Consequences of antepartum hemorrhage and its maternal and perinatal outcome

Simple item page
dc.contributor.authorJharaik, Himangen_US
dc.contributor.authorDhiman, Bishanen_US
dc.contributor.authorVerma, S. K.en_US
dc.contributor.authorSharma, Aditien_US
dc.date.accessioned2020-10-16T07:55:05Z
dc.date.available2020-10-16T07:55:05Z
dc.date.issued2019-04
dc.description.abstractBackground: Antepartum haemorrhage, a life-threatening event, is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, considered to be 20 weeks in developed countries and 28 weeks in countries with low resource settings. We evaluated the consequences of antepartum haemorrhage, their maternal and perinatal outcome so as to outline the proper management of patient in order to improve both maternal and perinatal morbidity and mortality.Methods: This one-year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing.Results: Total 6693 deliveries were conducted out of which 133 presented as APH and incidence of APH was found out to be 1.98%. Placenta previa was most common. APH was commonly associated with multigravida and most cases were in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. High risk factors included previous LSCS and D and C, hypertension, multiple pregnancies and malpresentations. Most of the patients underwent preterm LSCS. Most fetal complications were due to prematurity. 58.6% patients were transfused blood. Overall perinatal mortality was 20.1% and maternal mortality was zero.Conclusions: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related maternak and fetal complications.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Kamla Nehru Hospital, Shimla, Himahal Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Indiaen_US
dc.identifier.citationJharaik Himang, Dhiman Bishan, Verma S. K., Sharma Aditi. Consequences of antepartum hemorrhage and its maternal and perinatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Apr; 8(4): 1480-1486en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206619
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20191203en_US
dc.subjectAbruptio placentaen_US
dc.subjectAntepartum hemorrhageen_US
dc.subjectPlacenta previaen_US
dc.titleConsequences of antepartum hemorrhage and its maternal and perinatal outcomeen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrcog2019v8n4p1480.pdf
Size:
206.21 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Reproduction, Contraception, Obstetrics and Gynecology