Original Articles
Study of fetomaternal outcome in cases of antepartum hemorrhage at a tertiary hospital | |
Dr. B. Hyndavi, Dr. A. Sreedevi, Dr. R.Sumathi | |
Background: Obstetric hemorrhage still appears to be an important cause of maternal mortality even today. Antepartum hemorrhage is bleeding from the genital tract after 28 weeks of gestation, but before delivering the fetus, which has a wide impact on maternal and fetal outcome. The above study was conducted to study the fetomaternal outcome in cases of antepartum hemorrhage. Methodology-The above study was conducted at a tertiary hospital for 1 year.100 patients with APH & at or above 28 weeks of gestational age, willing to participate in study were included. Data was collected, analysed and entered into Excel sheet. Result-53% were of placenta previa, and 47 % were of abruptio placenta, 37 were primigravida and 63 were multigravida, APH was more common among multigravida. Common etiological factor noted was hypertension and pre-eclampsia 31%. Common complication of APH were PPH (42%), collapse (11%) and DIC (3%). Perinatal mortality was 23% Conclusion- Good antenatal care and early diagnosis of pre-eclampsia, anemia reduces the incidence of antepartum hemorrhage. Early admission and planned management of cases of placenta previa can reduce the maternal and fetal morbidity and mortality. |
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