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PREDISPOSING FACTORS                                                   PRECIPITATING FACTORS



                                                                                           Causative Agents

  Fetal         Idiopathic        Pre-eclampsia      Coagulation
Presence/                                              defects                      In volume           Vasospasm
                                  Or Eclampsia
Decidual
  cell


                                                  Platelet activation


   Hemodynamic changes                                                                       Vasoconstriction


  Endothelium                                          Production but                     Firbrin forms cross linked
     injury                                          shorter lifespan                    network in small blood & in
                                                                                          Hepatic sinusoids vessels


    Hemolysis                                     Thrombocytopenia                       Blocked hepatic blood flow




Microangiopathic                                                          Pain       Elevated AST &             Swelling
hemolytic anemia                                                                          ALT

                                                                                    AL


 Odd shaped RBC                           Oxygen supply

                                                                                                    HELLP
                                        Organ perfusion                                            Syndrome
                 Mother                                                    Fetus


            Disseminated                                                Poor placental
      intravascular coagulation                                           perfusion


        Paradoxical Bleeding              Intrauterine growth retardation                    Hypoxia

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Hellp patho

  • 1. PREDISPOSING FACTORS PRECIPITATING FACTORS Causative Agents Fetal Idiopathic Pre-eclampsia Coagulation Presence/ defects In volume Vasospasm Or Eclampsia Decidual cell Platelet activation Hemodynamic changes Vasoconstriction Endothelium Production but Firbrin forms cross linked injury shorter lifespan network in small blood & in Hepatic sinusoids vessels Hemolysis Thrombocytopenia Blocked hepatic blood flow Microangiopathic Pain Elevated AST & Swelling hemolytic anemia ALT AL Odd shaped RBC Oxygen supply HELLP Organ perfusion Syndrome Mother Fetus Disseminated Poor placental intravascular coagulation perfusion Paradoxical Bleeding Intrauterine growth retardation Hypoxia