Antepartum haemorrhage with respect to maternal and neonatal outcome

Abstract

Background: Antepartum haemorrhage (APH) is defined as bleeding from or in the genital tract, occurring from 28 weeks of pregnancy and prior to the birth of the baby. Aim of Study to study the fetomaternal outcome in patients with APH.

Methods: the present study was a prospective observational study undertaken in obstetrics and gynaecology department of Dr. Vikhe Patil Hospital, Ahmednagar during a period of 1 year from 1^st October 2020 to 30^th September 2021 in 65 cases of Antepartum Hemorrhage. Only patients with APH more than 28 weeks gestational age and willing to participate in study were included.

Results: In the present study incidence of APH was 3.9%. 61% of the APH cases were placenta previa while 39% cases were of accidental haemorrhage. Majority of cases of placenta previa were of type 2 in this study. Out of the total accidental haemorrhage cases, 48% were revealed type and 48% were of mixed type in this study. With 4% being concealed type.

Conclusions: Higher rates of neonatal intensive care unit (NICU) admission and stay  were seen with these complications. The study shows more respiratory distress syndrome, septicemia and jaundice in babies as outcome of APH .

Keywords: Antepartum hemorrhage, Fetomaternal outcome, placenta previa, abruptio placenta.