# HELLP Syndrome

Source: https://www.pregnancypowerhour.com/conditions/hellp-syndrome
Last updated: 2026-07-15

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

## 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](/conditions/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](/conditions/dizziness-pregnancy), but when it accompanies other specific symptoms of HELLP, it warrants immediate medical evaluation.

## 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](/conditions/back-pain-pregnancy), 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.