A Study of various clinical presentations and manifestation of ante partum hemorrhage at tertiary health care centre
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 1
Abstract
Background: Antepartum hemorrhage (APH) is a major cause of maternal and perinatal morbidity and mortality even in modern day obstetrics and is one of the most frequent emergencies in obstetrics Aims and Objectives: To Study various clinical presentations and manifestation of ante partum hemorrhage at tertiary health care centre. Methodology: This study was conducted in Tertiary Medical college in the Department of Obsterics and Gynecology. A Total no. of 104 cases of antepartum hemorrhage admitted in hospital were studiedand analyzed. In the present study all patients who had bleeding from genital tract after 20 weeks of gestation and before second stage of labor were included . The data was entered in excel sheets and analyzed and presented in tabular form expressed in percentages. Result: In our study we have seen that The majority of the patients were in the age group of 21-25 were -37.50%, 26-30 - 28.84%, 16-20- 20.20%, 31-35- 9.62%, 35 and above were 2.84%. The most common clinical features of APH was Vaginal bleeding was 90.38% followed by Pain in abdomen in 50.96%, Dead fetus in 33.65%. The most common type of praevia was Type III was 46.00%, Type II Anterior 20.00%, Type I was 15.00%, Type II Posterior was 10.00%, Type IV was 8.33%. The most common etiology of Abruptio placenta was Non –hypertensive in 60.00%, Hypertensive in 32.50%, External trauma in 5.00%, Sudden uterine decompression In 2.50%. The type of Abruptio placenta was mixed in 70.00%, Concealed and Revealed in 15%. As per the abdominal examination the most common presentation was as per the abdominal examination Breech -13.46%, Not made out in 7.69%, Transverse in 5.77%. The most common Mode of delivery was Vaginal without instrumentation was 65.38%, Caesarean section in 34.62%, Forceps and Caesarean hysterectomy not required to anybody. Conclusion: it can be concluded from our study that In our study we have seen that The majority of the patients were in the age group of 21-25, The most common clinical features of APH was Vaginal bleeding , Pain in abdomen, Dead fetus, The most common type of praevia was Type III, Type II Anterior , The most common etiology of Abruptio placenta was Non –hypertensive , Hypertensive, External trauma, The type of Abruptio placenta was mixed Concealed, Revealed, The most common Mode of delivery was Vaginal.
Authors and Affiliations
Pratibha Sanjay Patil, Sanjay Patil
Keywords
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- EP ID EP470325
- DOI 10.26611/1012913
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