STUDY ON HELLP SYNDROME AND ITS INCIDENCE ON MATERNAL MORTALITY IN THE WORLD

Abstract

HELLP Syndrome is a multisystemic obstetric complication and difficult to diagnose, which has the greatest severity of fetal and maternal lethality, with the meaning of HELLP: H: hemolysis; EL: elevated liver enzymes and LP: decrease in the number of circulating platelets. This qualitative systematic integrative literature review addresses a study on Hellp Syndrome in high-risk pregnancies and one of its consequences for maternal life: death. The databases used for references were Pubmed, Scielo and Virtual Health Library (VHL), in which the descriptors were associated: '' Hellp '', '' Maternal Mortality '', '' Preeclampsia '', '' Pregnancy ' ',' 'High-Risk' ', with Portuguese, Spanish and English time and language filters. Thus, the inclusion and exclusion criteria were consistent with the objective proposed in the theme, in order to form the review. The main results achieved refer to the incidence of this mortality in about 0.1% to 0.9% of pregnancies, affecting 1 to 24% of mothers, whose diagnosis is usually made between the 28th and 36th weeks of gestation. It was observed, therefore, that the occurrence of this situation in the different countries is mainly due to a worsening of pre-eclampsia, characterized by arterial hypertension, which presents varied clinical manifestations, hindering the initial care conduct. Death as a consequence of this syndrome can be prevented, but it is still recurrent, since there is a late integration between diagnosis and treatment.