Maternal and perinatal outcome in antepartum hemorrhage
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 9
Abstract
Background: Antepartum hemorrhage is defined as any bleeding from or into the genital tract after the period of viability and before the end of second stage of labour. Aim: To study the maternal and perinatal outcome in antepartum hemorrhage. Materials and methods: The present study was a prospective observational study undertaken during a period of 2 years from September 2012 to August 2014 in 50 cases of antepartum hemorrhage. Only patients with APH >28 weeks gestational age willing to participate in study were included. Results: The incidence of antepartum hemorrhage was 3.8%. Abruptio placenta (56%) constituted the largest group. Maximum number of patients was in the age group 20 to 30 years in both abruption (53.5%) and placenta previa (52.5%). In abruption 53.6% and in placenta previa 79% of the patients were multiparous. Majority (56%) of the patients with antepartum hemorrhage had GA of 28 to 34 weeks. Mean period of gestation in APH patients was 33.4 weeks. In abruption, 64% of the patients and in placenta previa 42% were in the age group of 31-34 weeks and 6 days. In the present study, 64% of the patients were anemic at the time of admission. Majority 34% of the anemic patients had Hb of 7.5-9.9 gm. Maximum 35.7% of the patients with abruption had Hb of 5 to 7.4 gm and 42.1% of patients with placenta previa had Hb of 7.5 to 9.9 gm. Pre-eclampsia (36%) was the most common risk factor for APH. The commonest mode of delivery was cesarean delivery i.e. 60%. In abruption majority 53.6% had normal delivery. 89.5% of placenta previa had cesarean section which was the largest group. Post partum hemorrhage was the most common complication observed in 22% of the cases. 5.3% of the patients with placenta previa had placenta accreta. DIC and renal failure were seen in 3.6% each. Majority (64%) of the patients in this study required blood transfusions. 64% of abruption and 68% of placenta previa patients required blood transfusion. IUD or still births were noted in 31% of the cases. Neoantal deaths were observed in 5.8%. Prematurity was the most common complication observed in the present study in 82.8% of the cases followed by neonatal jaundice which was observed in 51% of the cases. NICU admissions were present in 8.5% of the cases. In the present study, 56% of the patients had an APGAR score of <7 at 1 min and 63% had an APGAR of 4 to 6 at 5 min. Maximum number of births had birth weight of 1.5-2 Kg. In previa 17, majority (39.2%) of births had birth weight of 1.5-2 Kg and in undetermined majority (66.7%) had birth weight of 2.5-3 Kg. Conclusion: From the present study it can be concluded that antepartum hemorrhage is still a leading cause of maternal morbidity and mortality in our country.
Authors and Affiliations
G. Sharmila, Dr. Prasanna
Keywords
Related Articles
- EP ID EP495405
- DOI -
- Views 129
- Downloads 0
A Study of Clinical Profile and Management of Patients with Chronic Constrictive Pericarditis - Our Experience
Introduction: The constrictive Pericarditis is a disabling condition but has a good prognosis if surgery is undertaken in time. Pericarditis can be seen as an effusive disease or progressive cardiac constriction. Patient...
Prevalence of early childhood caries among preschool children of low socioeconomic status in district Srinagar, Jammu and Kashmir
Introduction: Dental caries is also one of the major issues which interfere with the healthy life of an individual, especially in children. Due to its high prevalence worldwide, caries in children has often been describe...
Profile of non-neoplastic colorectal lesions - A five year study
Background: Colorectal diseases are frequently encountered in clinical practice. They range from minor problems causing minimal discomfort to potentially serious diseases causing much morbidity and mortality. Clinically...
Monotherapy and polytherapy in Paediatric seizures: A prospective, observational study in a tertiary care teaching hospital
Background: Epilepsy is a common neurological disorder in children and its treatment still remains a challenge for the physicians. Though there are a number of anti-epileptic drugs with varying mechanisms of action, thei...
Laparoscopically Assisted Pancreaticoduodenectomy – First Sri Lankan Experience
Pancreaticoduodenectomy (PD) is the curative surgical option for periampullary tumors. Minimally invasive pancreaticoduodenectomy (MIPD) is gaining popularity as the open PD has considerable morbidity and mortality. MIPD...