ANALYSIS ON PREGNANCY OUTCOME IN THIRD TRIMESTER VAGINAL BLEEDING IN A TERTIARY CARE HOSPITAL, TIRUPATI: A PROSPECTIVE OBSERVATIONAL STUDY

Abstract

Background: Antepartum Haemorrhage accounts to 30% of Maternal deaths as direct cause. APH complicates around 2-5% of all pregnancies, with placenta previa occurring in about 0.33%-0.55% of cases and abruptio placenta for about 0.5-1% of cases. Pregnancy outcome varies from institution to institution. Time to time thorough evaluation of pregnancy outcomes in cases of APH is required in different obstetric care units.
Methods: A Prospective study was conducted for 1yr in 100 pregnant women attending emergency ward or outpatient department with the complaint of bleeding per vaginum in third trimester between 2021-2022
Results: The mean age of study population being 21-25 years. 49% of cases were unbooked. Abruptio placenta accounting to 56% and placenta previa for 42%, unclassified for 2% of APH dmissions. PPH occurred in 33.9% of abruption placenta cases and 28.6% of placenta previa cases. Neonatal deaths accounting to 16 in Abruptio placenta and 7 in Placenta previa

Conclusion: Abruptio placenta is associated with poor maternal and perinatal outcome. Investigations should be carried out to determine the extent and physiological effects of the APH. Regular antenatal examinations, timely referrals can avoid poor maternal and foetal outcome. A multidisciplinary approach and senior consultation were required in deciding on the timing and mode of delivery.