Masters Degrees (Obstetrics and Gynaecology)

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Browsing Masters Degrees (Obstetrics and Gynaecology) by Subject "Antepartum haemorrhage"

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    The incidence and outcomes of antepartum haemorrhage of unknown origin at Tygerberg Hospital: a retrospective, descriptive study
    (Stellenbosch : Stellenbosch University, 2017-12) Hartell, Claudine; Rossouw, Jana Nicolene; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology.
    ENGLISH SUMMARY: Objective: The primary aim of this study is to describe the maternal, as well as fetal and neonatal outcomes of patients presenting to Tygerberg Hospital with a diagnosis of antepartum haemorrhage of unknown origin (APHUO). The secondary aim is to determine the prevalence of antepartum haemorrhage (APH) and APHUO at Tygerberg Hospital during the period of data collection. Methods: The research design is that of a retrospective, descriptive audit. This study took place from 01 April 2015 to 30 September 2015. The patient records of all patients presenting to Tygerberg Hospital Obstetrics Admissions area with APH were analysed. A total of 120 patients presented with APH. The focus of the data collection was with the group of patients presenting with APHUO. Results: The prevalence of APHUO was 0.8%. Twenty nine percent of patients presenting with APHUO had a preterm delivery. The neonatal complications of patients with APHUO were related to prematurity. Abruptio placentae was diagnosed on placental examination in 8.1% of patients presenting with APHUO. Conclusion: This study supports the literature findings that the biggest risk to patients presenting with APHUO is preterm labour. The second risk is a subclinical abruptio placentae. The prevalence of APHUO in this study is much lower than the prevalence reported in the literature. This can be attributed to the few number of patients presenting with APHUO in this study.