Preeclampsia (PE) is the most common complication of pregnancy. PE is a multisystem disorder that can result in maternal morbidity and mortality. A severe complication of PE is the HELLP syndrome. HELLP syndrome is a pregnancy-associated liver disease characterized by the presence of hemolysis (H), elevated liver enzymes, and low platelet count. Management of HELLP syndrome includes monitoring of obstetric complications, controlling hypertension, seizure prevention, and planning for delivery. Also, postpartum care of the mother and the newborn should focus on physiologic and emotional wellbeing.