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Study of maternal and perinatal outcomes in antepartum hemorrhage

Int J Biol Med Res. 2013; 4(4): 3619-3623  |  PDF File


ABSTRACT Objectives This study reviews the perinatal and maternal outcome in case of antepartum hemorrhage at a teaching institute, in order to determine the causes of APH, to study mode of delivery, maternal morbidity and mortality, perinatal morbidity and mortality in patients with APH. Method A prospective study was undertaken on maternal and perinatal outcome in women with APH in 100 cases attending the hospitals attached to JJM Medical College from April 2011 to April 2013. Results Abruption placenta formed the largest group (55%) followed by placenta previa. Cesarian section was the commonest mode of delivery (55%) in patients with APH. Maternal mortality was 1%. Perinatal mortality was 27%. Maternal and perinatal morbidity was quite high. Conclusion Ante-partum hemorrhage is an important cause of maternal morbidity and mortality, despite modern development in obstetric practice and transfusion service. The initial management of ante-partum hemorrhage should concentrate on resuscitation and accurate diagnosis. The most important causes are placenta previa and abruption. Every unit should have a clear protocol for the management of massive hemorrhage, which should be regularly updated and rehearsed.