HELLP Syndrome

HELLP syndrome is a rare disorder called postpartum preeclampsia that can be fatal to new mothers. Identifying it as soon as possible gives the mother a chance to avoid complications. HELLP allows nurses to recognize the signs of postpartum preeclampsia early on.

What is HELLP?

HELLP is a mnemonic that allows nurses to diagnose postpartum preeclampsia, a life-threatening condition. It is caused by an excess of protein in the urine and increased blood pressure in the hours after childbirth. 

HELLP stands for: 

• Hemolysis: It is a condition in which the body breaks down RBCs extremely fast. Left unchecked, hemolysis can cause anemia, causing lifelong health issues. Elevated lactate dehydrogenase and fragmented blood cells on a peripheral blood smear indicate hemolysis.
• Elevated Liver Enzymes: It may indicate that the liver is compromised.
• Low Platelet Count: Since platelets help with clotting, a reduced platelet count can put the mother at risk of excessive bleeding. A low platelet count in addition to hemolysis is particularly concerning.

Other Maternal Nursing Mnemonics 

HELLP is only one of the many mnemonics that nurses in the labor and delivery unit need to remember. Other mnemonics that these professionals use include BUBBLE HE, VEAL CHOP, and LARA CROFT. I also have an EKG interpretation cheat sheet you might find useful.