Re: HELLP Syndrome PP?
Posted: Sat Aug 17, 2013 12:22 am
Experts who have addressed this in the past have suggested that this is only answered by extensive lab testing. A small portion of HELLP first presents postpartum for the first time; Acute Fatty Liver of Pregnancy (AFLP) usually is a late pregnancy problem that has variable degrees of severity, again scrutiny of lab data is required. HELLP does not usually cause permanent damage to the liver, but we think some patients experience permanent kidney damage - a research question we want to pursue. Women with AFLP have it because of a mitochondrial problem we think is an interaction between the fetus and the mother, and it can take a long time to recover and most do completely. But there are patients who need transplants as well. Most if not all HELLP eventually resolves postpartum once all pregnancy tissue stops functioning, and very few if any have long term residual liver effects. You should get a consult from an informed MFM who still knows something about the M in Maternal-Fetal Medicine who is willing to review this for you.