Intrauterine Fetal Demise in a Patient with HELLP Syndrome, Superimposed Preeclampsia, and Placental Calcification: A Case Report

This case describes a 37-year-old gravida 3 para 1+1 woman at 31+3 weeks gestation who experienced intrauterine fetal death secondary to Hemolysis, Elevated Liver enzymes and Low Platelets (HELLP) syndrome and placental calcification, on a background of chronic hypertension with superimposed preeclampsia and gestational thrombocytopenia. Her obstetric history included previous preeclampsia, gestational diabetes managed with diet, obesity, and one prior miscarriage. She was managed with close monitoring and timely supportive care. This case highlights the diagnostic and management challenges of hypertensive disorders in high-risk pregnancies and underscores the importance of early detection, vigilant surveillance, and a coordinated multidisciplinary approach to optimize maternal outcomes.