{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:30:14Z","timestamp":1782603014945,"version":"3.54.5"},"reference-count":59,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,11,22]],"date-time":"2008-11-22T00:00:00Z","timestamp":1227312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate maternal deaths associated with eclampsia, HELLP syndrome, and the concurrence of these conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A review of Medline studies reporting maternal deaths associated with eclampsia or HELLP syndrome published in English, Spanish, and Portuguese between 1995 and June 2008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 304 deaths were identified: 100 due to eclampsia, 117 due to eclampsia\/HELLP, and 87 associated with HELLP syndrome. Of the total deaths, 71.3% of women had seizures and 67.1% developed HELLP syndrome. In high\u2010income countries 3.9% of deaths were due to eclampsia without HELLP syndrome, while in low\u2010income countries this figure was 42.5% (<jats:italic>P<\/jats:italic> &lt; 0.0001). The presence of HELLP syndrome in the women who died of eclampsia was 90.6% (29\/32) in high\u2010income countries compared with 47.6% (88\/185) in low\u2010income countries (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Concurrent eclampsia and HELLP syndrome was diagnosed in 5\u20136 out of 10 deaths associated with eclampsia or HELLP syndrome in this review.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2008.09.014","type":"journal-article","created":{"date-parts":[[2008,11,23]],"date-time":"2008-11-23T09:20:03Z","timestamp":1227432003000},"page":"90-94","source":"Crossref","is-referenced-by-count":48,"title":["Maternal deaths due to eclampsia and HELLP syndrome"],"prefix":"10.1002","volume":"104","author":[{"given":"Paulino","family":"Vigil\u2010De Gracia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,11,22]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60321-9"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.106178"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01713.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610600720113"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610050009511"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70343-1"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.105915"},{"issue":"2","key":"e_1_2_5_9_2","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1590\/S1516-31802006000200007","article-title":"Maternal outcome in HELP syndrome requiring intensive care management in a Turkish hospital","volume":"124","author":"Osmanagaoglu M.A.","year":"2006","journal-title":"Sao Paulo Med J"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(00)70216-X"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70022-0"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340601185384"},{"key":"e_1_2_5_13_2","first-page":"377","article-title":"Differences between pre\u2010eclampsia, HELLP syndrome and eclampsia. 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