The most common causes of serious hepatic complications during pregnancy are haemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and acute fatty liver of pregnancy (AFLP). Hypertensive disorders: pre-eclampsia, eclampsia, HELLP syndrome The high maternal mortality associated with pre-eclampsia (PET) and eclampsia is reducing. HELLP syndrome, a severe form of PET, affects 4-20% of women with PET. The condition usually presents in the late third trimester but can also present post-partum. Maternal mortality is <1%, but the condition makes up a disproportionate number of maternal deaths in the confidential

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This study examines age differences in causes, characteristics, and outcomes of facial trauma seen in a major trauma hospital. A retrospective analysis was undertaken of 615 cases of facial trauma that had occurred during a 5-year period. The greatest proportion of patients were aged 20 to 29; those older than age 60 represented just 6.8% of the total cases. Gender differences were not observed in the oldest age groups. The oldest patients (older than 70 years) were more likely to have had pedestrian accidents and less likely to have been assaulted than other age groups. Older patients had more multiple injuries but fewer treatment procedures than other age groups. Significant differences were found in death rates; the older patients were more likely to die as a result of their injuries. Implications for patient management based on age and treatment needs are discussed.

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