{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:45:20Z","timestamp":1792176320747,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2026,11]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To compare maternal and neonatal outcomes between women with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome with and without associated hypertension.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This was a retrospective cohort study at a tertiary university\u2010affiliated medical center including all singleton HELLP cases >24\u2009weeks gestation (January 2011\u2013March 2023). Cases were categorized as normotensive or hypertensive HELLP and compared for demographics, presentation, laboratory findings, and outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 157\u2009282 deliveries, 108 met the full criteria for HELLP syndrome: a total of 74 (68.5%) were hypertensive and 34 (31.5%) were normotensive. Normotensive HELLP cases were diagnosed at a significantly later gestational age (37.5\u2009\u00b1\u20093.0 vs 34.5\u2009\u00b1\u20094.4\u2009weeks,\n P<\/jats:italic>\n \u2009<\u20090.001). Proteinuria was less common in normotensive cases (58.8% vs 87.8%,\n P<\/jats:italic>\n \u2009<\u20090.001). Laboratory parameters did not differ significantly between the groups. Neonates in the normotensive group had significantly higher mean birth weight (2574.6\u2009\u00b1\u2009746.2 vs 1947\u2009\u00b1\u2009816.6\u2009g,\n P<\/jats:italic>\n \u2009<\u20090.001), fewer neonatal intensive care admissions (29.4% vs 56.8%,\n P<\/jats:italic>\n \u2009=\u20090.008), and lower rates of respiratory distress syndrome (2.9% vs 24.3%,\n P<\/jats:italic>\n \u2009=\u20090.007). Maternal complications related to HELLP syndrome did not differ significantly between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Normotensive HELLP was diagnosed at a later gestational age and was associated with more favorable neonatal outcomes, yet comparable maternal outcomes. Despite the absence of hypertension, maternal complications were not reduced.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.71073","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T12:00:46Z","timestamp":1778241646000},"page":"699-705","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perinatal outcomes in normotensive versus hypertensive\n HELLP<\/scp>\n syndrome"],"prefix":"10.1002","volume":"175","author":[{"given":"Matan","family":"Anteby","sequence":"first","affiliation":[{"name":"Lis Hospital for Women's Health, Tel Aviv Sourasky University Medical Center, Gray Faculty of Medical & Health Sciences Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keren\u2010Or","family":"Wertheimer","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health, Tel Aviv Sourasky University Medical Center, Gray Faculty of Medical & Health Sciences Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omri","family":"Dominsky","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health, Tel Aviv Sourasky University Medical Center, Gray Faculty of Medical & Health Sciences Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liran","family":"Hiersch","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health, Tel Aviv Sourasky University Medical Center, Gray Faculty of Medical & Health Sciences Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health, Tel Aviv Sourasky University Medical Center, Gray Faculty of Medical & Health Sciences Tel Aviv University Tel Aviv 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