Abstrait

Newborns from mother having a hellp syndrome

Setti Aouicha Zelmat, Samia Benouaz*, Djahida Djamila Batouche, Nadia Faiza Bennata

Introduction: HELLP syndrome, a severe complication of preeclampsia, is a serious obstetric situation because it is responsible for maternal and fetal morbidity and mortality. In developing countries, becoming neonatal parturients with Hellp Syndrome continues to have a poor prognosis. It depends on the age of discovery of the pathology and the quality of care. The objective of this work is to apply a protocol for the management of patients with a hellp syndrome and to evaluate its efficacy on neonatal morbidity and mortality.

Patients and Methods: This is a mono-centric retrospective study at the gynecological obstetrics department of the Oran EHU. The retrospective study was conducted over a 24-month period from January 2013 to the end of 2014 (38 patients), followed by the two-year prospective study (January 2015 to December 2016), with the implementation of a Progressive and continuous protocol (127 patients). The study concerns all patients with a hellp syndrome defined according to the Sibaï criterion.

Results: One hundred and sixty-five patients with a hellp syndrome, the mean age of our patients was 32 years ± 6.33, with a predominance in parturient multiparous. After the protocol, we observed a decrease in maternal deaths from 15.7% to 3.14%, and a decrease in perinatal mortality from 31.5% to 16.5%.

Conclusion: The hellp syndrome protocol application will allow a better therapeutic approach. According to the results of our study, HS is one of the serious maternal pathologies that exposes the newborn to a risk of inevitable prematurity, its management is ensured in the neonatal resuscitation unit, including its development and prenatal follow-up remains the guarantors of a good prognosis.