Ambarisha Bhandiwad1, Abhishek A. Bhandiwad2
ABSTRACT: Antepartum haemorrhage is one of the obstetrical emergencies complicating pregnancy. Adverse materno-fetal outcomes are commonly seen complicating APH. This study was undertaken with the following. OBJECTIVES: Analysis of APH in pregnancy 1) Maternal and fetal outcome in APH complicating pregnancy 2) Measures to reduce maternal and perinatal morbidity and mortality. METHODS: Cases satisfying. Inclusion criteria: pregnant woman >28 weeks attending department of OBG, JSS Hospital, Mysore on inpatient basis with history of APH during the study period. Exclusion Criteria: None. 40 cases with APH admitted to JSS Hospital Mysore were studied with respect to maternal fetal outcome till the time of discharge. RESULTS: Abruption was the commonest cause of APH with its associated maternal morbidity and perinatal mortality and morbidity. Prematurity of the neonate was a serious complicating factor in APH. No maternal mortality was seen in this study. CONCLUSION: Overall incidence of APH has remained high. It still continues to constitute a major portion of obstetrical hemorrhage. With timely intervention and with resuscitation facilities available maternal mortality and morbidity can be reduced. Perinatal mortality with abruption remains to be high. Perinatal morbidity can be reduced with good neonatal intensive care facilities.
