Agarwal Sakshi, Ranjan Mamta, Sachan Shikha, Kumar Lalit
Department of Gynaecology and Obstetrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
J Family Med Prim Care. 2023 Dec;12(12):3204-3208. doi: 10.4103/jfmpc.jfmpc_692_23. Epub 2023 Dec 21.
Antepartum hemorrhage (APH) is one of the deadliest complications in obstetrics. It can complicate about 2-5% of pregnancies. It contributes significantly to maternal and perinatal mortality and morbidity during pregnancy and childbearing worldwide. The aim of this study was to determine maternal and fetal outcomes in patients presenting with APH.
This was a retrospective study. Pregnant women with >28 weeks gestation reporting to the Department of Obstetrics and Gynecology from May 2021 to April 2022 were included in the study. Ethical approval from the institutional ethical committee was taken.
This study included 76 patients of APH. Most patients in the analysis were found to be second gravida (30%). Anemia was the most common associated morbidity (51.31%). 58% of these patients were of placenta previa, 14% were of abruption, and 10% were of accreta. Among all patients, 94.74% recovered well. 2.63% of cases could not be saved and resulted in maternal mortality. The proportions of babies alive, intra-uterine death (IUD), and intubated were 86.84%, 11.84%, and 1.32%, respectively. 17.1% of patients required a lifesaving cesarean hysterectomy.
APH is an obstetrical emergency that requires timely diagnosis and early intervention. Swift management is required to improve maternal and fetal outcomes.
产前出血（APH）是产科最致命的并发症之一。它可使约2%-5%的妊娠出现并发症。在全球范围内，它对孕产妇和围产期的死亡率及发病率有重大影响。本研究的目的是确定出现产前出血的患者的母婴结局。
这是一项回顾性研究。纳入了2021年5月至2022年4月期间到妇产科就诊、孕周>28周的孕妇。获得了机构伦理委员会的伦理批准。
本研究纳入了76例产前出血患者。分析发现，大多数患者为经产妇（30%）。贫血是最常见的相关并发症（51.31%）。这些患者中，58%为前置胎盘，14%为胎盘早剥，10%为胎盘植入。所有患者中，94.74%恢复良好。2.63%的病例未能挽救，导致孕产妇死亡。存活婴儿、宫内死亡（IUD）和插管婴儿的比例分别为86.84%、11.84%和1.32%。17.1%的患者需要进行挽救生命的剖宫产子宫切除术。
产前出血是一种产科急症，需要及时诊断和早期干预。需要迅速处理以改善母婴结局。
