HELLP syndrome is considered to be one of the most critical life threatening complications of pregnancy (HELLP Syndrome, 2009). The risk factors of this disease remain unknown while other try to relate to other pregnancy related conditions (Schub & Boling, 2014). Relatively speaking the statistic showed very rare cases of such incidents as it was less than one percentage of the pregnancies (Schub & Boling, 2014). However a relation was shown as around one fifth of the maternal who suffered from pre-eclampsia has had HELLP Syndrome while other believe it to be due to maternal rejection of the fetus relating to autoimmune function (Aloizos al et., 2013). To illustrate, this paper will include the disease process, in other words, pathophysiology, clinical manifestation and nursing care plan. The word HELLP consist of three major symptoms of the syndrome, as it stands for hemolysis, elevated liver enzyme and low platelets count (Schub & Boling, 2014). The exact pathology is unknown; however certain researches have thought to be caused by the “endothelial microvasculature pathology” …show more content…
Firstly, assessing the patient blood pressure, any bleeding, taking history and then taking blood samples for complete blood count, showing low red blood cells, test for bilirubin confirming hemolysis as it increased to more than 1.2 milligram per deciliter, platelet, ALT, AST, LDH (Schub & Boling, 2014). Concerning the fetal monitoring, test like fetal heart monitoring, occasional ultrasound, cardio-tocho-graph, and Doppler blood flow studies would be done (Schub & Boling, 2014). Overall, the nurses are asked to monitor all maternal and fetal systems, and watch for any of the symptom mentioned above, assess for any complication like seizure, hypovolemic shock, always maintain the safety of the patient as well as complete bed rest for them (Schub & Boling,