Effect of antepartum hemorrhage on maternal and infant outcomes in late pregnancy

ObjectiveTo investigate the influence of antepartum hemorrhage on maternal and infant outcomes in late pregnancy.

MethodsOne hundred late pregnant women were divided into the control group(82 cases, no antepartum hemorrhage) and observation group(28 cases, antepartum hemorrhage).The clinical data of two groups were analyzed.The causes of antepartum hemorrhage in late pregnancy were analyzed, and the pregnancy outcomes of pregnant women and neonates were compared.

ResultsThe late pregnancy bleeding causes were placental abruption, placenta previa, cervical and others in observation group, and the incidence rates were 50%, 32.14%, 14.29% and 3.57%, respectively.The incidence rate of postpartum hemorrhage between two groups was not statistically significant(P>0.05).The rate of vaginal delivery in observation group was lower than that in control group(P < 0.01).The incidence rates of cesarean section, hysterectomy, and premature birth and neonatal asphyxia in observation group were higher than those in control group, respectively(P < 0.01 and P < 0.05).The differences of the incidence rates of fetal distress and stillbirth between two groups were not statistically significant(P>0.05).

ConclusionsThe incidence rates of the poor outcomes in late pregnancy women with antepartum hemorrhage increase significantly.The targeted clinical intervention should be implemented in medical personnel according to the specific situation.