Perinatal outcome in antepartum hemorrhage in teaching hospital of northern India- A prospective study

Antepartum hemorrhage (APH) is a grave obstetrical emergency. It is leading cause of perinatal death . Aims of the present study were to study perinatal outcome in patients with antepartum hemorrhage. It is a prospective study carried out over a period of one year (2011-12) on 100 women admitted with the diagnosis of APH at Pt. B.D Sharma medical college, Rohtak, Haryana, India, a tertiary care center. Perinatal outcome recorded according to gestational age, Apgar score, mode of delivery, weight of baby, neonatal mortality and morbidity. Perinatal mortality was higher in vaginally delivered patients (71.4%) in comparison to patients who had caesarean section (53.8%) in abruptio placentae cases. Perinatal mortality decreases with increasing baby weight in placenta previa cases, while perinatal mortality is even high in babies more than 2500 gm in abruptio placentae cases. 79% babies had low apgar score and perinatal mortality in this group was 50.6% while 21% babies with higher Apgar >7 had mortality of 4.7% only.