Maternal And Perinatal Outcome In Antepartum Hemorrhage : At Sir T Hospital

Abstract

Introduction: Antepartum haemorrhage is one of the major causes of maternal mortality. It contributes to 15-20% of maternal mortality in India. Incidence of antepartum haemorrhage is varies from 2-5 % of all deliveries. APH arising from placental abruption and placenta praevia is associated with an increased risk of postpartum haemorrhage 1 .Maternal and perinatal complication of antepartum haemorrhage are anaemia, postpartum haemorrhage, shock, low birth weight, intrauterine death, and birth asphyxia. Aim & Objectives: 1) To study Maternal and Perinatal outcome in Antepartum haemorrhage. 2) to study factors associated with Antepartum haemorrhage. Method & Materials: It is retrospective study carried out on 56 women admitted with the diagnosis of antepartum haemorrhage at Sir T. Hospital Bhavnagar during August 2015 to July 2016. The diagnosis was made on the basis of history, Clinical examination and few cases aided by ultrasonography. Result: In present study the incidence of APH was 1.4%. out of 56 cases 66% were multigravida and 71% of them were of low socio economic status.56% had feature of pre-eclampsia. Maternal and perinatal mortality was very high with increase rates of anaemia (100%), caesarean section rate (61%), need of blood transfusion (86%), coagulation failure (13%), low birth weight (75%). Perinatal mortality was 43%.