A RETROSPECTIVE STUDY ON MATERNAL AND PERINATAL OUTCOMES IN PREGNANT WOMEN WITH ANTEPARTUM HEMORRHAGE

Abstract

Background: Antepartum hemorrhage (APH) is a complication of pregnancy that can increase risks to both the mother and fetus.The objectives of this study were to determine the proportion, evaluate pregnancy and fetal outcomes in APH, and identify risk factors associated with maternal and perinatal morbidity and mortality.Method: This research used a prospective observational design with secondary data analysis, based on medical records of pregnant women with antepartum hemorrhage treated at RSUD Sidikalang from 2022 to 2025. Data included maternal demographic characteristics, type and cause of hemorrhage, management, as well as maternal and perinatal outcomes. The results : Results: Placenta previa was the main cause of APH, especially in the third trimester and in multigravida women aged 31–35 years. The majority (97.05%) underwent cesarean delivery. No maternal deaths were found. Some postpartum mothers experienced anemia (5.89%). Perinatal outcomes showed a stillbirth rate of (2.94%), low birth weight (5.88%), asphyxia (8.82%), and neonatal jaundice (14.70%) Conclusion: APH remains an important cause of maternal and perinatal morbidity. Recommendations Increasing maternal awareness of routine antenatal check-ups and improving access to health services play a role in reducing the risk of complications related to APH.