{"id":"https://openalex.org/W7204177197","doi":"https://doi.org/10.1016/j.tjog.2025.04.030","title":"From Crisis to Recovery: Managing Severe Preeclampsia with HELLP Syndrome and Postpartum Hemorrhage","display_name":"From Crisis to Recovery: Managing Severe Preeclampsia with HELLP Syndrome and Postpartum Hemorrhage","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204177197","doi":"https://doi.org/10.1016/j.tjog.2025.04.030","pmid":"https://pubmed.ncbi.nlm.nih.gov/42642116"},"language":"en","primary_location":{"id":"doi:10.1016/j.tjog.2025.04.030","doi":"https://doi.org/10.1016/j.tjog.2025.04.030","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.tjog.2025.04.030","pdf_url":"https://www.sciencedirect.com/science/article/pii/S1028455926002305/pdf","source":{"id":"https://openalex.org/S180931821","display_name":"Taiwanese Journal of Obstetrics and Gynecology","issn_l":"1028-4559","issn":["1028-4559","1875-6263"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Taiwanese Journal of Obstetrics and Gynecology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.sciencedirect.com/science/article/pii/S1028455926002305/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5148122970","display_name":"Yi-Hsuan Hsieh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293718874","display_name":"Tri-Service General Hospital","ror":"https://ror.org/007h4qe29","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I1293718874"]},{"id":"https://openalex.org/I4210102636","display_name":"Zuoying Armed Forces General Hospital","ror":"https://ror.org/017bd5k63","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210102636"]},{"id":"https://openalex.org/I68171755","display_name":"National Defense Medical Center","ror":"https://ror.org/02bn97g32","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I68171755"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Yi-Hsuan Hsieh","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Gangshan Branch of Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Gangshan Branch of Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan","institution_ids":["https://openalex.org/I1293718874","https://openalex.org/I4210102636","https://openalex.org/I68171755"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034138506","display_name":"Chi\u2010Kang Lin","orcid":"https://orcid.org/0000-0001-8608-1320","observed_orcids":["https://orcid.org/0000-0001-8608-1320"]},"institutions":[{"id":"https://openalex.org/I1293718874","display_name":"Tri-Service General Hospital","ror":"https://ror.org/007h4qe29","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I1293718874"]},{"id":"https://openalex.org/I68171755","display_name":"National Defense Medical Center","ror":"https://ror.org/02bn97g32","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I68171755"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Chi-Kang Lin","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan. Electronic address: kung568@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan. Electronic address: kung568@gmail.com","institution_ids":["https://openalex.org/I1293718874","https://openalex.org/I68171755"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5034138506"],"corresponding_institution_ids":["https://openalex.org/I1293718874","https://openalex.org/I68171755"],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.69730477,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"65","issue":"5","first_page":"1004","last_page":"1007"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10290","display_name":"Pregnancy and preeclampsia studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-preeclampsia","display_name":"severe preeclampsia","score":1.0},{"id":"https://openalex.org/keywords/hellp-syndrome","display_name":"HELLP syndrome","score":0.9980000257492065},{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":1.0},{"id":"https://openalex.org/keywords/disseminated-intravascular-coagulation","display_name":"disseminated intravascular coagulation","score":0.9879999756813049},{"id":"https://openalex.org/keywords/postpartum-complications","display_name":"postpartum complications","score":0.6729999780654907},{"id":"https://openalex.org/keywords/cesarean-section","display_name":"cesarean section","score":0.8069999814033508},{"id":"https://openalex.org/keywords/multiple-organ-injury","display_name":"multiple organ injury","score":0.8019999861717224},{"id":"https://openalex.org/keywords/postoperative-monitoring","display_name":"postoperative monitoring","score":0.7310000061988831},{"id":"https://openalex.org/keywords/maternal-outcomes","display_name":"maternal outcomes","score":0.5429999828338623}],"concepts":[{"id":"https://openalex.org/C2780537801","wikidata":"https://www.wikidata.org/wiki/Q1563513","display_name":"HELLP syndrome","level":4,"score":0.9729999899864197},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9440000057220459},{"id":"https://openalex.org/C2777218350","wikidata":"https://www.wikidata.org/wiki/Q61335","display_name":"Preeclampsia","level":3,"score":0.8294000029563904},{"id":"https://openalex.org/C2779936836","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulopathy","level":2,"score":0.7177000045776367},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.6665999889373779},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5559999942779541},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5525000095367432},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.44780001044273376},{"id":"https://openalex.org/C2778734968","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Disseminated intravascular coagulation","level":2,"score":0.4406000077724457},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.414000004529953},{"id":"https://openalex.org/C2909910413","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Consumptive Coagulopathy","level":3,"score":0.39010000228881836},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.3822000026702881},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.38199999928474426},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.3643999993801117},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3628999888896942},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.3580000102519989},{"id":"https://openalex.org/C3020128735","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Cesarean delivery","level":3,"score":0.35569998621940613},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.34540000557899475},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.29499998688697815},{"id":"https://openalex.org/C2908892503","wikidata":"https://www.wikidata.org/wiki/Q1339474","display_name":"Maternal death","level":3,"score":0.2754000127315521},{"id":"https://openalex.org/C3019213423","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Severe bleeding","level":2,"score":0.2696000039577484},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.26330000162124634}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001803","descriptor_name":"Blood Transfusion","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002585","descriptor_name":"Cesarean Section","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006406","descriptor_name":"Hematoma","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006406","descriptor_name":"Hematoma","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011225","descriptor_name":"Pre-Eclampsia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017359","descriptor_name":"HELLP Syndrome","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.tjog.2025.04.030","doi":"https://doi.org/10.1016/j.tjog.2025.04.030","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.tjog.2025.04.030","pdf_url":"https://www.sciencedirect.com/science/article/pii/S1028455926002305/pdf","source":{"id":"https://openalex.org/S180931821","display_name":"Taiwanese Journal of Obstetrics and Gynecology","issn_l":"1028-4559","issn":["1028-4559","1875-6263"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Taiwanese Journal of Obstetrics and Gynecology","raw_type":"journal-article"},{"id":"pmid:42642116","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42642116","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Taiwanese journal of obstetrics & gynecology","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1016/j.tjog.2025.04.030","doi":"https://doi.org/10.1016/j.tjog.2025.04.030","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.tjog.2025.04.030","pdf_url":"https://www.sciencedirect.com/science/article/pii/S1028455926002305/pdf","source":{"id":"https://openalex.org/S180931821","display_name":"Taiwanese Journal of Obstetrics and Gynecology","issn_l":"1028-4559","issn":["1028-4559","1875-6263"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Taiwanese Journal of Obstetrics and Gynecology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.5029979944229126}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204177197.pdf","grobid_xml":"https://content.openalex.org/works/W7204177197.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1984032752","https://openalex.org/W2007395789","https://openalex.org/W2009388851","https://openalex.org/W2063795565","https://openalex.org/W2145478586","https://openalex.org/W2161934818","https://openalex.org/W2233974801","https://openalex.org/W2991442564","https://openalex.org/W3131830035","https://openalex.org/W3161902068","https://openalex.org/W4200606351","https://openalex.org/W4213016349","https://openalex.org/W4285012668"],"related_works":[],"abstract_inverted_index":{"OBJECTIVE:":[0],"Life-threatening":[1],"complications":[2,100],"of":[3,15,88,101],"severe":[4,19,40,55,102,119],"preeclampsia":[5,20,41,56,103,120],"can":[6],"occur":[7],"even":[8],"after":[9,24,82,106],"delivery.":[10],"We":[11],"present":[12],"a":[13,16],"case":[14],"patient":[17],"with":[18,27,39,57,118],"whose":[21],"disease":[22],"progressed":[23],"delivery":[25],"complicated":[26],"HELLP":[28,58],"syndrome":[29],"and":[30,64,69,75,85,110],"postpartum":[31],"hemorrhage":[32],"(PPH).":[33],"CASE":[34],"REPORT:":[35],"A":[36],"36-year-old":[37],"woman":[38],"underwent":[42],"an":[43],"emergent":[44],"cesarean":[45],"due":[46],"to":[47,62,121],"fetal":[48],"distress.":[49],"After":[50],"delivery,":[51,107],"she":[52],"encountered":[53],"exacerbated":[54],"syndrome,":[59],"later":[60],"leading":[61],"PPH":[63],"disseminated":[65],"intravascular":[66],"coagulation.":[67],"Hemorrhage":[68],"coagulopathy":[70],"caused":[71],"subsequent":[72],"intraabdominal":[73],"hematoma":[74],"multiple":[76],"organs":[77],"injuries,":[78],"which":[79],"well":[80],"recovered":[81],"blood":[83],"transfusion":[84],"surgical":[86],"evacuation":[87],"hematoma.":[89],"She":[90],"was":[91],"discharged":[92],"under":[93],"relative":[94],"stable":[95],"condition.":[96],"CONCLUSION:":[97],"Since":[98],"fatal":[99],"may":[104],"appear":[105],"optimal":[108],"assessment":[109],"close":[111],"postoperative":[112],"monitoring":[113],"are":[114],"crucial":[115],"in":[116],"patients":[117],"ensure":[122],"maternal":[123],"outcomes.":[124]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-08-26T00:00:00"}
