دورية أكاديمية
A Five-Year Review of Feto-Maternal Outcome of Antepartum Haemorrhage in a Tertiary Center.
| العنوان: | A Five-Year Review of Feto-Maternal Outcome of Antepartum Haemorrhage in a Tertiary Center. |
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| المؤلفون: | Oguejiofor CB; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Okafor CD; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Eleje GU; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria.; Effective Care Research Unit, Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi Campus, Nigeria., Ikechebelu JI; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria.; Effective Care Research Unit, Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi Campus, Nigeria., Okafor CG; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Ugboaja JO; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Ogabido CA; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Njoku TK; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Umeononihu OS; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Okpala BC; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Nwankwo ME; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Ezeigwe CO; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Enechukwu CI; Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, PMB 5025, Nnewi, Anambra State, Nigeria., Eke AC; Division of Maternal and Fetal Medicine, Department of Gynaecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, USA. |
| المصدر: | International journal of innovative research in medical science [Int J Innov Res Med Sci] 2023 Mar; Vol. 8 (3), pp. 96-101. Date of Electronic Publication: 2023 Mar 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Journal of Innovative Research in Medical Science Country of Publication: India NLM ID: 101731694 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2455-8737 (Electronic) Linking ISSN: 24558737 NLM ISO Abbreviation: Int J Innov Res Med Sci Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Mandasaur : International Journal of Innovative Research in Medical Science |
| مستخلص: | Background: Pregnancies complicated with antepartum-haemorrhage is high risk pregnancies associated with adverse maternal, fetal-and-perinatal-outcomes. It contributes significantly to fetal and maternal mortality especially in the developing countries. Proper antenatal care and prompt intervention is necessary to forestall adverse and improve outcome. Objective: To determine the prevalence, sociodemographic characteristics, risk factors, fetomaternal outcome of pregnancies with antepartum haemorrhage. Methods: The case files of the patients were retrieved from the medical records department. The total number of deliveries within the study period was obtained from the labour ward records. The feto-maternal-outcome-measures were; prevalence of caesarean-section, postpartum-haemorrhage, hysterectomy, need for blood-transfusion, maternal-death, prematurity, need for admission in intensive-care-unit and still births. The data was analysed using SPSS version 21. Chi-square was used to test for significance. Results: Within the 5-year period under review, out of a total of 6974 deliveries, 234 had antepartum-haemorrhage (3.4% prevalence rate). Abruptio-placentae was the commonest cause and accounted for 69.5% of the cases (prevalence of 2.1%) while placenta praevia accounted for 28.2% of the cases (prevalence rate of 0.9%). The mean age of the women was 31.8±5.3 years. The mean parity was 3.4±1.7 and majority (63.8%) of the women were unbooked. The commonest identifiable risk factors were multiparity and advanced maternal age. One-hundred-and sixty-six (77.9%) women were delivered through the abdominal route. Postpartum-haemorrhage occurred in 22.1% (47) of the cases while prematurity was the commonest fetal complications. Maternal mortality was 0.47% (1) while still birth was 44.1% (94). Conclusion: There is high prevalence of antepartum-haemorrhage in our environment. Abruptio-placentae was the commonest cause and associated with significant adverse fetomaternal-outcome when compared with placenta-praevia. Thus, good and quality antenatal care as well as high index of suspicion, prompt diagnosis and treatment remain the key to forestall these complications and improve fetomaternal-outcome. Competing Interests: Conflict of interest The authors declare no conflict of interest. |
| References: | Int J Appl Basic Med Res. 2017 Apr-Jun;7(2):112-116. (PMID: 28584742) Niger J Med. 2007 Jan-Mar;16(1):61-4. (PMID: 17563971) J Pregnancy. 2017;2017:5936309. (PMID: 28321338) Niger J Clin Pract. 2012 Apr-Jun;15(2):185-9. (PMID: 22718170) J Ayub Med Coll Abbottabad. 2016 Jan-Mar;28(1):172-4. (PMID: 27323587) Niger J Med. 2013 Jul-Sep;22(3):234-8. (PMID: 24180154) |
| معلومات مُعتمدة: | K23 HD104517 United States HD NICHD NIH HHS |
| فهرسة مساهمة: | Keywords: Abruptio-placentae; Anterpartum-haemorrhage; Fetal; Maternal; Outcome; Placenta-praevia |
| تواريخ الأحداث: | Date Created: 20230403 Latest Revision: 20230412 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10066273 |
| DOI: | 10.23958/ijirms/vol08-i03/1637 |
| PMID: | 37006445 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2455-8737 |
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| DOI: | 10.23958/ijirms/vol08-i03/1637 |