Evaluation of Antepartum Haemorrhage and its Maternal and Perinatal Outcome in a Tertiary Care Centre– A Cross-Sectional Study
Keywords:
APH, Maternal outcomes, Fetal outcomesAbstract
Background: This study was done to determine the various causes of antepartum hemorrhage and its maternal and fetal outcomes in tertiary care center.
Results: In this study, the chief cause of APH was found to be percreta accounting for 24 cases. Other causes included abruption (23/84), previa (12/84), accreta (16/84) and increta (9/84). Out of 84 subjects, 38 recovered, 17 were shifted to the ICU and 29 subjects passed away. There were 38 preterm babies. 10 had been delivered with stillbirth, 19 had neonatal death and 17 were shifted to NICU. Blood transfusion was required for 21 mothers. Postpartum hemorrhage was seen in 12 mothers and 13 subjects underwent peripartum hysterectomy.
Conclusion: From the findings of this study, it can be concluded that the chief cause of APH was percreta. Other causes included abruption, increta, accreta and previa. Majority of the mothers had recovered, while, a few had to be admitted to the ICU whereas some of them passed away. Various maternal outcomes included postpartum hemorrhage, peripartum hysterectomy and blood transfusion. Perinatal outcomes included preterm birth, still birth, NICU admission and death
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Rudra A, Chatterjee S, Sengupta S, Wankhede R, Nandi B, Maitra G, Mitra J. Management of obstetric hemorrhage. Middle East J Anaesthesiol 2010;20:499-507.
Mustafa Adelaja L, Olufemi Taiwo O. Maternal and fetal outcome of obstetric emergencies in a tertiary health institution in South Western Nigeria. ISRN Obstet Gynecol 2011;2011:160932.
Kedar K, Uikey P, Pawar A, Choudhary A. Maternal and fetal outcome in antepartum haemorrhage: A study at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol 2016;5:1386 94.
Arias F, Daftary SN, Bhide AG et al. Bleeding during pregnancy. In: Practical guide to high risk pregnancy and delivery, 3rd ed. New Delhi: Elsevier, 2008. Chapter 13:323 57.
Rudra A, Chatterjee S, Sengupta S, Wankhede R, Nandi B, Maitra G, Mitra J. Management of obstetric hemorrhage. Middle East J Anaesthesiol. 2010;20:499–507.
Mustafa Adelaja L, Olufemi Taiwo O. Maternal and fetal outcome of obstetric emergencies in a tertiary health institution in South-Western Nigeria. ISRN Obstet Gynecol. 2011;2011:160932.
Kedar K, Uikey P, Pawar A, Choudhary A. Maternal and fetal outcome in antepartum haemorrhage: A study at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2016;5:1386–94.
Arias F, Daftary SN, Bhide AG, et al. Practical guide to high risk pregnancy and delivery. 3rd. New Delhi: Elsevier; 2008. Bleeding during pregnancy; pp. 323–57. Chapter 13
Agarwal S, Ranjan M, Sachan S, Kumar L. Antepartum hemorrhage and its maternal and perinatal outcome: An experience at a hospital in North India. Journal of Family Medicine and Primary Care. 2023 Dec 1;12(12):3204-8.
Oguejiofor CB, Okafor CD, Eleje GU, Ikechebelu JI, Okafor CG, Ugboaja JO, Ogabido CA, Njoku TK, Umeononihu OS, Okpala BC, Nwankwo ME. A Five-Year Review of Feto-Maternal Outcome of Antepartum Haemorrhage in a Tertiary Center. International journal of innovative research in medical science. 2023 Mar;8(3):96.
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