Study of Clinical Profile, Maternal and Perinatal Outcomes in Third Trimester Haemorrhage

Dr.Seema Pundir; Dr Sandhya Jain; Dr Alka Kumari; Dr Sonal Prasad

Volume : VIII, Issue : IV, April - 2018

Study of Clinical Profile, Maternal and Perinatal Outcomes in Third Trimester Haemorrhage

Dr. Seema Pundir, Dr Sandhya Jain, Dr Alka Kumari, Dr Sonal Prasad

Abstract :

Third Trimester Haemorrhage (TTH), an obstetrical emergency, has a higher maternal and perinatal mortality rate in India as compared to the developed nations. An observational study was done to understand the clinical profile, foetal–maternal outcomes of TTH along with its predictors of adverse fetomaternal outcomes. Placenta praevia was found to be the major cause of TTH with incidence increasing with age and parity. History of previous LSCS and abortion increased the incidence of placenta praevia and auption was significantly associated with hypertension and pain abdomen.TTH was associated with increased third stage of labour and postpartum complications along with increased incidence of prematurity and low birth weight. Besides antenatal registration, early detection and timely referral, active management at centres equipped with good NICU facility besides 24 hours blood bank and OT facilities, is required for good outcome.