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HELLP syndrome

  • 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

 

 

Adapted from SOGC Clinical Practice Guideline. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. J Obstet Gynaecol Can 2014;36(5):416–438

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