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

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