How to Differentiate Acute Fatty Liver in Pregnancy (AFLP) with Hemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP) Syndrome in Resource-Limited Settings? - The Importance of Swansea Criteria

Anita Deborah Anwar; Annisa Dewi Nugrahani; Tsabitah Amaluna Zahra; Dhanny Primantara Johari Santoso

doi:10.1016/j.eurox.2023.100176

How to Differentiate Acute Fatty Liver in Pregnancy (AFLP) with Hemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP) Syndrome in Resource-Limited Settings? - The Importance of Swansea Criteria

Eur J Obstet Gynecol Reprod Biol X. 2023 Jan 10:17:100176. doi: 10.1016/j.eurox.2023.100176. eCollection 2023 Mar.

Authors

Anita Deborah Anwar¹, Annisa Dewi Nugrahani¹, Tsabitah Amaluna Zahra², Dhanny Primantara Johari Santoso³

Affiliations

¹ Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.
² Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.
³ Department of Obstetrics and Gynaecology, Slamet General District Hospital, Garut, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.

Abstract

•Both AFLP and HELLP syndrome are accounted as liver diseases in pregnancy.•AFLP and HELLP syndrome should be differentiated to make the proper diagnosis, especially in resource-limited settings.•The correct diagnosis holds a pivotal role since prompt therapy markedly improves the outcome of pregnancy.