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International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

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Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2021, Vol. 5, Issue 5, Part D

Prevalence, maternal and perinatal sequelae of antepartum haemorrhage in a tertiary hospital in south-south, Nigeria
Author(s): Felix Chikaike Clement Wekere, Paul Ledee Kua, Alexander Bekweri Akani and Adetomi Bademosi
Abstract:
Background: Antepartum haemorrhage (APH) remains a dire obstetric emergency associated with high maternal and perinatal morbidities and mortalities.
Aim: The aim of the study was to review antepartum haemorrhage in Rivers State University Teaching Hospital (RSUTH), to determine its prevalence, blood transfusion requirement, maternal and perinatal sequelae over a three-year period for improved management outcomes.
Methods: This was a cross-sectional study of 135 cases of APH managed in RSUTH. Data collected were analysed using IBM Statistical Product and Service Solution (SPSS) version 25.0 (Armonk, NY).
Results: Over the view period, there were 6,138 deliveries, of which 135 were cases of antepartum haemorrhage. The prevalence of APH was 2.2% or 22 per 1000 deliveries. The most common cause of APH was placenta praevia [88 (65.2%)], followed by abruptio placentae [47 (34.1%)]. The mean age ±SD and gestational age ±SD at occurrence of APH were 32.25 ± 4.78 years, [95% Confidence Interval (CI): 31.44, 33.06], and 36.04 ±3.02 weeks, (95%CI: 35.52,36.55) respectively. Majority of the women were booked 104(77%), Christians 129 (95.7%), had formal education 129 (99.3%-) and blood transfusion 120 (88.9%). Modal parity was para-1, range 0-5. Still birth rate was 3.26 per 1000 deliveries. There was no case of maternal mortality.
Conclusion: Th e prevalence of antepartum haemorrhage in RSUTH is 2.2%. Antepartum haemorrhage in RSUTH is common with high blood transfusion requirement. Thus, early diagnosis, prompt management and blood transfusion services are pertinent in achieving excellent maternal and foetal outcomes.
Pages: 206-210 | 417 Views | 184 Downloads
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How to cite this article:
Felix Chikaike Clement Wekere, Paul Ledee Kua, Alexander Bekweri Akani, Adetomi Bademosi. Prevalence, maternal and perinatal sequelae of antepartum haemorrhage in a tertiary hospital in south-south, Nigeria. Int J Clin Obstet Gynaecol 2021;5(5):206-210. DOI: 10.33545/gynae.2021.v5.i5d.1040
International Journal of Clinical Obstetrics and Gynaecology