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HELLP Syndrome | Pregnancy Power Hour
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Condition · urgent

HELLP Syndrome

HELLP Syndrome is a severe variant of preeclampsia involving specific blood and liver changes, requiring urgent medical attention.

3 min read

Quick answer

HELLP Syndrome is a severe variant of preeclampsia involving specific blood and liver changes, requiring urgent medical attention.

On this page
  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

What it is

HELLP Syndrome is a serious and urgent pregnancy complication, often considered a severe form of preeclampsia, that involves specific changes in your blood and liver function. The acronym HELLP stands for Hemolysis (the breakdown of red blood cells), Elevated Liver enzymes (indicating liver damage), and Low Platelets (which are crucial for blood clotting). It's a condition that requires immediate medical attention and can develop rapidly. While it's relatively rare, affecting a small percentage of all pregnancies, it's important to be aware of, especially if you have been diagnosed with preeclampsia, as a notable portion of those with severe preeclampsia may develop HELLP. Understanding what's happening in your body can help you feel more clear and confident in communicating with your care team.

What it tends to feel like

HELLP Syndrome can present with symptoms that might initially feel like common pregnancy discomforts or even the flu, which can make it challenging to identify. Many people experience pain in the upper right side of the abdomen or in the area just below the breastbone (epigastric pain). This pain can be quite severe. Other common signs include nausea, vomiting, and a general feeling of being unwell or fatigued. Because these symptoms can overlap with other conditions, it’s easy to initially misattribute them. For instance, while many pregnant individuals experience Pregnancy Headaches, a severe, persistent headache, especially when combined with other symptoms like visual changes or abdominal pain, is a red flag for HELLP. Similarly, general malaise can sometimes be confused with typical Pregnancy Dizziness and Lightheadedness, but when it accompanies other specific symptoms of HELLP, it warrants immediate medical evaluation.

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What the evidence says helps

The definitive treatment for HELLP Syndrome is delivery of the baby, regardless of gestational age. This is because the underlying cause is related to pregnancy itself. In some situations, your medical team might use corticosteroids to temporarily help stabilize platelet counts, which can be important if time is needed to prepare for delivery or if the baby is very premature. However, these are supportive measures, not a cure. It's also important to know that HELLP Syndrome doesn't always resolve immediately after birth; around a significant portion of cases can actually develop or worsen in the postpartum period. This highlights why postpartum monitoring and open communication with your provider about any lingering or new symptoms are so vital. As a doula, I often encourage clients to discuss their postpartum care plan with their team, including what symptoms to watch for and when to call.

Working with your care team

Given the urgent nature of HELLP Syndrome, close collaboration with your medical care team is paramount. If you experience any of the warning signs – particularly a severe headache, changes in your vision, pain in your upper right abdomen, or sudden, intense nausea after 20 weeks – it's crucial to seek immediate evaluation. Your provider is your best resource for assessing your specific situation and guiding you through the necessary steps. They will likely perform blood tests to check your liver enzymes and platelet count. While some abdominal discomfort can be common in pregnancy, differentiating between typical aches, like general Pregnancy Back Pain, and the specific, severe pain associated with HELLP is critical. Your doula can offer support in understanding the information you receive, helping you formulate questions for your provider, and ensuring you feel heard and supported during what can be a very stressful time. Remember, you get to decide what feels right for you, and having clear, evidence-based information is the first step toward making informed decisions with your team.

Common questions

When should I go to L&D / call 911?+

If you experience severe headache, visual changes, right upper abdominal pain, or sudden nausea after 20 weeks, seek immediate evaluation at Labor & Delivery. These are urgent warning signs that require prompt medical attention.

Can HELLP syndrome happen after birth?+

Yes, around 20-30% of HELLP syndrome cases present postpartum. This is why it's so important to continue monitoring for symptoms and communicate any concerns with your provider after delivery.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 15, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

On this page

  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

Keep reading

  • RelatedPostpartum PreeclampsiaPostpartum preeclampsia is a serious blood pressure condition that can develop after delivery, typically within the first few days but sometimes up to six weeks postpartum.
  • RelatedPlacental AbruptionPlacental abruption is a serious condition where the placenta prematurely separates from the uterine wall, requiring immediate medical attention.
  • RelatedGestational HypertensionGestational hypertension is a condition where high blood pressure develops after 20 weeks of pregnancy, without the additional signs of preeclampsia.
  • RelatedLow Blood Pressure in PregnancyLow blood pressure in pregnancy is a common and often normal physiological adjustment as your body adapts to support your growing baby.
  • RelatedPostpartum HemorrhagePostpartum hemorrhage (PPH) is significant blood loss after birth, a serious but manageable complication that your care team is prepared to address.
  • RelatedPregnancy HemorrhoidsPregnancy hemorrhoids are swollen veins in the rectal area, a common and often uncomfortable experience for many expectant and new parents, typically in the later stages of pregnancy and postpartum.