{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:59:58Z","timestamp":1793638798880,"version":"4.5.1"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"07","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>HELLP syndrome is a serious disorder that can occur in pregnancy; it has many possible complications and is associated with adverse maternal outcome. Due to the lack of predictive parameters for HELLP syndrome, finding the right time for delivery is challenging. In contrast to preeclampsia, hypertension is not an essential part of the diagnosis; nevertheless, many women with HELLP syndrome are hypertensive. The role and possible implications of hypertension in HELLP syndrome are not fully understood.<\/jats:p><jats:p>In this retrospective cohort study, we analyzed the maternal outcomes of 59 patients diagnosed with HELLP syndrome. The patients were divided into three groups according to their blood pressure levels during their stay in hospital. These three groups were compared in terms of patient characteristics and maternal outcomes. A combined endpoint for adverse maternal outcome was defined which included blood pressure and antihypertensive medication at discharge from hospital, severe postpartum anemia, and eclampsia.<\/jats:p><jats:p>Women with hypertensive crises had an unfavorable outcome compared to women with lower blood pressure levels. Patients with higher blood pressure during pregnancy were more likely to be hypertensive at discharge and needed a combination of antihypertensive agents significantly more often. The risk of an adverse maternal outcome increased with the severity of hypertension. An increase in systolic blood pressure by 10\u00a0mmHg raised the risk of an adverse outcome by 74% (95% CI: 1.22\u20132.66).<\/jats:p><jats:p>Hypertension not only plays an important role in preeclampsia but also affects the outcomes of patients with HELLP syndrome. These patients need to be identified quickly and treated accordingly as they are at risk of cardiovascular impairment. Patients should be followed up closely after delivery to reduce cardiovascular morbidity.<\/jats:p>","DOI":"10.1055\/a-2308-9698","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T23:14:33Z","timestamp":1715987673000},"page":"635-645","source":"Crossref","is-referenced-by-count":4,"title":["The Role of Hypertension for Maternal Outcomes of Women with HELLP Syndrome \u2013 a Retrospective Study from a Tertiary Obstetric Center"],"prefix":"10.1055","volume":"84","author":[{"given":"Linda-Marie","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Eveslage","sequence":"additional","affiliation":[{"name":"Institute of Biostatistics and Clinical Research, University of M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen Ann","family":"K\u00f6ster","sequence":"additional","affiliation":[{"name":"Clinic for Gynecology and Obstetrics, Frauenarztpraxis am Mexikoplatz, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1259-3213","authenticated-orcid":false,"given":"Kevin","family":"Willy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mareike","family":"M\u00f6llers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Oelmeier","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Willy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1016\/0002-9378(93)90043-i","article-title":"Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome)","volume":"169","author":"BM Sibai","year":"1993","journal-title":"Am J Obstet Gynecol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1097\/01.AOG.0000126245.35811.2a","article-title":"Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count","volume":"103","author":"BM Sibai","year":"2004","journal-title":"Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1140","DOI":"10.3109\/14767050903019627","article-title":"Maternal and fetal outcome of pregnancy complicated by HELLP syndrome","volume":"22","author":"T Gasem","year":"2009","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"326","DOI":"10.3390\/medicina58020326","article-title":"HELLP Syndrome-Holistic Insight into Pathophysiology","volume":"58","author":"A Petca","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1471-2393-9-8","article-title":"The HELLP syndrome: clinical issues and management. A Review","volume":"9","author":"K Haram","year":"2009","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.ejogrb.2012.09.026","article-title":"Pathogenesis of the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELLP): a review","volume":"166","author":"U Abildgaard","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"900","DOI":"10.1055\/s-0035-1557924","article-title":"Diagnosis and Treatment of Hypertensive Pregnancy Disorders. 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