“STUDY OF THIRD TRIMESTER BLEEDING IN ANTEPARTUM HEMORRHAGE COMPLICATING PREGNANCY AND ITS MATERNAL AND PERINATAL OUTCOME IN A TERTIARY CARE HOSPITAL”
Main Article Content
Abstract
Background: Antepartum hemorrhage (APH) is a major global cause of maternal mortality, with developing nations such as India being particularly affected. Early detection and prompt treatment can lower the related morbidity and death in both mothers and fetuses. APH is defined as bleeding from or into the genital tract, occurring from 24 + 0 weeks of pregnancy before the birth of the baby.
OBJECTIVES:
- To study maternal outcome in Antepartum hemorrhage complicating pregnancy.
- To study fetal outcome in Antepartum hemorrhage complicating pregnancy.
Material & Methods: Study Design: Non-randomized longitudinal prospective observational study. Study area: Department of Obstetrics and Gynaecology. Study Period: 1 year. Sample size: The study consisted of 100 cases. Sampling Technique: Simple random sampling method.
Results: In the present study, 81% of cases were live born, among them, 51% were placenta previa in which 18% were preterm,33% were term and 30% were abruptio placenta in which 6% were preterm and 24% were term. 2% of cases were stillborn, were term abruption placenta, Birth weight <2.5kg in 1 baby,>2.5kg in 1 baby, and uterine Deaths were 17%.
CONCLUSION: As an obstetric emergency, APH calls for prompt diagnosis and prompt treatment. The diagnosis of placenta accreta spectrum is increasing due to advancements in imaging modality, despite the lack of dependable and sensitive diagnostics for detection.