Das Very early HELLP-Syndrom

Das „Very early HELLP-Syndrom“ ist eine schwerwiegende Schwangerschaftskomplikation. Die fürs HELLP-Syndrom typische Trias aus Hämolyse, ansteigenden Leberwerten und einer Thrombozytopenie tritt zu einem Zeitpunkt auf, an dem das Kind außerhalb des Mutterleibes noch nicht lebensfähig ist. Mütterliche Risiken sprechen dafür, die Schwangerschaft zu beenden. Doch betroffene Paare wollen ihr Kind in ein Gestationsalter bringen, an dem es mit Maximalversorgung extrauterin lebensfähig wäre. Gefragt sind fachliches Augenmaß, hohe menschliche Kompetenz und eine interdisziplinäre Strategie, um tragfähige Entscheidungen treffen zu können.

• Literatur

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