A RETROSPECTIVE STUDY OF ANTEPARTUM HAEMORRHAGE AND ITS MATERNAL AND FETAL OUTCOME

Introduction : Antepartum haemorrhage (APH) is defined as bleeding from or into the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of baby. On an average 3-5% of all pregnancies are complicated by antepartum haemorrhage. Therefore we conducted this study to evaluate factors associated with antepartum haemorrhage and retrospective evaluation of maternal and fetal morbidity and mortality. Material & Methods : This is a retrospective hospital based study carried out from the period November 2017 onwards and included 400 cases. Antepartum haemorrhage is defined as bleeding from or in to the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of the baby. Results : Mean age in study group was 25.85±5.13 years ranging from 19-41 years. 269 and 131 cases belonged to rural and urban area respectively. Mean gestational age was 35.34±3.46 weeks ranging between 20-41 weeks. In present study, 344 cases had LSCS delivery while 27 cases were delivered normally, 25 cases had hysterectomy while 4 cases had LSCS followed by hysterectomy. Abruptio type was present in 194(48.5%), placenta previa was present in 196(49%) of cases while other was present in 10(2.5%) of cases. Conclusion : In this study we found that the incidence of APH is more in multigravida (66.7%) than in primigravida.