Study on fetomaternal outcome in antepartum haemorrhage

Naimish D. Nathwani, Rupa C. Vyas, Sapana R. Shah, Purvi M. Parikh


Background: Any bleeding from or into the genital tract after the period of viability, but before the birth of the baby is termed as antepartum haemorrhage (APH).

Methods: 110 cases of bleeding per vaginal (pv) after 28 weeks of gestation were studied retrospectively from August 2018 to June 2019 and were grouped as placenta previa, placental abruption and indeterminate.

Results: 35.45% cases were of placenta previa, 53.63% cases were of placental abruption and 10.90% cases were of indeterminate. Majority were delivered by lower segment caesarean section (LSCS) and most of the cases required blood transfusion.

Conclusions: APH cannot reliably be predicted .It is major cause of maternal and perinatal mortality and morbidity. Multidisciplinary approach and senior input is necessary in making decision about timing and mode of delivery. Presently increase in use of ultrasonography (USG) for placental localisation and to diagnose abruption, improved obstetrical and anesthetic facilities, increase in use in blood products to correct anemia and advanced neonatal care facilities, all of these have played important role in decreasing perinatal as well as maternal mortality and morbidity


Placenta previa, Placental abruption, Antepartum haemorrhage

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Mishra R. Ian Donald’s Practical Obstetric Problems. Seventh edition. Lww Rs Elite. 2014;315-28.

Bhide A, Thilaganathan B. Recent advances in the management of placenta praevia. Curr Opin Obstet Gynecol. 2004;16:447-51.

Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Obstetrical hemorrhage. Williams Obstetrics, 23rd ed. New York: McGraw-Hill. 2009;757-803.

Maurya A, Arya S. Study of Antepartum Haemorrhage and Its Maternal and Perinatal Outcome. Int J Sci Res Publ. 2014.

Adekanle DA, Adeyemi AS, Fadero FF. Antepartum haemorrhage and pregnancy outcome in Lautech teaching Hospital, southwestern Nigeria. J Med Sci. 2011;1243-7.

Arora R, Devi U, Majumdar K. Perinatal morbidity and mortality in antepartum haemorrhage. J Obstet Gynae India. 2001;51(3):102-4.

Pandey VP, Pandey M. Study of antepartum haemorrhage and its maternal and perinatal Outcome 2016. Available at: Accessed on: 25 July 2020.

Tyagi P, Yadav N, Sinha P, Gupta U. Study of antepartum haemorrhage and its maternal and perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2016;5:3972-7.

Nasreen F. Incidence, Causes and outcome of placenta previa. J Postgrad Med Inst Peshawar - Pak. 2003;17(1).