• P Vigil-De Gracia, S Silva, C Montufar, I Carrol, and S De Los Rios.
• Gynecology and Obstetric Unit, Complejo Hospitalario Metropolitano de la Caja de Seguro Social, Panama, Panama. pvigil-d@cwp.net.pa
• Int J Gynaecol Obstet. 2001 Jul 1;74(1):23-7.

ObjectiveOur purpose was to determine the types of anesthesia and neurologic or hematologic complications found in pregnancy with HELLP syndrome providing analgesia for cesarean section.MethodsThis is a retrospective study. For the period of 1 July 1996, through 30 June 2000, we reviewed the charts of all patients with HELLP syndrome who had cesarean section.ResultsDuring the period of study 119 patients had HELLP syndrome. Eighty-five patients had cesarean delivery and 34 had vaginal delivery. Seventy-one patients had diagnosed HELLP syndrome previous to the anesthesia and 14 postcesarean delivery; the range platelet count was 19000-143000/microl. Of these 71, 58 had an epidural anesthesia, 9 had general anesthesia and 4 had spinal anesthesia. There were no neurologic complications or bleeding in the epidural space.ConclusionWe found no documentation of any neurologic or hematologic complications of women with HELLP syndrome and neuraxial anesthesia.

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