
Aim: The aim of the present study was to assess the perinatal outcome in early pregnancy hemorrhage and late pregnancy hemorrhage. Material & Methods: An observational prospective study performed within span of 1 year in the Department of Obstetrics and Gynaecology. Total number of 200 women with bleeding per vaginal during pregnancy was enrolled in the study. Results: Maximum number of cases was concentrated in 26 – 30 years of age with mean age of 28 years. Maximum number of cases was multigravida. Majority of cases were unbooked and booking status was minimal especially with early bleeding group. Maximum numbers of cases were of threatened abortion and minimum were of bleeding due to cervical changes in early pregnancy group. And among late pregnancy group, maximum cases were of placenta previa and minimum were of vasa previa, polyps and carcinoma. Due to perinatal asphyxia, most of the newborns had low APGAR scores at 1 and 5 minutes in late pregnancy bleeding cases as compared to early pregnancy bleeding group. Live newborns of early pregnancy bleeding group showed no significant increase in the complications as compared to late pregnancy bleeding group. Live newborns of late pregnancy bleeding group suffered from a variety of complications of preterm delivery and perinatal asphyxia and so the rate of NICU admissions was also higher. Conclusion: Vaginal bleeding at any stage of pregnancy is an alarming event and can be potentially life-threatening to mother and fetus. Obstetrician should ensure that patient delivers in a well-equipped centre with NICU facilities and expertization of neonatologist.
Aim: The aim of the present study was to assess the perinatal outcome in early pregnancy hemorrhage and late pregnancy hemorrhage. Material & Methods: An observational prospective study performed within span of 1 year in the Department of Obstetrics and Gynaecology. Total number of 200 women with bleeding per vaginal during pregnancy was enrolled in the study. Results: Maximum number of cases was concentrated in 26 – 30 years of age with mean age of 28 years. Maximum number of cases was multigravida. Majority of cases were unbooked and booking status was minimal especially with early bleeding group. Maximum numbers of cases were of threatened abortion and minimum were of bleeding due to cervical changes in early pregnancy group. And among late pregnancy group, maximum cases were of placenta previa and minimum were of vasa previa, polyps and carcinoma. Due to perinatal asphyxia, most of the newborns had low APGAR scores at 1 and 5 minutes in late pregnancy bleeding cases as compared to early pregnancy bleeding group. Live newborns of early pregnancy bleeding group showed no significant increase in the complications as compared to late pregnancy bleeding group. Live newborns of late pregnancy bleeding group suffered from a variety of complications of preterm delivery and perinatal asphyxia and so the rate of NICU admissions was also higher. Conclusion: Vaginal bleeding at any stage of pregnancy is an alarming event and can be potentially life-threatening to mother and fetus. Obstetrician should ensure that patient delivers in a well-equipped centre with NICU facilities and expertization of neonatologist.
APH, Mortality, Morbidity, AP, PP, Anaemia.
APH, Mortality, Morbidity, AP, PP, Anaemia.
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