The treatment of HELLP Syndrome is primarily based on the gestation of the pregnancy, but delivery of the baby is the best way to stop this condition from causing any serious complications for mom and baby. Most symptoms and side effects of HELLP will subside within 2-3 days of delivery.
If the pregnancy is less than 34 weeks gestation, doctors usually try to evaluate the lung function of the baby to see how well delivery would be handled.
Treatment’s that may be used to manage HELLP until baby is delivered include:
Bed rest and admission into a medical facility to be monitored closely
Corticosteroid (to help babies lungs develop more rapidly)
Magnesium Sulfate (to help prevent seizures)
Blood transfusion if platelet count gets too low
Blood pressure medication
Fetal monitoring and tests including biophysical tests, sonograms, non stress tests and fetal movement evaluation
If the pregnancy is more than 34 weeks gestation or the symptoms of HELLP begin to worsen, delivery is the recommended course of treatment.
In the past, Cesarean delivery was the most common way for delivery of babies whose mums were dealing with HELLP syndrome. But it is now recommended that women who are at least 34 weeks gestation and have a favorable cervix should be given a “trial of labor” (TOL). HELLP syndrome does not cause reason for an automatic cesarean, and in some situations, operative surgery may cause more complications due to the possibility of blood clotting problems related to low platelet counts.