Abstract
To compare the impact of maternal haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, uncomplicated hypertension in pregnancy (HIP), and no hypertension (controls) on neonatal morbidity and mortality, 108 infants were matched with respect to gestational age, date of birth, and gender. The HELLP group infants had more grade 3 and 4 respiratory distress syndromes (36%) than the HIP group (19%) or controls (11%). Cardiovascular instability (arterial hypotension, volume resuscitation) was significantly more common in HELLP neonates (20% and 31%) than in HIP infants (9% and 6%) or controls (3% and 9%). Both, HELLP and HIP infants showed a higher incidence of growth retardation than the controls. After 32 weeks of gestation the incidence of severe neonatal morbidity was not different. : Before 32 weeks of gestation both respiratory and cardiovascular morbidity and intra-uterine growth retardation associated with HIP is further aggravated by a maternal HELLP syndrome.
Citations
Jun 13, 1998·European Journal of Pediatrics·M Schwab, E Kuhls
Nov 30, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Farahnak Assadi
Jun 17, 1999·Clinical Obstetrics and Gynecology·R S Egerman, B M Sibai
Aug 19, 1999·Clinical Obstetrics and Gynecology·E F Magann, J N Martin
Jan 1, 2009·BMJ Case Reports·Phanendra Kumar GubbalaFaris Zakaria
May 26, 2004·Gynecologic and Obstetric Investigation·Halil AslanAltan Cebeci
Feb 28, 2009·BMC Pregnancy and Childbirth·Kjell HaramUlrich Abildgaard
Aug 12, 2009·Pediatric Research·Jasper V BeenLuc J I Zimmermann
Jun 27, 2003·Journal of Perinatal Medicine·Anne C RoelofsenJan G Aarnoudse
May 4, 1999·Journal of Perinatal Medicine·C KändlerD Harms
May 25, 2001·Neurologia Medico-chirurgica·K HashiguchiM Fukui
Feb 22, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Liselotte SchaafstraNathalie K S de Vries
Mar 11, 2004·Journal of Paediatrics and Child Health·N SinghalR Sauve
Jun 16, 2006·Journal of Perinatology : Official Journal of the California Perinatal Association·R-J TengM L Hudak
Dec 20, 2013·Toxins·John B Harris, Tracey Scott-Davey
May 8, 2019·Internal Medicine Journal·Lulusha Jayawardena, Elly Mcnamara
Sep 27, 2006·Dental Clinics of North America·Tracy M Dellinger, H Mark Livingston