Abstract

COMPARISON OF PERINATAL AND MATERNAL OUTCOMES OF SEVERE PREECLAMPSIA, ECLAMPSIA AND HELLP SYNDROME IN LIBYAN LADIES, ZLITEN CITY, LIBYA

Mohamed Hamed F. A.* and Abokresh Eisha G. A.

ABSTRACT

Hypertensive Disorders in Pregnancy (HDP) is the most prevalent maternal complication worldwide as it affects 7–10% of all gestations. Pre-eclampsia is a multiorgan disorder unique to pregnancy typically characterized by blood pressure ≥140/90 mmHg after 20 weeks gestation associated with proteinuria ≥300 mg/24 h or ≥1+dipstick. Pre-eclampsia and the other hypertensive disorders of pregnancy remain leading causes of maternal and perinatal morbidity and mortality. The maternal outcome in these women was 29.21% (26/89) reported cases presented pre- eclampsia, 35.95% (32/89) as eclampsia and 34.83% (31/89) as HELLP syndrome. The age wise affected pregnant ladies are more in (18-27) with the percentage of 62.9 and (28-37) reported as 37.07. Totally 93 babies were delivered of 89 women including the twins, we found that poor neonatal outcome in
terms of low APGAR, IUGR, LBW, higher NICU admissions and need for ventilator for baby was much higher in the women with eclampsia and severe pre-eclampsia. Mean while birth weight is calculated as VLBW (<1500 gms) and LBW (<2500 gms) report the percentage as 46.06% and 53.93%. The present study was a prospective observational study that was made at Department of Gynecology, Zliten teaching Hospital, Libya, from September 2019 – June 2020. It included Eighty nine pregnant women diagnosed with hypertension in the current pregnancy complicated with severe preeclampsia, eclampsia and HELLP Syndrome associated with abdominal ascites, recruited from the attendees of the Obstetric Emergency Department. The study was approved by the local institutional review board of the Faculty of Medicine, Zliten teaching Hospital. All ladies signed an informed consent. The aim of the study was to compare the perinatal and maternal outcome in pregnant woman with severe preeclampsia and eclampsia with HELLP syndrome.

Keywords: Hypertensive disorders, pregnancy, Zliten, Libya.