Maternal outcome in antepartum Haemorrhage: A study at a tertiary care Centre

Abstract

Antepartum hemorrhage (APH) is a grave obstetrical emergency which is an important cause of maternal mortality besides postpartum hemorrhage and sepsis. It contributes to 15-20% of maternal deaths in India. Maternal complications of antepartum hemorrhage are anemia, postpartum hemorrhage, shock. The aim of study is to find the prevalence of antepartum haemorrhage among pregnant patients in tertiary care hospital and associated risk factors contributing to maternal morbidity and mortality. The present observational study includes total 77 cases diagnosed with APH during the study period (June 2017 to March 2020). The parameter of the patients were documented in the study includes: demographic data, cause for APH, maternal outcome and difficulties faced during the management from the admission- counseling, pre op requirements, delivery and post natal period. A total of 77 patients were diagnosed with APH (Antepartum haemorrhage) during the study period and the institutional prevalence is 1.78%. The main cause of APH were Abruption which was seen in 40 (51.97%) patients and Placenta Previa was seen in 34 (44.15%) of the patients. The patients show significant difference in prevalence of abruption and placenta previa on the basis of age, parity, hemoglobin level and gestational age at the time of delivery. APH is a high-proportion obstetrical risk and one of the most severe cause of maternal mortality and morbidity. Therefore, prevention, early detection and rapid management should focus on clinical treatment.