Liver diseases in pregnancy - Liver diseases induced by pregnancy - part 9

Second and third trimesters :
HELLP Syndrome :
Continued. .

HELLP syndrome - antepartum management:
Assess and stabilize the maternal condition:
-Correct coagulopathy if DIC is present
-Give intravenous magnesium sulfate to prevent seizures
-Provide treatment for severe hypertension to prevent stroke
-Transfer to tertiary center if appropriate
-If subcapsular hematoma of liver is present computed tomography or ultrasound of the abdomen is needed.

Evaluate fetal well-being:
Non stress test
Biophysical profile

Timing of delivery:
If > 34 weeks gestation, deliver
If < 34 weeks gestation, administer corticosteroids, then deliver in 48 hours.