Prospective Observational Study On Maternal And Perinatal Outcome In Antepartum Haemorrhge
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 1, Pages 382-388
AbstractAntepartum hemorrhage is an obstetric emergency contributing to significant amount of perinatal and maternal mortality.APH is defined as any bleeding from the genital tract between 24 weeks of gestation and delivery of the baby. Maternal consequences of antepartum hemorrhage are grave including shock, postpartum hemorrhage, coagulation failure, preterm labour, and increased rate of cesarean section.
AIMS AND OBJECTIVE-This study was done with the objective of studying the maternal and perinatal outcome in antepartum hemorrhage.
MATERIAL AND METHODOLOGY - A three year prospective observational study was conducted in Department of Obstetrics and Gynecology at MGM medical college and MYH hospital indore in women with antepartum hemorrhage between January 2018 to January 2021 .The study group includes 840 patients antepartum hemorrhage who admitted with complain of bleeding per vaginum in late pregnancy. Record of mode of delivery, associated maternal and perinatal complications were noted.
RESULT - Total 840 cases were admitted, 270 were placenta previa ,510 was abruption placentae, out of which 390 have LSCS, 450 delivered vaginally. In majority of LSCS done the indication was placenta previa240/390. Obstetric Hysterectomy was done in 3 patient and postpartum hemorrhage with severe anemia in abruption placentae was the indication.30 patients landed in AKI due to abruption.
CONCLUSION- In developing countries, like India, APH contributes a major part, there was very high maternal morbidity with increased rates of anemia and postpartum hemorrhage. Hence Universal institutional antenatal care of all women should be targeted to improve their general health, family planning and limitation of births should be encouraged along with focused multidisciplinary approach and facilities can improve maternal and perinatal outcome in APH.
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