A STUDY OF INCIDENCE OF ANTE-PARTUM HEMORRHAGE AND ITS TYPES AT TERTIARY HEALTH CARE CENTRE

Abstract

Introduction: Worldwide approximately 830 women die every day from preventable causes related to pregnancy and childbirth; 99% of those 830 daily deaths are women from developing countries.

Aims and Objectives: To Study incidence of ante-partum hemorrhage and its types at tertiary health care centre

Methodology: This study was conducted in Medical college & General hospital, in the Department of Obsterics & Gynecology. A Total no. of 104 cases of antepartum hemorrhage admitted in hospital were studied & analyzed .In the present study all patients who had bleeding from genital tract after 20 weeks of gestation & 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 of Placenta previa were 1.39%, followed by Abruption placenta Were -0.93%, Local lesions were 0.05%, Unclassified group were 0.05%, Total APH were - 2.42%, Of the Total No. of deliveries 4307.  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 & above were 2.84%. The majority of the patients of APH were of Third party were -25.00%, Second –21.15%, Primi-18.27%, Fourth –16.34%, Fifth and Sixth & above were -9.62%. Placenta previa was more common in Third- 26.67%, followed by Second – 23.33%, and Primi -16.27%. Abruptio placenta placenta was more common in Primi and Third-22.5%, second and fifth was 17.5%, Sixth & above were 12.5%. This observed difference was not statistically significant (p>0.05) .

Conclusion: In our study we have seen that the majority of the patients were of Placenta previa, the majority of the patients were in the age group of 21-25, The majority of the patients of APH were of Third party. Placenta previa was more common in Third parity, Abruptio placenta placenta was more common in Primi and followed by Second Third parity.

Key words: Ante-Partum hemorrhage (APH), Abruptio placenta, Placenta previa, Anemia of chronic disease, Microcytic hypochromic anemia.