Abstract

Antepartum hemorrhage is bleeding from the vagina after 24 weeks. It is a significant cause of foetal and maternal death and occurs in 2-5% of pregnancies.1 Antepartum hemorrhage accounts for 30% of maternal deaths, 50% of which are linked to preventable causes. The three primary categories of antepartum hemorrhage causes include placenta previa, placental abruption, and others. The present study was conducted to assess maternal and fetal outcome in patients with antepartum hemorrhage. 120 cases of antepartum hemorrhage were studied. Abdominal examination, per speculum and per vaginum examination was done. Intravenous fluids were given according to severity of bleeding and patient's general condition. USG was done to establish the cause of APH. Common type of APH was abruptio placentae seen in 62, placenta Praevia in 40 and undetermined in 18 patients. The difference was significant (P< 0.05). Among AP, PP and undetermined cases, 48, 28 and 15 cases had emergency C/S. Elective C/S was seen in 10, 7 and 2 and vaginal in 4, 5 and 1 case respectively. Most common complication in AP was anemia seen in 7 in AP, 4 in PP and 3 in undetermined. 15 patients in AP, 9 in PP and 5 in undetermined need blood transfusion. Maternal death was seen 2 in AP, 1 in PP and 1 in undetermined type. The difference was significant (P< 0.05). Birth weight <2500 grams was seen in 40, 24 and 12. Fetal presentation was breech in 32, 26 and 13. In maximum cases cause of death was sepsis seen in 2, 1 and 1. There were 58 live birth, 39 and 15 in AP, PP and undetermined respectively. The difference was significant (P< 0.05). Common reason of APH was abruptio placentae, placental previa and undetermined. Sepsis was most common cause of death.

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