European Journal of Molecular & Clinical Medicine

Abstract

Background and Objectives: The leading cause of maternal mortality in world is obstetric haemorrhage. Antepartum haemorrhage (APH) is defined as bleeding from or into the genital tract after 28weeks of pregnancy and before delivery of the baby. The aim of the present study were  to study the maternal outcome in case of APH. METHOD: The study was a prospective and observational study conducted in The NSCB Medical College, Jabalpur from January 2020 to June 2021. Cases of pregnancy complicated with APH were taken. Cases with bleeding before 28 weeks and after delivery of the baby were excluded. Data collected from the records present in Labour ward complex and Medical record section. RESULTS: A total 193 cases were presented with APH, among these 61.13% were abruption Placenta, 34.19% were placentae previa, 4.66% cases were undetermined. maternal outcome was favorable in 179(92.75%) patients while 14 patients succumbed .out of 118 cases of abruptio placenta ,9 cases (7.62%) died. Out of 66 cases of placenta previa ,3 cases (4.54%) died.  Out of 9 cases of morbid adherent placenta ,2 cases (22.22%). Conclusion:  The morbidity and mortality in pregnancies complicated with APH can be prevented by early diagnosis, proper antenatal planning and terminating the pregnancy in a well-equipped tertiary health care center. Keywords: Abruption placenta, placenta previa, Antepartum hemorrhage & perinatal mortality.