Karakteristik Perdarahan Antepartum Dan Perdarahan Postpartum

Abstract

: The most important cause of hemorrhage in pregnancy and parturition are antepartum hemorrhage and postpartum hemorrhage. The purpose of this research is to investigate the characteristics of antepartum hemorrhage and postpartum hemorrhage at Prof DR. R.D Kandou General Hospital Manado in 2011. This research used a retrospective descriptive through medical records at BLU RSUP Prof dr R.D Kandou Manado in January 2011 to December 2011. From 4155 parturition case in 2011, there were 60 cases (1,44%) of antepartum hemorrhage and 36 case (0,86%) of postpartum hemorrhage. The highest sociodemographic distribution found : in mother's age between 35-39 years old, in highschool students, and housewives . The highest medico obstetric distribution found: 17 cases (28,3%) of first parity and 17 cases (28,3%) second parity of antepartum hemorrhage and 18 cases (50%) of first parity in postpartum hemorrhage, in gestational age between 37-42 week, 32 cases (53,3%) of antepartum hemorrhage and 30 cases (83,3%) of postpartum hemorrhage. The perabdominal parturition (caesarean section), there were 55 cases (91,7%) of antepartum hemorrhage and 22 case (61,1%) of pervaginam in postpartum hemorrhage. The causes of antepartum hemorrhage were placenta previa in 59 cases (98,3%) and retained placenta in 10 cases (27,8%). The most number of antenatal care check ups were ≥4x check ups on antepartum hemorrhage cases and <4x on postpartum hemorrhage cases. These high incidents needs to be noted by all parties. Pregnant women who are in risk for antepartum hemorrhage and postpartum hemorrhage need to be routinety and checked up and carefulle for their pregnancy