by expert on call (297 Posts), Fri May 23, 2003 04:11 pm
I am not fully aware of any relationship between cord insertion and preeclampsia but our obstetrician colleagues may be aware of one.
Concerning HELLP and preeclampsia: Some believe HELLP is a severe form of preeclampsia, while others suggest they may be separate entities. The first occasionally presents without apparent hypertension. Then there are forms of HELLP and another pregnancy specific liver disorder called acute fatty liver of pregnancy, which is associated with a genetic enzyme deficiency,usually occurring when both the mother and father are each carriers. Finally, HELLP may reoccur in subsequent pregnancies but usually does not, and while both enzyme and platelet values rarely improve during hospitalization (or with rest as here) such observations are sporadically seen.
In most, the disease is progressive and sometimes rapidly, one reason why many physicians do not temporize but terminate when they see HELLP developing and enzymes and platelets have changed beyond their comfort value for patients well-being.
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