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HELLP syndrome

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  • Platelet transfusion

    • plts <20: prior to delivery

    • plts 20-49: prior to C-section; prior to SVD if excessive bleeding, plt dysfxn, rapidly falling plts count, coagulopathy

    • plts ≥50: consider if excessive bleeding, plt dysfxn, rapidly falling plts count, coagulopathy

    • Do not transfuse plts if strong suspicion of HIT or TTP-HUS

 

 

Note that this reference is from the 2014 Guideline: Magee LA, Pels A, Helewa M, Rey E, von Dadelszen P; Canadian Hypertensive Disorders of Pregnancy Working Group. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy: executive summary. J Obstet Gynaecol Can. 2014;36(5):416-441. doi:10.1016/s1701-2163(15)30588-0

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