests perfect, no pre-eclampsia until week 38. Then overnight I was in pain. Thankfully my boyfriend didn't want to listen to the emergency doctor who told me I had stomach flu (on the phone) and he took me to the hospital despite my reluctance. I thought we would be sent back home and I would get reprimanded for coming to the ER for the stomach flu. Turned out my blood pressure was at 200, my liver and kidneys were already failing. Emergency C-section and got a beautiful healthy babygirl at week 40. Doctors assume I developed pre-eclampsia between my last medical exam at week 38 and the day of the onset of HELLP. I had never heard of it before.
if you think of HELLP syndrome as if it was pre-eclampsia, which it is, then you could similarly ask the following question: “are seizures seen in patients with pre-eclampsia?” - The answer depends on how you look at it and is mostly semantics. Patients with pre-eclampsa by definition have no seizures because once they have seizures they are regarded as having eclampsia, but you could certainly see a patient with HELLP syndrome and superimposed eclampsia. Pre-eclampsia (and HELLP syndrome) predisposes to development of seizures so that is why prophylaxis is given.
so there is an association between eclampsia and HELLP just as much as pre-eclampsia and HELLP since pre-eclampsia and eclampsia are diseases which occur on a continuum - basically same process but more severe and therefore the name changes (kind of like axillary artery becoming brachial artery).
Helai Amir - It’s good to avoid if possible, but it’s not contraindicated it’s the benefits outweigh the risks. appliedradiology.com/communities/Pediatric-Imaging/ct-in-pregnancy-risks-and-benefits
![[MV] A leap of faith...ความเชื่อใจครั้งสุดท้าย (From "Petrichor the series")](http://i.ytimg.com/vi/U1piZH2CNXA/mqdefault.jpg)
When I had severe
HELLP syndrome in 1997 it was unheard of. My case was so bad that I slipped into a coma. My son was delivered 3 months early and we both survived
Happy to hear you did
Wow! Glad to hear you and your son are OK. God bless.
I gave birth to my daughter in 97 and you are right-there was no name for it. She was born a month ahead of time. Thank god we both survived!
what was the next it happend again or not?
I had HELLP syndrome 14 years ago. I had never heard of it. I had pre eclampsia with my first two kids. Pre Eclampsia and HELLP syndrome with my third. They immediately induced me as my due date was 3.5 weeks away. He is healthy, I am healthy. Dr recommended I never have another pregnancy. So, we stopped having kids.
Thank you so much. This really HELLPed a lot.
Me and my 33 weeker survived severe HELLP Syndrome - Feb.12,2022. I had edema for almost 2 months including face. I never knew about HELLP Syndrome and getting confined in a hospital during pandemic is the last thing on my mind. I turned yellow in just a day, my urine is dark colored. I had maintained 150-160/110 blood pressure and oral medicines(methyldopa) or juicing won't help. When I got to the hospital, my bp went up to 180/120 but no headache, just abdominal pain. I am thankful to the doctors and nurses who took care of me and my baby. My baby boy is still in Nicu right now.
had HELLP 17 years ago. I was 23. The entire pregnancy and delivery were without complications. About 20 minutes after the birth I started having extreme RUQ pain, headache, blurry vision. I passed out and bleed quite a bit. Needed two transfusions. Thankfully my doctor knew what it was and treated me quickly. I’ve since had several other children with absolutely no complications.
Paul Bolin, you are an excellent teacher. We all secretly love you for your fantastic videos. Keep them coming.
Thanks Dr. Paul!
These videos are really helping me in my OBSGYN rotation💐
So glad I found your videos today to get a clear explaination- thank you for doing these!!
Living on these. Thanks.
My baby and I are survivors , I threw up for the whole 34 weeks of my pregnancy. My vision was terrible. I would see black dots there was a time were I couldn’t drive because everything would be a blur a random black spots. I didn’t have pre clampsia. Just a surprise c section under general anesthesia to save our lives
I had this in 2001. Son was born at 27 weeks. I was extremely sick. Surprised I survived actually.
I had severe HELLP 40 years ago ( that wasn't named so then) and delivered a little girl at 26+1 weeks by C-section when my body couldn't take it anymore. We both survived, but I still have problems with my heart
Thank you! I had a patient with twins we had it and now it makes much more sense
I survived HELLP syndrome. If anyone is studying this I would be more than happy to discuss my experience. I did not exhibit signs of preeclampsia before the onset of HELLP.
I was diagnosed with HELLP syndrome at my 38 week appointment. (No clear symptoms until this appointment). Thank you so much for this video. Really informative to help me understand this black sheep complication.
My son would then have to stay in the NICU for 10 days for breathing issues. I don’t believe I remember if I was given a cortical steroid. Would my son have had a shorter stay in the NICU if this would have been provided? Dealing with the NICU stay was the worst out of the entire experience.
thank you doc! please keep recording these videos ❤️
Taking shots every time you say help
Be careful!
You're an amazing teacher. Thank you
Thank you for including citations to literature; very interesting and relevant
Is this lecture playlist is enough for usmle
Thanks,Dr,on management ,we only monitor fetal heart,and medication
I had HELLP with my daughter in 2014 at 36 weeks. They opted emergency C-section within 12 hours in the hospital. I don't think I was hypertension prior it really snuck up on me and a situation I believe may have triggered it with stress and dehydration. Currently I'm pregnant and the doctors are prescribing Baby aspirin 1/day. Any thoughts on this treatment for avoiding a similar delivery (plus no stress and plenty of water)
Aspirin 140-150mg daily as a prophylactic against pre eclampsia, normally given on the 10-12th weeks, it has a very good outcome with 80-85 success rate. Pregnant women with normally develop pre eclampsia or vice versa
please tell me asprin is safe for preclampsia and hellp sydrom
so please tell what happen you deliver safely.
Isn't nausea and vomiting in the third trimester normal? I mean after all, you have a fetus pushing against the stomach. When my mom was pregnant with my brother, she had morning sickness right up until birth. And headache, isn't that normal for pregnancy as well?
When I had HELLP syndrome, the vomiting was projectile and constant and came about violently. It was much different than morning sickness type of nausea. That was my experience anyway!
My vomiting during the onset of HELLP was violent, as the commenter below stated. I threw up all of the bile in my stomach, which never happened earlier in the pregnancy when I vomited.
As the other two ladies mentioned, my vomiting was insane. I had HELLP 5 months ago. I had awful upper stomach pain, and was throwing up even a spoon of water. It wouldn't be just the spoon of water I would throw up (I was told to drink by the spoon, as first, the doctor on the emergency line told me I had stomach flu and that I should just try to stay hydrated spoon by spoon). It was every single ounce of bile. It was the most painful vomiting I've ever experienced in my life. Nothing like the vomiting of the first trimester. It also came quite suddenly. Perfect pregnancy, blood pressure at 105, no gestational diabetes, all urine and blood tests perfect, no pre-eclampsia until week 38. Then overnight I was in pain. Thankfully my boyfriend didn't want to listen to the emergency doctor who told me I had stomach flu (on the phone) and he took me to the hospital despite my reluctance. I thought we would be sent back home and I would get reprimanded for coming to the ER for the stomach flu. Turned out my blood pressure was at 200, my liver and kidneys were already failing. Emergency C-section and got a beautiful healthy babygirl at week 40. Doctors assume I developed pre-eclampsia between my last medical exam at week 38 and the day of the onset of HELLP. I had never heard of it before.
Thank you Dr Bolin!
Thanks for the vid
Isn’t d-dimmer usually higher in pregnancy?
I don’t understand why you have to give Dexamethasone after delivery??
To accelerate the recovery of the platelet count.
Are seizures seen in people with HELLP syndrome?
no, in case you see seizures, start thinking of Eclampsia
I would assume yes since there is also Mg Sulfate given for seizure prophylaxis
if you think of HELLP syndrome as if it was pre-eclampsia, which it is, then you could similarly ask the following question: “are seizures seen in patients with pre-eclampsia?” - The answer depends on how you look at it and is mostly semantics. Patients with pre-eclampsa by definition have no seizures because once they have seizures they are regarded as having eclampsia, but you could certainly see a patient with HELLP syndrome and superimposed eclampsia. Pre-eclampsia (and HELLP syndrome) predisposes to development of seizures so that is why prophylaxis is given.
so there is an association between eclampsia and HELLP just as much as pre-eclampsia and HELLP since pre-eclampsia and eclampsia are diseases which occur on a continuum - basically same process but more severe and therefore the name changes (kind of like axillary artery becoming brachial artery).
Your video are so helpful
thanks a lot
Govind Pratap hiii
THANKS! ::)
Thanks a lot. But CT is contraindicated in pregnancy.
Helai Amir - It’s good to avoid if possible, but it’s not contraindicated it’s the benefits outweigh the risks.
appliedradiology.com/communities/Pediatric-Imaging/ct-in-pregnancy-risks-and-benefits
Sup