Retrospective Evaluation of Patient Coming with APH to Tertiary Centre

Introduction: Antepartum haemorrhage (APH) is the main cause of death and impairment for mothers and their unborn children in low-resource areas. The two most prevalent causes of APH, placenta previa and placental abruption, have different treatments and results. This retrospective investigation of APH’s prevalence, aetiology, and outcomes in a tertiary care setting at Patna Medical College and Hospital, Bihar, sheds light on its clinical effects. Objective: This research aims to determine how common APH is in tertiary care settings, what causes it, how it affects mothers and newborns, and what variables can predict poor outcomes. The ultimate purpose of these objectives is to understand APH and its clinical consequences to guide high-risk obstetric care. Material and Methods: At Patna Medical College and Hospital in Bihar, 200 pregnant women with acute pulmonary haemorrhage were monitored from January 2023 to December 2023. Parent and child demographics, clinical presentation, diagnosis, treatment plans, and results were examined in patient records. We used the chi-square test to determine the significance of correlations between variables. Results: Placenta previa (50%) and placental abruption (38%) are the main causes of APH. Preterm delivery (52%), NICU hospitalisations (40%), and perinatal mortality (10%) were associated with placental abruption, while caesarean sections and better mother outcomes were associated with placenta previa. Most of the 2% maternal mortality rate was due to severe placental abruption. The study also identified advanced maternal age and multiparity as risk factors for poor outcomes. Conclusion: The report stresses APH’s impact in resource-constrained Bihar. Placental abruption was dangerous to the mother and unborn child, unlike placenta previa, which was surgically treated and had better results. Enhancing neonatal care resources, emergency treatment techniques, and prenatal screening can reduce APH issues. Prospective research should assess long-term maternal and neonatal outcomes.