Publication:

A prospective study of maternal outcome in antepartum haemorrhage in tertiary care center in northern India

Background Antepartum hemorrhage (APH) is a grave obstetrical emergency. It is leading cause of maternal death. Aim of the present study was to see maternal outcome patient with APH.

Methods It was a prospective study carried out over a period of one year on 100 women admitted with the diagnosis of APH at Pt. B.D Sharma medical college, Rohtak, Haryana, India, a tertiary care center. 100 patients with antenatal hemorrhage were studied prospectively. History was taken regarding age, hemoglobin status, blood unit given, ultrasound done to note type of placenta, distance of placenta from Os noted, third stage and delayed complication recorded.

Results 40.7% patients of placenta previa had immediate LSCS. 44.4% patients of placenta previa delayed LSCS was done after expectant management. 61.76% of patients of abruptio placentae had immediate vaginal delivery. 16% had atonic postpartum haemorrhage as third stage complication. One patient lynch sutures were applied. In 2 cases bilateral internal iliac artery ligation was done. In 3 cases bilateral uterine artery ligation done to control PPH. 71% patients of APH had postpartum anemia as delayed complication.

Conclusions The single most important factor in reducing maternal mortality has been the increase use of caesarean delivery in cases of abruptio placentae. Anemia is the most common cause of maternal morbidity (80%) associated with APH in the present study.