To sum it up, at the start of our 1900 shift we have a mom who had seized following vaginal delivery in the midday. When our shift started mom was breastfeeding her baby, on Mag Sulfate and diagnosed with HELLP syndrome. By the end of our shift she was in ICU following a bilateral craniectomy basically brain dead. This was by far, the worst thing i'd ever seen. She suddenly became unresponsive to anything including painful stimuli, blew her R pupil, was in OR within 2 hours of the event and from what the neurologist told us she herniated her brain, due to hemmorhage and cerebral edema. Our perinatologist said he's never seen something like this happen so quickly. Within a 24 hour period her platelets dropped from one hundred something to 37. Have any of you ever seen anything like this? I'm always so careful with my PIH pts but I will never look at another the same again.