Unclassified Antepartum Haemorrhage Incidence and Perinatal Mortality in a Community

Roberts, G.

doi:10.1111/j.1471-0528.1970.tb03555.x

Cited by 14 publications

(7 citation statements)

References 6 publications

(4 reference statements)

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“…Not Studied 11.5/1000 Not Studied NWMH 4 5/1000 7/1000 Not Studied Freidricson 6 5.5/1000 Not Studied Not Studied Roberts 7 Not Studied Not Studied 20/1000 Arora R 3 5. 4 1968-72 13.5% 16.5% NWMH 4 1983-87 27.5% 32.6% Present study 60% 34.5% Table 16: Incidence of primiprara with APH in various studies PP and UC variety were commonly seen with primipara.…”

Section: Pp Ap Uc Audrey Fmentioning

confidence: 99%

A Study of Maternal and Fetal Outcome in Antepartum Haemorrhage

Bhandiwad¹,

Bhandiwad²

2014

jebmh

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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.

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Section: Pp Ap Uc Audrey Fmentioning

confidence: 99%

A Study of Maternal and Fetal Outcome in Antepartum Haemorrhage

Bhandiwad¹,

Bhandiwad²

2014

jebmh

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“…The patients evaluated included women in both the first and second trimester of pregnancy 3,6 and the criteria of inclusion was inconsistent for the assessment of ABUO. The gestational ages that the women were evaluated were different between studies with one <20 weeks, 2 two studies at 13-26 weeks, 4,7 two studies at >28 weeks 8,9 and one at <34 weeks. 10 Many of the older studies were carried out on antepartum clinical assessments without the use of ultrasound.…”

Section: Introductionmentioning

confidence: 99%

“…The aetiology of the bleeding was not determined until delivery in two investigations. 8,9 Without separating the women by the origin of the bleeding, 3,6 others studies evaluated outcomes by comparing pregnancies with bleeding to pregnancies without bleeding.…”

Section: Introductionmentioning

confidence: 99%

Antepartum bleeding of unknown origin in the second half of pregnancy and pregnancy outcomes

McCormack

Doherty

Magann

et al. 2008

BJOG

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Objective The purpose of our investigation was to evaluate factor(s) associated with unexplained antepartum bleeding of unknown origin (ABUO) after 24 weeks of pregnancy and correlate unexplained haemorrhage with maternal and perinatal outcomes.Design This is a retrospective observational study.Setting King Edward Memorial Hospital (KEMH), Subiaco, Western Australia.Population Singleton pregnancies delivering at KEMH between January 1998 and December 2004.Methods ABUO was defined as bleeding after 20 weeks of gestation but before the onset of labour with no cause detected on vaginal examination or abdominal ultrasound. Outcomes of these pregnancies were collated and compared with those of pregnancies without ABUO.Main outcome measures Antepartum complications assessed included pre‐eclampsia/eclampsia, gestational diabetes and preterm birth. Intrapartum evaluations included labour inductions, mode of delivery and gestational age at delivery. Neonatal outcomes evaluated included birthweight, Apgar scores, newborn intensive care unit (NICU) admission, neonatal complications and risk of perinatal/neonatal death.Results Between January 1998 and December 2004, there were 26 583 deliveries without ABUO and 1431 with ABUO. Multivariable analyses of the ABUO effects revealed that ABUO was a simultaneously significant risk factor for term labour inductions (OR = 2.00, 95% CI: 1.72–2.32, P < 0.001), preterm delivery (OR = 4.31, 95% CI: 3.84–4.84, P < 0.001), NICU admission (OR = 1.23, 95% CI: 1.01–1.51, P = 0.042), hyperbilirubinaemia (OR = 1.29, 95% CI: 1.01–1.63, P = 0.041) and reduced birthweight (26 g, 95% CI: 3–50, P = 0.026).Conclusion Women with ABUO are at greater risk of preterm delivery, term labour induction and their neonates are at greater risk for NICU admissions, hyperbilirubinaemia and a reduced birthweight.

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“…In present study there were 100 patients out of deliveries indicating 6.9% incidence, somewhat higher than Roberts et al, Arora et al and Bhide et al [4][5][6] Placenta previa was responsible for 65 percent of antepartum hemorrhage instances, abruptio placenta was responsible for 34%, and indeterminate was responsible for 1%. The vast majority of cases emergency patients were for 62% of APH, and the number of unbooked cases was higher and comparable to Arora at el.…”

Section: Discussionmentioning

confidence: 46%

Feto-maternal outcome in cases of antepartum hemorrhageat a tertiary care hospital-a retrospective study

Singh

Agarwal

Najam

2022

Int J Reprod Contracept Obstet Gynecol

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Background: Antepartum haemorrhage (APH) is described as bleeding from or into the genital tract which occurs after 24 weeks of pregnancy and before prior to birth of infant. As per RCOG Guidelines in India, viable period is 28 weeks. APH is one of the leading causes of maternal mortality mostly in perinatal period worldwide and almost 3-5% of all the pregnancies are complicated because of it. Objectives of the study were to analyse incidence, risk factors of APH and to study the outcomes, the mode of delivery, perinatal mortality and also maternal mortality in APH.Methods: A retrospective study conducted on patients who were admitted to TMMC and RC with complaints of bleeding per vagina after 28 weeks of pregnancy over a period of 1 year (December 2019-2020).Results: A total of 100 patients with APH out of 1440 deliveries were noted which calculated the incidence to 6.9%. Out of all APH cases, the patients having placenta praevia made 65% of the total cases, abruptio placenta were 34% and undetermined cause was up to 1%. Out of majority of patients of APH, almost 62% were emergency cases. The incidence calculated for un-booked cases was far more. 15 patients having placenta praevia underwent curettage after having a spontaneous abortion. Among all patients of placenta previa, 9 patients had history of 1 previous c-section with incidence of 13% while 5 cases had history of 2 previous section with incidence of 7.6%. Placenta previa type 1 has an incidence of 12%, type 2-20%, type 3-38.4% and type 4-29.2%. The 76.9% patients of placenta praevia underwent caesarean section and 23% of patients underwent spontaneously delivery. APH can lead to a variable degree of maternal and perinatal mortality. Maternal mortality in study was 5% due to placenta previa and 7% due to abruption.Conclusions: The incidence of APH could be reduced by taking some preventive measures like early registration, regular antenatal care, promptly detecting high risk cases, and early referral to higher centre. The incidence of maternal and fetal mortality due to abruption still remains high.

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Unclassified Antepartum Haemorrhage Incidence and Perinatal Mortality in a Community

Cited by 14 publications

References 6 publications

A Study of Maternal and Fetal Outcome in Antepartum Haemorrhage

A Study of Maternal and Fetal Outcome in Antepartum Haemorrhage

Antepartum bleeding of unknown origin in the second half of pregnancy and pregnancy outcomes

Feto-maternal outcome in cases of antepartum hemorrhageat a tertiary care hospital-a retrospective study

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