Corticosteroids have been used in HELLP syndrome. The current evidence suggests they lead to a more
rapid resolution of the biochemical and haematological abnormalities but there is no evidence that they
reduce morbidity.49
6. Follow-up and final diagnosis
6.1 What should be offered following hospital discharge?
An assessment of blood pressure and proteinuria by the general practitioner at the 6 weeks postnatal
check is recommended. If hypertension or proteinuria persists then further investigation is
recommended.
Women whose pregnancies have been complicated by severe pre-eclampsia or eclampsia should be
offered a formal postnatal review to discuss the events of the pregnancy.
Preconceptional counselling should be offered where the events that occurred, any risk factors and any
preventative therapies can be discussed.