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Featured Birth Story 

Marsha's Story

Having lost one baby to antiphospholipid Syndrome when she didn't feel well at 24 wk. she was dismissed as having heartburn and sent home. HELLP surfaced this time and Caleb was born at 1pound.


Want More Information On HELLP Syndrome

  Information on HELLP Syndrome
Updated 10/11/00

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Chances Of PIH/HELLP In Subsequent Pregnancies


Patients with a history of HELLP probably are at significant risk for the development of pre-eclampsia with or without HELLP in the next pregnancy. HELLP has up to a 27% chance of reoccurance in the next pregnancy.  Especially if it was class I HELLP. 

Pre-eclampsia is more likely to happen in a second pregnancy especially if HELLP and pre-eclampsia were both diagnosed. Mild pre-eclampsia at term is less likely to recur (5-10%) and when it does it's usually mild again. 

A characteristic of pre-eclampsia-eclampsia that is frequently overlooked is the tendency of the condition to occur in daughters and sisters of women with a history of pre-eclampsia (read an article about autoimmune disorders that cluster among families). 
Diabetes is frequently complicated by pre-eclampsia, with the incidence stated to be as high as 50 percent of diabetic pregnancies.

2 sources of support, encouragement and information for those who are debating on getting pregnant again or are pregnant again can check out the following mailing lists:

http://www.onelist.com/community/hellpsyndrome - The HELLP Syndrome List
 http://www.onelist.com/community/pppg - Post Preemie Pregnancy Group

One very important suggestion is to have an Maternal Fetal Specialist or Ob that you trust.  One that you know will be concerned over entire pregnancy. 

Ask your OB what measures he or she will be taking to monitor this next pregnancy such as:

 -The Basics -
Blood Pressure - at every visit
Urine - at every visit
Weight - at every visit

Although remember that only monitoring of the platelet level will give a definte indicator of whether or not HELLP is developing.  Weight gain and some protine levels in the urine can be considered normal for 3rd trimester pregnancies.

 -Beyond the Basics -
*Thyroid testing
*Liver function testing
*Platelet monitoring
*Amniotic Fluid monitoring
*Ultrasound to measure growth and fluid levels
*Frequent visits to your OB before during and after the time HELLP manifested itself in your last pregnancy (with HELLP).
*Non-Stress Testing during and after the time HELLP manifested itself during your last pregnancy (with HELLP).

Ask your OB also:

Has your OB reviewed your last pregnancy with HELLP?
Did he request the medical records from the hospital?
What chance does your OB think that you will have HELLP or PRe-Eclmapsia again?

If you have had HELLP and still have health problems or are considering getting pregnant again after HELLP discuss with your OB further testing to help guide yourself to a healthy pregnancy.

Does he see any signs of any autoimmune disorders that you should be tested for such as Systemic Lupus Erythematosus and Antiphospholipid Antibodies ?

Autoimmune testing should include:
1.Lieden Factor V mutation R560Q (DNA test by PCR); 
2.Hyperhomocysteinemia MTHFR Mutation (DNA test 
PCR); 
3.Prothrombin Gene Mutation 20210 (GA) DNA test by PCR                
4.Protein C levels; 
5.Protein S levels; and 
6.Activated Protein C activity. 

1.Antibodies to six phospholipids of the IgM, IgG 
and IgA classes; 
2.Lupus anticoagulant antibody; 
3.Russell Viper Venom Time; 
4.Activated Partial Thromboplastin Time (APTT); 
5.and Prothrombin Time (PT), Partial Prothrombin 
Time (PTT). 

Don't stop asking your OB about something that bothers or concerns you until you get an answer that you are comfortable with.  If you feel like you have the flu, if you think that baby isn't moving enough, if you have indigestion that won't go away call your OB even if it's after hours and if you are still concerned go to the hospital.
 

Still looking for more HELLP information?  Prevention will take you to the next page.  Also if you have a HELLP story to share please stop by the HELLP Syndrome Birth Stories Page and leave or read a story.  Here you will also find up to date HELLP/Pre-E net articles and books.  You wil also find WebRing information at the above listed url.


Introduction to PIH/HELLP

Signs of PIH/HELLP

Effects of HELLP on Mother & Child

Chances of PIH/HELLP in subsequent Pregnancies

Prevention

My Body After HELLP

If you have an HELLP Syndrome story please take a moment to share it with us.  Please tell us what lead up to your having HELLP and what the outcome was and how you are doing today and whether you have had any pregnancies since having HELLP.
Click here to share your story!

Journals: Read the passages of moms who are going through or who have went through another pregnancy after having HELLP.
Julie's Pregnancy Journal
Amber's Pregnancy Journal
 
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Link between Migraines and Magnesium ?
Migraine and Stroke in Young Women 
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This site is not intended to replace your OB, Dr. or medical care.
If you are looking for medical care please consult your physician.
The information provided on these pages are not intended to make a
diagnosis of a particular problem nor provide a cure.
Your health and the the health of your baby should be overseen
by a qualified professional.
5/01/01