DOI: 10.36347/sjams.2023.v11i08.025

Pages: 1526-1531

Background: Antepartum haemorrhage is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, its 20 weeks in developed countries and 28 weeks in developing countries. We evaluated the consequences of antepartum haemorrhage, their perinatal outcome to outline the proper management of neonate in order to improve perinatal morbidity and mortality. Methods: This prospective study was conducted in the Department of Obstetrics and Gynaecology, 250 Bedded General Hospital, Jhenaidah, Bangladesh from January to June 2022. APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing. Results: Total 4595 deliveries were conducted, 150 cases ie 3.26% presented as APH. Placenta previa was most common. APH was commonly associated with multigravida in age group of 26-30 years. Maximum number of patients (40%) were in age group 26-30 years. In this study 71.3% patients were multigravida and 23.8% primigravida. Placenta previa was commonly associated with multigravidas whereas abruption was commonly seen in primigravidae. Mean gavidity was 2.24±1.17. Booking rate was 82%. Most cases of APH with placenta previa were seen in lower class and upper lower class of Modified Kuppuswamy classification. Risk factors included previous LSCS and D&C, hypertension, multiple pregnancies and malpresentations. Most patients underwent preterm LSCS. Fetal complications were due to prematurity. Overall perinatal mortality was 20.1%. Conclusion: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility go a long way in avoiding APH related fetal complications.