Antepartum Bleeding of Unknown Origin and Sequlae.
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Date
2014-02
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Abstract
Antepartum bleeding of unknown origin (ABUO) seems
to be one of the most common causes of bleeding in third
trimester of pregnancy, but has not been studied well.
Objective : The present study was aimed to study the
incidence, management strategies and the perinatal outcome
in cases of ABUO. Methods : Cases diagnosed as ABUO
and managed at the rural referral hospital over last 5 years
were analyzed. The diagnosis of ABUO was by exclusion
of placental abruption, placenta previa and possible causes
of bleeding in the lower genital tract by clinical and
ultrasonographic examination. Results : The incidence of
ABUO was 0.60 % of births. Of all cases of antepartum
haemorrage 18.1% were of teenage and of ABUO10.3%
cases were of teenage cases compared to overall 5% cases
teenage. Perinatal Mortality Rate (PMR) in cases of ABUO
was 237, significantly higher than overall PMR of 66 (p
value <0.001) during the study period. Preterm births were
the most common cause of perinatal mortality in ABUO.
Conclusion : Women with ABUO may not need special
interventions, but when ABUO occurs preterm births and
perinatal loss increase ,so deaths due to prematurity need
to be prevented.
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Keywords
antepartum bleeding unknown origin, management strategies, perinatal outcome Introduction
Citation
Gosavi Chhabra M. Antepartum Bleeding of Unknown Origin and Sequlae. Indian Medical Gazette. 2014 Feb ; 148 (2): 39-42.