Hypertensive Diseases of Pregnancy

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  Although Hellp syndrome is defined as a variant of preeclampsia, hypertension and proteinuria,
  which are the diagnostic features of preclampsia, can occur in the late stages of hellp syndrome. In
  some cases, proteinuria and hypertension may not develop at all in hellp syndrome. Also, in one
  third of cases, hellp syndrome may occur in the postpartum period [186]. The diagnosis of hellp
  syndrome can be made late when it appears with vague findings such as abdominal pain, nausea and
  vomiting. Realization of delivery on time is the main purpose of hellp syndrome management. In
  patients with hellp syndrome without a term pregnancy, delivery may be delayed for a certain period
  of time to apply the steroid for providing fetal lung maturation [180]. Also, in some cases where the
  gestational week is small and the mother is stable, maintaince treatment can be applied. This
  maintaince treatment is mostly performed in the tertiary centers where all conditions are met for
  high-risk pregnancy and where the perinatalog is located.