Antepartum Haemorrhage: Causes & Its Effects on Mother and Child: An Evaluation

Abstract

Objective: Aim of the present study was to find the demographic profile, type of APH, maternal and perinatal complications. Method: It is a prospective study carried out in a tertiary care hospital, Mumbai, India over a period of 2 yrs from Sept 2010 to Aug 2012 on 124 women admitted with the diagnosis of APH. Results: The incidence of APH was 1.31%. 73 % cases of APH were associated with Pregnancy induced hypertension suggesting PIH is one of the major risk factors. Maternal and perinatal morbidity was very high with increased rates cesarean section 90%, post partum hemorrhage (36%), need of blood transfusion (75%), preterm deliveries (65%), low birth weight (40%) and NICU admission (44%). Though there is no maternal mortality due to timely intervention but 3% patients underwent Obstetric Hysterectomy and 6.4% required CCU admission. Perinatal mortality was very high (21%). Conclusion: There is very high maternal and perinatal morbidity and perinatal mortality in APH.