Characteristics of patients of ante-partum hemorrhage at a tertiary care centre

Antepartumhaemorrhage (APH) defined as bleeding from or into the genital tract after 24 weeks of gestation but before the birth of baby. The causes of APH are placenta previa, abruption placentae, local causes and vasa previa.

To study the demographic profile and maternal and perinatal outcome in antepartum haemorrhage.

It is a retrospective study done at a tertiary care centre in Haryana over a period of seven months. Case files of 140 patients of antepartum haemorrhage were studied for various parameters and analyzed.

Total deliveries were 6227 during the study period, out of which abruption placentae cases were 51.43% and placenta previa were 48.57%. Three maternal death were reported due to abruption placentae and one was due to placenta previa. Perinatal mortality was 68.96% due to abruptio placentae and 16.96% was due to placenta praevia.

In antepartum haemorrhage, both mother and foetus are at risk. Proper antenatal care, early diagnosis, early referral and timely management can improve the maternal and perinatal outcome.