Hellp ppt
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HELLP syndrome was first identified as a distinct clinical entity in 1982 by Dr. Louis Weinstein based on a case of a woman who died postpartum exhibiting symptoms of hemolysis, abnormal liver function, thrombocytopenia, and hypoglycemia. Dr. Weinstein reviewed prior literature and found that cases with features of HELLP had been reported as early as 1954 but it was not recognized as a distinct condition until he compiled information on similar patients and identified key characteristics of the syndrome.
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油
The document discusses postpartum hemorrhage (PPH), defined as blood loss greater than 500 ml within 24 hours of birth. PPH is a leading cause of maternal mortality, accounting for 30-38% of maternal deaths globally. Risk factors for PPH include prior hemorrhage, advanced maternal age, and prolonged labor. The majority of cases are due to uterine atony. Management involves active management of the third stage of labor with uterotonics like oxytocin, ergometrine, and misoprostol to prevent PPH. For treatment, initial steps are emptying the bladder, checking for complete placenta, massaging the uterus, and providing bimanual compression. Fluid resLABOUR MONITORING BY PARTOGRAPH BY DR SHASHWAT JANI
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油
The document describes the Manchester Repair procedure, which is designed to correct uterine prolapse while preserving the uterus. The key steps are: 1) preliminary dilation and curettage of the uterus, 2) amputation of the cervix, 3) plication of the Mackenrodt's ligaments in front of the cervix, 4) anterior colporrhaphy, and 5) colpoperineorrhaphy. Additional details provided include techniques for covering the amputated cervix with vaginal flaps and suturing the Mackenrodt's ligaments to the cervix to elevate it. Potential complications of the surgery are also outlined.Anemia in pregnancy
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油
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This document discusses HELLP syndrome, a variant of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelets. It provides details on the pathogenesis, diagnosis, classification, clinical presentation, differential diagnosis, and management of HELLP syndrome. Regarding management, the document outlines the three main options - immediate delivery at or after 34 weeks, delivery within 48 hours with stabilization and steroids from 27-34 weeks, and expectant management for less than 48-72 hours before 27 weeks with steroids. The role of steroids in improving maternal and neonatal outcomes is also discussed.HELLP Syndrome
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- 2. PRESENTED BY- MISS ASMA A SEMINAR ON HELLP SYNDROME
- 7. HISTORY HELLP syndrome was identified as a distinct clinical entity (as opposed to severe pre- eclampsia) by Dr. Louis Weinstein in 1982 In a 2005 article, Weinstein wrote that the unexplained postpartum death of a woman who had hemolysis, abnormal liver function, thrombocytopenia, and hypoglycemia motivated him to review the medical literature and to compile information on similar patients. He noted that cases with features of HELLP had been reported as early as 1954.