Volume 10, Issue 1 (2025)
SJMR 2025, 10(1): 29-33 |
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Miraboutalebi M, Nateghi M R. Management of a Delivery Case with HELLP Syndrome and Morbid Obesity: A Case Report. SJMR 2025; 10 (1) : 5
URL: http://saremjrm.com/article-1-358-en.html
URL: http://saremjrm.com/article-1-358-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract: (55 Views)
Introduction: HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets) is a severe pregnancy complication posing significant risks to both mother and fetus. Morbid obesity is recognized as an independent risk factor, complicating clinical management and worsening outcomes.
Case Presentation: This report describes the clinical management of a 37-year-old woman with morbid obesity (BMI >50) and HELLP syndrome during labor at Sarem Specialized Hospital in Tehran. The patient presented with severe hypertension and active labor. Due to multiple failed attempts at peripheral IV access, a central venous line was successfully placed under ultrasound guidance. After partial blood pressure control and administration of magnesium sulfate, an emergency cesarean section was performed due to labor arrest. A healthy female newborn was delivered, and the mother was discharged in stable condition without major complications following intensive monitoring.
Conclusion: Severe obesity can influence the onset and severity of HELLP syndrome and complicate therapeutic interventions. Rapid diagnosis, aggressive management, and timely delivery are crucial in improving maternal and neonatal outcomes.
Case Presentation: This report describes the clinical management of a 37-year-old woman with morbid obesity (BMI >50) and HELLP syndrome during labor at Sarem Specialized Hospital in Tehran. The patient presented with severe hypertension and active labor. Due to multiple failed attempts at peripheral IV access, a central venous line was successfully placed under ultrasound guidance. After partial blood pressure control and administration of magnesium sulfate, an emergency cesarean section was performed due to labor arrest. A healthy female newborn was delivered, and the mother was discharged in stable condition without major complications following intensive monitoring.
Conclusion: Severe obesity can influence the onset and severity of HELLP syndrome and complicate therapeutic interventions. Rapid diagnosis, aggressive management, and timely delivery are crucial in improving maternal and neonatal outcomes.
Article number: 5
Keywords: HELLP Syndrome, Morbid Obesity, High-Risk Pregnancy, Preeclampsia, Cesarean Delivery, Pregnancy-Induced Hypertension.
Article Type: Case Report |
Subject:
Childbirth
Received: 2025/04/8 | Accepted: 2025/06/11 | Published: 2025/06/30
Received: 2025/04/8 | Accepted: 2025/06/11 | Published: 2025/06/30
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