A CLINICAL STUDY OF EVALUATE THE CASES OF THIRD TRIMESTER BLEEDING PER VAGINA

Abstract

Aims and Objectives: To nd out the incidence of third trimester bleeding in our institution. To evaluate the patients with full medical, surgical and obstetrical history clinical examination, relevant investigations and obstetrical management. Maternal and perinatal outcome. Evaluation of preventive measures to reduce the complications of third trimester bleeding and to improve perinatal and maternal outcome. Materials and methods: The present study was conducted among the patients admitted in the Department of Obstetrics and Gynaecology of DARBHANGA MEDICAL COLLEGE AND HOSPITAL, LAHERIASARAI, BIHAR. During this study from December 2018 to November 2020 a total number of 9334 mother were delivered among which 112 were diagnosed as having third trimester bleeding per vagina. Result: Perinatal and maternal mortality much higher in the third trimester bleeding per vagina cases. Majority of perinatal mortality occurs in abruptio placentae (47.5%) and only one maternal death occurred in abruption placental. 62.29% of cases were major degree of placenta praevia of which dangerous type II posterior variety was found in 19.67% cases. Conclusion: Blood transfusion facility and round the clock operative facility are very much needed. All efforts are to be made for motivating the mother for acceptance of family planning and to reduce unwanted pregnancy and to encourage small-family norms. The transportation system should be improved for referral of the patients to the next level of care. Liberal and judicious use of caesarean section is also important to achieve the goal of better maternal and perinatal outcome. Finally, the provision of a well equipped neonatal care unit should be available throughout the country