Publication:

Study of antepartum haemorrhage and its maternal and perinatal outcome in tertiary care hospital

Background Obstetric hemorrhage is a worldwide leading cause of maternal morbidity and mortality. Antepartum hemorrhage includes placental abruption, placenta praevia, placenta accreta spectrum and other undetermined causes.

Methods A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology, Shri Lal Bahadur Shastri medical college Mandi, Himachal Pradesh for period of two and half years from 1st January 2022 to 30th June 2024. Clinical data of the patients presenting with antepartum haemorrhage was obtained from the delivery records and analysed.

Results Only 105 (1.02%) out of 10,206 pregnant women in the study period had antepartum hemorrhage. Out of 105 cases, 31 (29.5%) had abruption placenta, 70 (66.6%) had placenta praevia and 4 (3.8%) had other undetermined causes. The most common age group was 26-30 years and the majority were multiparous. Anemia was the most common complication in placental abruption and placenta praevia. NICU admissions were 25.8% in placental abruption and 20% in placenta praevia.

Conclusions The maternal and perinatal outcome has improved with decline in the number of high-parity women and rise in the availability of antenatal care, sonography facilities and emergency transportation.