Th e diff erential diagnosis includes thrombotic thrombo cytopenic purpura and hemolytic uremic syndrome, cold agglutinins, and acute fatty liver of pregnancy. In regard to distinguishing these conditions, it is likely that the patient with HELLP syndrome will have a more severe liver dysfunction, potentially complicated by hepatic infarction or subcapsular hematoma. HELLP syndrome is a medical emergency and the mother's blood pressure and coagulation status must be stabilized rapidly. Corticosteroids should be administered to the mother to advance the lung maturity of the fetus if the gestation age is below 34 weeks. In the majority of cases, liver, renal, and hematopoietic function normalizes after 5 days. In about 30% of cases, HELLP syndrome will develop in the postpartum period. Dexamethasone does not benefi t the mother with HELLP syndrome [10] . Delivery of the fetus can signifi cantly abrogate HELLP syndrome. Th e timing of delivery depends on fetal maturity and the severity of illness of the mother.