1. Look for Increased Blood Pressure
HELLP syndrome includes a group of symptoms characterized by hemolysis, elevated liver enzymes, and a low platelet count during pregnancy. It is most commonly associated with pregnancy-induced hypertension called pre-eclampsia or eclampsia, although it can occur as a separate entity.
Decreased blood flow to organs and seizures are potential consequences of high blood pressure associated with HELLP Syndrome. Each time you visit your doctor for a prenatal exam, your blood pressure will be measured. If it is elevated and continues to climb despite preventative measures, there is cause to be concerned. Eclampsia is dangerous, especially when unresponsive to treatment.
2. Nausea and Vomiting Get Worse Instead of Better
Many women experience nausea during pregnancy. However, nausea typically runs its course and will diminish as the pregnancy progresses. Nausea which steadily increases should be evaluated by your doctor, particularly if it is during the latter stages of pregnancy. Vomiting may or may not accompany the nausea.
3. Don't Ignore Upper Abdominal Pain or Headache
Note any radiating pain around the stomach and in the upper right side of the abdomen. Your doctor will perform an abdominal exam to look for tenderness in the abdomen or an enlarged liver. When the body is unable to process red blood cells effectively, the liver must work harder to break them down, resulting in elevated liver enzymes, an enlarged liver and abdominal pain. Call your doctor immediately if you have a continuous headache that is not relieved by simple treatments or a severe headache that comes on suddenly.
4. Visit Your Doctor if You Have Concerns
Visit your doctor if you have these or any other unusual symptoms during pregnancy. Your doctor will perform certain tests to identify the cause of your symptoms. Red blood cell count, bilirubin level (bilirubin breaks down red blood cells), liver function test, platelet count and a urine test for protein should provide adequate information for a diagnosis.
