{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:43:43Z","timestamp":1786725823429,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Aim:<\/jats:title>\n                    <jats:p>Antepartum hemorrhage (APH) is one of the deadliest complications in obstetrics. It can complicate about 2\u20135% of pregnancies. It contributes significantly to maternal and perinatal mortality and morbidity during pregnancy and childbearing worldwide. The aim of this study was to determine maternal and fetal outcomes in patients presenting with APH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study. Pregnant women with &gt;28 weeks gestation reporting to the Department of Obstetrics and Gynecology from May 2021 to April 2022 were included in the study. Ethical approval from the institutional ethical committee was taken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>This study included 76 patients of APH. Most patients in the analysis were found to be second gravida (30%). Anemia was the most common associated morbidity (51.31%). 58% of these patients were of placenta previa, 14% were of abruption, and 10% were of accreta. Among all patients, 94.74% recovered well. 2.63% of cases could not be saved and resulted in maternal mortality. The proportions of babies alive, intra-uterine death (IUD), and intubated were 86.84%, 11.84%, and 1.32%, respectively. 17.1% of patients required a lifesaving cesarean hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>APH is an obstetrical emergency that requires timely diagnosis and early intervention. Swift management is required to improve maternal and fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_692_23","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T16:07:20Z","timestamp":1702915640000},"page":"3204-3208","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Antepartum hemorrhage and its maternal and perinatal outcome: An experience at a hospital in North India"],"prefix":"10.4103","volume":"12","author":[{"given":"Sakshi","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Sachan","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"R1-20260511","first-page":"499","article-title":"Management of obstetric hemorrhage","volume":"20","author":"Rudra","year":"2010","journal-title":"Middle East J Anaesthesiol"},{"key":"R2-20260511","doi-asserted-by":"crossref","first-page":"160932","DOI":"10.5402\/2011\/160932","article-title":"Maternal and fetal outcome of obstetric emergencies in a tertiary health institution in South-Western Nigeria","volume":"2011","author":"Mustafa Adelaja","year":"2011","journal-title":"ISRN Obstet Gynecol"},{"key":"R3-20260511","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.18203\/2320-1770.ijrcog20161291","article-title":"Maternal and fetal outcome in antepartum haemorrhage: A study at tertiary care hospital","volume":"5","author":"Kedar","year":"2016","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R5-20260511","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/jmf.11.1.34.39","article-title":"Incidence, obstetric risk factors and pregnancy outcome of preterm placental abruption: A retrospective analysis","volume":"11","author":"Sheiner","year":"2002","journal-title":"J Matern Fetal Neonatal Med"},{"key":"R8-20260511","first-page":"255","article-title":"Antepartum haemorrhage: Causes & its effects on mother and child: An evaluation","volume":"3","author":"Wasnik","year":"2015","journal-title":"Obstet Gynecol Int J"},{"key":"R9-20260511","first-page":"976","article-title":"The likelihood of placenta previa with greater number of cesarean deliveries and higher parity","volume":"99","author":"Gilliam","year":"2002","journal-title":"Obstet Gynecol"},{"key":"R10-20260511","first-page":"89","article-title":"Placenta previa\/accreta and prior cesarean section","volume":"66","author":"Clark","year":"1985","journal-title":"Obstet Gynecol"},{"key":"R11-20260511","first-page":"155","article-title":"Abruptio placentae","volume":"27","author":"Hibbard","year":"1966","journal-title":"Obstet Gynecol"},{"key":"R12-20260511","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/0020-7292(89)90839-4","article-title":"Severe abruptio placentae--still unpreventable","volume":"29","author":"Rai","year":"1989","journal-title":"Int J Gynaecol Obstet"},{"key":"R13-20260511","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/0002-9378(65)90289-9","article-title":"Placenta previa. 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