Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-2 | Issue-11 | 260-265
Original Research Article
Antepartum Hemorrhage at Tertiary Care Hospital- A Retrospective Study of Maternal and Fetal Outcome
Dr. N Chandra Prabha, Dr. Anisha G, D. Anvitha, Dr. G.Soumini
Published : Nov. 7, 2019
Abstract
Antepartum Hemorrhage (APH) has always been one of the most feared obstetric emergencies which contribute to significant maternal and perinatal mortality and morbidity. Aims and objectives: To determine the causes of Antepartum Hemorrhage. To study the maternal and fetal outcome in various types of antepartum hemorrhage. Methods: It is a study conducted in OPD,Labour room and Intensive Care Unit(ICU) admissions in Department of Obstetrics and Gynaecology, Government General Hospital, Kakinada over a period of one year from April 2018 to March 2019 were analysed retrospectively. All cases of APH with gestational age more than 28 weeks whether diagnosed previously or during antental visits or during delivery, referred from other hospitals, emergency admissions are included in the study. Data was statistically analysed using SPSS 20 software. Results: The present study included 70 patients who was diagnosed as having placenta previa, abruptio placentae or APH due to undetermined causes presented with or without bleeding per vaginum in OPD, labour room,ICU. Majority of the patients (57.1%) had Placent previa while 41.4% had abruptio placentae; one case of APH is due to undetermined cause. Most of the cases of APH (64.3%) belong to the mean age group of 20-24 years both in placenta previa(57.5%) and abruptio placenta(75.9%) .65% of the cases are unbooked cases in placenta previa and 72.4% of the cases are unbooked cases in abruptio placenta. 90% of the cases of placenta previa are delivered by Caesarean section.55.8% of the cases of abruptio placenta are delivered by vaginal route.