International Journal of Clinical Obstetrics and Gynaecology

Author(s): Dr. Himang Jharaik, Dr. Aditi Sharma, Prof. Bishan Dhiman and Dr. Kanika Sharma

Abstract: Background: Antepartum haemorrhage is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, its 20 weeks in developed countries and 28 weeks in developing countries. We evaluated the consequences of antepartum haemorrhage, their perinatal outcome to outline the proper management of neonate in order to improve perinatal morbidity and mortality.Methods: This one year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing. Results: Total 6693 deliveries were conducted, 133cases ie 1.98% presented as APH. Placenta previa was most common. APH was commonly associated with multigravida in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. Risk factors included previous LSCS and D&C, hypertension, multiple pregnancies and malpresentations. Most patients underwent preterm LSCS. Fetal complications were due to prematurity. Overall perinatal mortality was 20.1%.Conclusion: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related fetal complications.

DOI: https://doi.org/10.33545/gynae.2019.v3.i3c.276

Pages: 155-159 | 2566 Views | 1340 Downloads

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