- Visibility 547 Views
- Downloads 578 Downloads
- Permissions
- DOI 10.18231/j.ijogr.v.12.i.3.20
-
CrossMark
- Citation
Evaluation of fetomaternal outcome in patients of antepartum hemorrhage in a tertiary care center: A descriptive and observational study
Background: Antepartum hemorrhage (APH) is a significant obstetric emergency leading to adverse maternal and fetal outcomes.
Aim and Objective: This study aimed to evaluate fetomaternal outcomes in patients with APH in a tertiary care setting.
Materials and Methods: The prospective observational study was conducted on140 cases in the Department of Obstetrics and Gynecology, associated with Lala Lajpat Rai Memorial Medical College, Meerut from 1 November 2022 to 30 October 2023.
Results: The study group primarily consisted of younger adults, with 47.14% aged between 26-30 years, and a significant portion from lower socio-economic backgrounds, with 66.67% falling into this category. A notable 65% of participants were multigravida, indicating a prevalence of experienced mothers. Emergency LSCS was the predominant mode of delivery, performed in 70% of cases, while 58% required blood transfusions, reflecting substantial intervention needs. Maternal morbidity was high (91%), though maternal mortality remained low (2%). Most participants (93.57%) were unbooked, suggesting low prenatal care, and 52.14% were illiterate. Placenta previa was the most frequent cause of APH, seen in 57% of cases. The study revealed significant neonatal morbidity and mortality, with 50.7% of newborns requiring NICU admission and 5.2% being stillborn
Conclusion: The study highlights that antepartum hemorrhage, primarily caused by Placenta previa, is associated with significant maternal and neonatal morbidity. High rates of emergency cesarean sections, blood transfusions, and neonatal complications were observed. Improved antenatal care, early diagnosis, and timely interventions are crucial to improve obstetrical outcomes.
References
- Sharma JB. Antepartum hemorrhage. In: Sharma JB, editor. Textbook of JB Sharma obstetrics. 3rd ed. New Delhi: Arya Publishing Company; 2021. p. 433–50.
- Lakshmipriya K, Vijayalakshmi V, Padmanaban S. A study of maternal and fetal outcome in antepartum haemorrhage. Int J Clin Obstet Gynaecol. 2019;3(1):96–9.
- Dutta DC. Antepartum hemorrhage. In: Konar H, editor. Textbook of obstetrics. 9th ed. Calcutta: New Central Book Agency; 2018. p. 228–43.
- Shrestha SD, Shrestha R, Singh A, Sharma P, Pradhan AM, Lama S. Antepartum hemorrhage at a tertiary care teaching hospital in Nepal. J Patan Acad Health Sci. 2017;4(2):44–8.
- Khandasu S, Singh P, Ratnani R. Incidence of antepartum haemorrhage in pregnancy and its maternal-fetal outcome in admitted antenatal patients in tertiary care centre, Bhilai Durg, Chhattisgarh. Int J Reprod Contracept Obstet Gynecol. 2021;10:1406–10.
- Dibaba B, Edosa D, Hajure M, Gebre G. Risk factors of antepartum hemorrhage among mothers who gave birth at Suhul General Hospital, 2016: a case-control study. J Multidiscip Healthc. 2021;14:271–8.
- Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 25th ed. New York: McGraw-Hill Education; 2018.
- Ahenkorah B, Sakyi S, Helegbe G, Owiredu E, Ofosu W, Der E, et al. Prevalence and risk factors associated with preeclampsia, low 486 Verma and Parveen / Indian Journal of Obstetrics and Gynecology Research 2025;12(3):480–486 birth weight and postpartum hemorrhage in Northern Ghana. Research Square. 2020. doi:10.21203/rs.3.rs-109200/v1
[Google Scholar] - 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(11):3972–7.
- Moutquin JM. Socio-economic and psychosocial factors in the management and prevention of preterm labour. BJOG. 2003;110(Suppl 20):56–60.
- Qualls BW. Impacts of a Ronald McDonald House: Can Supporting Parental and Familial Needs Influence Outcomes of Neonates in the Neonatal Intensive Care Unit? [dissertation]. Rochester (NY): University of Rochester; 2024.
- Ventura Zorrilla JC. Gynecological and obstetric diagnoses provided through telemedicine at a MINSA hospital in Chiclayo, 2020-2021 [master's thesis]. Trujillo: Cesar Vallejo University; 2022. Available from: https://hdl.handle.net/20.500.12692/96507
- Anthoulakis C, Mamopoulos A, Rousso D, Karagiannis A, Athanasiadis A, Grimbizis G, et al. Arterial stiffness as a cardiovascular risk factor for the development of preeclampsia and pharmacopreventive options. Curr Vasc Pharmacol. 2022;20(1):52–
- Kulkarni AR, Shirsath AS. Study of antepartum hemorrhage and its maternal and perinatal outcome at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2021;10(6):2210–4.
- Gibbins KJ, Einerson BD, Varner MW, Silver RM. Placenta previa and maternal hemorrhagic morbidity. J Matern Fetal Neonatal Med. 2018;31(4):494–9.
- Takai IU, Sayyadi BM, Galadanci HS. Antepartum hemorrhage: a retrospective analysis from a northern Nigerian teaching hospital. Int J Appl Basic Med Res. 2017;7(2):112–6.
- Nielsen TF, Hagberg H, Ljungblad U. Placenta previa and antepartum hemorrhage after previous cesarean section. Gynecol Obstet Invest. 1989;27(2):88–90.
- Jena MK, Sharma NR, Petitt M, Maulik D, Nayak NR. Pathogenesis of preeclampsia and therapeutic approaches targeting the placenta. Biomolecules. 2020;10(6):953.
- Sangwan V, Sangwan M, Siwach S, Lakra P, Khandelwal S, Mahendru R. Peripartum management of placenta previa and abruption placenta in rural perspectives: a real test of obstetrician’s clinical and surgical skills. J Med Sci Clin Res. 2017;5(5):21463–
- Fernandes JC, Gopalakrishna N. Maternal and fetal outcome in abruptio placentae at a tertiary care centre: a retrospective analysis. Int J Reprod Contracept Obstet Gynecol. 2021;10(10):3860–3.
- Patel R, Joshi K, Mehta H. Fetomaternal outcome in pregnancy with thrombocytopenia: a prospective study from one of the teaching health-care institutes of Ahmedabad, Gujarat. Natl J Physiol Pharm Pharmacol. 2022;12(8):1282–6.
- Agarwal S, Ranjan M, Sachan S, Kumar L. Antepartum haemorrhage and its maternal and perinatal outcome: An experience at a hospital in North India. J Family Med Prim Care. 2023;12(12):3204–8.
- Bashir HA, Lufting-Leeffrers D, Min AM, Win HH, Tun NW, Wah TG, et al. Antenatal corticosteroids reduce neonatal mortality in settings without assisted ventilatory support: a retrospective cohort study of early preterm births on the Thailand-Myanmar border. Wellcome Open Res. 2024;8:225.
- Jharaik H, Dhiman B, Verma SK, Sharma A. Consequences of antepartum hemorrhage and its maternal and perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2019;8(4):1480–7.
- Kaushal V, Mahajan N, Vij A, Gupta A. A study for maternal and fetal outcome in patients presenting with antepartum hemorrhage. Int J Curr Trends Sci Technol. 2018;8(4):20408–21.
- Long SY, Yang Q, Chi R, Luo L, Xiong X, Chen ZQ. Maternal and neonatal outcomes resulting from antepartum hemorrhage in women with placenta previa and its associated risk factors: a single-center retrospective study. Ther Clin Risk Manag. 2021;17:31–8.
- Huang S, Zuo Q, Wang T, Tang X, Ge Z, Lu H, et al. Maternal and neonatal outcomes of repeated antepartum bleeding in 493 placenta previa cases: a retrospective study. J Matern Fetal Neonatal Med. 2022;35(25):5318–23.
How to Cite This Article
Vancouver
Verma A, Parveen S. Evaluation of fetomaternal outcome in patients of antepartum hemorrhage in a tertiary care center: A descriptive and observational study [Internet]. Indian J Obstet Gynecol Res. 2025 [cited 2025 Oct 03];12(3):480-486. Available from: https://doi.org/10.18231/j.ijogr.v.12.i.3.20
APA
Verma, A., Parveen, S. (2025). Evaluation of fetomaternal outcome in patients of antepartum hemorrhage in a tertiary care center: A descriptive and observational study. Indian J Obstet Gynecol Res, 12(3), 480-486. https://doi.org/10.18231/j.ijogr.v.12.i.3.20
MLA
Verma, Aruna, Parveen, Shazia. "Evaluation of fetomaternal outcome in patients of antepartum hemorrhage in a tertiary care center: A descriptive and observational study." Indian J Obstet Gynecol Res, vol. 12, no. 3, 2025, pp. 480-486. https://doi.org/10.18231/j.ijogr.v.12.i.3.20
Chicago
Verma, A., Parveen, S.. "Evaluation of fetomaternal outcome in patients of antepartum hemorrhage in a tertiary care center: A descriptive and observational study." Indian J Obstet Gynecol Res 12, no. 3 (2025): 480-486. https://doi.org/10.18231/j.ijogr.v.12.i.3.20