Ante partum haemorrhage is associated with numerous adverse maternal and fetal-neonatal complications. Diagnosis of Ante partum haemorrhage is utmost important to start early and accurate treatment. We aimed at to know the incidence of types of Ante partum haemorrhage and its maternal and fetal outcome.
Materials and Methods: Participants complete history including age, socioeconomic status, address, booked/unbooked, gravida, parity, gestational age calculated from LMP or early first trimester scan was recorded. Maternal and neonatal well being was assessed. Based on clinical condition of patient, management modality was chosen.
Results: Out of 120 patients women with bleeding per vaginum, 64 (53.3%) had Abruptio Placenta, 47 (39.1%) had placenta previa, and remaining 9 (7.5%) patients were categorized under unclassified haemorrhage. Maternal Mortality was 2.5% and Perinatal mortality was 20.6%. Majority of the patients had atonic PPH i.e., 54.1% followed by 13.2% puerperal sepsis, 6.02% had vaginal hysterectomy and 2.4% need for hysterectomy. Prematurity was the commonest complication amongst neonates of Ante partum hemorrhage patients (30.3%) followed by Meconium aspiration syndrome (13.9%).
Conclusion: Improved blood banking services and emergency services at or nearby hospitals, immediate availability of transportation helps us to reduce the maternal and neonatal mortality.