Title: Third Trimester Bleeding: It’s Effect on Foetal Outcome -A Study at Tertiary Care Hospital
Authors: Dr Naveen Kumar, Dr Sanjana Jourwal, Dr R P Rawat
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.56
Abstract
Objective: To evaluate the foetal morbidity and mortality in relation to various causes of third trimester bleeding at J K Lon hospital, kota (Rajasthan).
Methods: 312 pregnant women of third trimester bleeding, coming to OPD were recruited for study after applying inclusion & exclusion criteria in our institute during the period of 1st March 2018 to 28th February 2019. Their foetal outcome is observed, compiled, analysed and evaluated.
Results: Out of the 314 babies delivered (including two twins), 258 were alive at birth while 56 were dead. Thus overall Still birth rate was 17.83% (56 out of 314 cases) or 217/1000 live birth. Maximum still births were in abruption group which was 27.22%. Out of 258 alive births, 45 dies in early neonatal period. Maximum death in early neonatal period occur in abruption group was 22.13%.
Among the 314 babies, perinatal death rate is 32.17% (101 out of 314 cases), among them maximum in abruption cases which was 43.33%, followed by indeterminate group 25%, and minimum in placenta previa group which was 14.29%.
Prematurity is the most common complication accounting for 57.75% Cases. Among abruption group 66.41 % babies were premature followed by 52.94% in indeterminate group and 47.31% in placenta previa group.
Conclusion: Abruptio placentae remains important cause of perinatal morbidity and mortality in third trimester bleeding.
Keywords: Antepartum hemorrhage, Placenta previa, Abruptio placentae.
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