[ XXXX : a rare, threatening complication in @entity1468 ].

@entity1 @entity644 @entity101 @entity882 @entity2102 @entity4 @entity648 @entity1468 @entity490
A very rare, but severe complication, occurring together with @entity1468 , is the so-called @entity2102 (H for haemolysis, EL for elevated liver enzymes and LP for low platelet counts). Perinatal mortality for this syndrome is estimated at 9.5% up to 60%, maternal mortality at 3.5%. We examined retrospectively 11 @entity1 of the last 5 years, presenting not only @entity101 , @entity644 and @entity4 , but also pathologically elevated data concerning transaminases, indirect @entity648 and @entity882 ; the mean value for GI in this group was 7.7 (3-11). Thrombocyte counts showed mean values of 71,000 +/- 28,500. In 9 cases the @entity1 suffered from severe upper @entity490 . Liver enzymes and @entity648 were clearly elevated. Time interval between onset of therapy and delivery was 3 days on the average, the mean gestational age at time of delivery was 34 weeks (27-39), average @entity1 weight amounted to 1,960 g (580-3,700 g). 7 of the 11 @entity1 delivered by Caesarian section (64%); perinatal, respectively neonatal 3 babies died (27%). In two cases one Caesarian section did not produce maternal complications; 3 @entity1 had to undergo a hysterectomy. This syndrome is associated with a very problematic obstetrical situation in respect of differential diagnosis, foetal outcome and the high frequency of postoperative maternal complications.
