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MATERNAL AND PERINATAL OUTCOME OF MOTHERS PRESENTING WITH APH IN SHEIKH ZAYED HOSPITAL, RAHIM YAR KHAN

Dr. Farha Saeed, Dr. Sana Saeed, Dr. Sumreen kanwal, Ifra Saeed, Dr. Ghulam Mustafa

Abstract: Background: Antepartum hemorrhage would affect mother and her neonates. Objective: To determine maternal and neonatal outcome of mothers presenting with APH in a tertiary care hospital. Methodology: This was cross sectional study conducted in Sheikh Zayed Hospital, Rahim Yar Khan from April to May 2018 on 94 mothers presenting in Gynecology and obstetrics ward with ante-partum hemorrhage (APH).Results: Regarding maternal outcome, out of 94, 64 (68.1%) mothers were healthy and alive, 8 (8.5%) were admitted in ICU, 18 (19.1%) went into shock and 4 (4.3%) died whereas 30 (31.9%) of neonates were healthy and alive, 19 (20.2%) were admitted in ICU, 3 (3.2%) had ANN and 42 (44.7%) died perinatally. Our study showed maternal education has reduced both perinatal (p value=0.005) and maternal (p-value=0.015) morbidity while husband education has not significantly affected perinatal mortality and morbidity (p-value=0.655). Our research showed that really affect mode of delivery, it has significant affect in perinatal outcome (p=0.002).Conclusion: This study showed that large proportion of mothers with antepartum hemorrhage (APH) faced complications like shock, ICU admission and even death whereas majority of neonates faced ICU admission, ANN and almost half of neonates died during perinatal period. Mode of delivery has no Significant association with maternal outcome was significantly poor among mothers who delivered via SVD .Keywords: APH, Maternal Outcome of APH, Neonatal outcome of APH, Mortality, Morbidity

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