Evaluation of Etiological Factors for Early Antenatal Bleeding in Tertiary care Centre
Journal Title: The Indian Journal of Maternal-Fetal and Neonatal Medicine - Year 2017, Vol 4, Issue 2
Abstract
Aims and Objectives: (1) To study prevalence of various etiological factors involved in early pregnancy haemorrhage. (2) To find out relative frequency of various causes of bleeding during early pregnancy. Materials and Methods: (1) This is observational retrospective study performed within span of 2 years (August 2014 to july 2016) in Department of Obstetrics and Gynaecology in ACPM Medical college, Dhule. (2) Total number of 200 women with bleeding per vaginum during pregnancy were enrolled in the study. The patients who presented with vaginal bleeding were divided into: 1. Early pregnancy bleeding < 20 weeks. 2. Late pregnancy bleeding > 20 weeks. Since the demographic profile, etiology, risk factors involved, maternal & perinatal morbidities and mortalities associated with early and late pregnancy group are drastically different, so the cases in this study are divided into two groupsEARLY (< 20 weeks) & LATE (>20 weeks). In this first article, early pregnancy group studied separately in terms of all variables. Results: In this study, 66% patients presented with early pregnancy bleeding and 34% with late pregnancy bleeding. Early pregnancy bleeding due to abortion was 72.7%, 4.54% was due to molar pregnancy, 10.6% was due to ectopic pregnancy and rest 6.81% constitutes causes due to cervical factors. Conclusion: Preventable maternal death is greatest tragedy in obstetrics. Vaginal bleeding at any stage of pregnancy is an alarming event and can be potentially life threatening situation. Efforts to improve geographical access, referral services and quality of comprehensive emergency obstetric care are required to improve maternal outcome.
Authors and Affiliations
Alka Patil
Keywords
Related Articles
- EP ID EP454773
- DOI 10.21088/ijmfnm.2347.999X.4217.11
- Views 94
- Downloads 0
Role of Doppler Ultrasound in High Risk Pregnancies in Predicting Feto-Maternal Outcome
Aim: To study the role of color Doppler ultrasonography in high risk pregnancy in predicting maternal outcome depending on gestational age at the time of delivery and mode of delivery. Material and Methods: 50 women with...
A Study of Assessment of Fetal Weight in Term Pregnancy by Abdominal Girth and Symphysio Fundal Height and Comparison with Actual Birth Weight of Baby
Introduction: Prediction of fetal weight has been a subject which has interested many workers. It is useful for the prevention of prematurity by avoiding delivery of small babies through induction or caesarean section. A...
Comparative Study of Efficacy of Head Cap Versus Calcium Supplementation in Preventing Phototherapy Induced Hypocalcemia in Neonates
Context: Phototherapy treatment for hyperbilirubinemia in neonates may result in development of hypocalcaemia. The study is done to assess role of calcium prophylaxis and head cap in the prevention of phototherapy induce...
The Efficacy and Safety of Norethisterone in the Management of Menorrhagia of Dysfunctional Uterine Bleeding
Introduction: Dysfunctional uterine bleeding (DUB) usually presents as heavy menstrual bleeding without any underlying cause. Norethisterone is the most frequently prescribed drug for dysfunctional uterine bleeding servi...
Study on Prevalence and Risk Factors for Persistent Pulmonary Hypertension in Ventilated Term Newborns in a Tertiary Care Neonatal Unit
Context: Persistent pulmonary hypertension (PPHN) is a serious neonatal illness, with significant morbidity and mortality. Limited data are available about PPHN in our set up and thus this study was done. Aims: To assess...