Maternal and Perinatal outcome In Cases of Antepartum Hemorrhage

Abstract

Background: Antepartum haemorrhage (APH) is an emergency obstetrical condition that accounts for 2-5% of pregnancies and contributes to high level of maternal and perinatal mortality and morbidity. This was an analytical study of cases of APH to know about the perinatal and maternal outcome. Method: This prospective observational study was conducted on 200 women diagnosed with APH admitted in the Department of Obstetrics and Gynaecology, at tertiary care center during a period from July 2014 to June 2016. Results: The overall incidence of APH was 2.04% and majority of them had abruptio placenta (101;50.5%) followed by placenta praevia (98;49%) and 1(0.5%) case was of vasa praevia. Anaemia (82.5%) was the commonest maternal morbidity. Most common complication due to APH was PPH (14.5%) and DIC (10%). Overall, caesarean section rate was high in case of APH (68%) especially due to Placenta Previa (69.8%). Among 200 cases of APH, there were 100(50%) live birth, 84(42%) IUD, 16(8%) NND, 110(55%) preterm birth and 39(19.5%) newborns required NICU admission. maternal mortality was 2% & perinatal mortality was 50%. 2% of mothers required ICU monitoring. Conclusion: Based upon observations made during this study, it is concluded that APH is a grave and potentially life-threatening condition for mother and foetus which taxes the limit of even the best equipped maternal and neonatal units. Study definitively shows that timely diagnosis and expert management by experienced clinician at all levels will help in improving maternal and fetal outcome in cases of APH.