A prospective study to assess maternal and fetal Outcome in patients with antepartum hemorrhage

Abstract

Aim: to assess maternal and fetal outcome in patients with antepartum hemorrhage (AP).​Materials & Methods:​ This prospective study was carried out in the Department of Obstetrics and Gynecology at Shri Krishna Medical College and Hospital Muzaffarpur, Bihar, India from jan 2018 to March 2019.The present study was conducted on 110 cases of antepartum hemorrhage. In all cases, maternal and fetal outcome was recorded. Results:​ the most common type of APH was abruptio placentae seen in 60, placenta Praevia in 35 and undetermined in 15 patients. Out of 60 cases of abruptio placentae, 24 were live birth, 17 were still birth, 13 were IUD and 6 were NICU death and in postpartum haemorrhage(PP), 13 were live birth, 11 were still birth, 7 were IUD and 4 were NICU death. In undetermined, 6 were live birth, 4 were still birth, 3 were IUD and 2 were NICU deaths. Common cause of deaths in AP was sepsis in 19 and respiratory distress syndrome in 13. 38 in AP and 24 in PP had baby birth weight <2500 grams. Maternal death was seen 7 in AP, 3 in PP and 1 in undetermined type.  Conclusion:​ APH cannot reliably be predicted. APH is associated with maternal and perinatal morbidity and mortality. We found that the common reason for APH was abruptio placentae, placenta previa and undetermined.