J Korean Pain Soc.  1999 Nov;12(2):253-257.

Epidural Analgesia for Labor Pain Management in a Parturient with HELLP Syndrome: A case report

• Yoon CS
• Lee JY
• Hong SJ
• Lee JH

Abstract

Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, a variant presentation of severe preeclampsia/eclampsia is associated with high maternal morbidity and mortality. Despite several advantages to the use of epidural analgesia for the management of labor pain in preeclamptic parturients, this procedure is relatively contraindicated in the presence of severe thrombocytopenia. Determining the pain management of choice depends on the parturients condition, fetal well-being, and the urgency of the situation. We report a safe case of epidural analgesia in a HELLP syndrome parturient with severe thrombocytopenia for labor pain management without any neurologic complications or epidural hematoma.

Keyword

Analgesia, epidural; Pregnancy, HELLP syndrome

MeSH Terms

Analgesia, Epidural*
Female
HELLP Syndrome*
Hematoma
Hemolysis
Labor Pain*
Liver
Mortality
Pain Management
Pregnancy
Thrombocytopenia