by caryn (10159 Posts), Fri Sep 04, 2009 11:21 am
Fifty-three patients had subsequent pregnancies with 24% complicated by HELLP and 28% by preeclampsia. During follow-up, 33% of the patients had new onset hypertension develop, 32% had depression develop, 26% had anxiety develop, and 2.4% required dialysis. There was no significant difference in long-term outcome between comparison groups.
So it didn't matter to outcomes how early you developed HELLP in your first pregnancy. In a subsequent pregnancy, you had almost a 1 in 4 chance of developing HELLP and a little more than a 1 in 4 chance of developing preeclampsia. You have about a 1 in 3 chance of developing chronic hypertension or depression within the first five years postpartum. You have about a 1 in 4 chance of developing diagnosable anxiety. And you have a 1 in 50 chance of needing dialysis within 5 years.
Geez, those numbers are *not* cheery.
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