HELLP syndrome, characterized by hemolysis, elevated liver enzymes, and low platelets, is one of the diseases related to hypertension in pregnancy. If the pregnancy is not terminated soon after HELLP is diagnosed, liver failure or disseminated intravascular coagulopathy (DIC) may occur. HELLP syndrome occurs in 0.2%-0.9% of all pregnancies; Onset before 24 weeks of gestation is extremely rare but is more likely to result in stillbirth. Women who have had a stillbirth often hope for another

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... ancy soon after, but there is little information about the risks and outcomes for subsequent pregnancy in women who developed HELLP syndrome in early pregnancy. Thus, it is important to accumulate data on these outcomes in this population. Here, we report a case in which severe HELLP syndrome developed at 22 weeks of gestation, resulting in stillbirth, and was followed six months later by a pregnancy that with early intervention, produced a live birth.