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Objective: To find out the frequency of the maternal and perinatal morbidity and mortality among booked and un-booked antenatal women.
Methods: This cross-sectional prospective study was conducted at Moulvi Ameer Shah Memorial Hospital, Peshawar, Pakistan from January 2013 to December 2013 on 2000 randomly selected antenatal women with single pregnancy. Patients were divided in two groups, booked and un-booked. Details of demographic features and antenatal complications were recorded on a pre-designed proforma. Significance of the difference between the booked and un-booked patients was calculated by Chi square test.
Results: Out of 2000 antenatal women, 1160 (58%) were booked and 840 (42%) were un-booked. Instrumental delivery rate was 3.6% among un-booked mothers versus 2.3% in booked mothers (p<0.001). Emergency caesarean section rate was 8.89% in un-booked and 4.15% in booked patients (p<0.001). Anemia, Pregnancy-induced hypertension and premature rupture of membranes were observed in 223 (11.15%), 109 (5.45%), 102 (5.1%) un-booked and 90 (4.5%), 38 (1.9%) and 53 (2.65%) booked patients respectively. Birth asphyxia, low Apgar score, low birth weight and septicemia were observed in 170(8.5%), 76(3.8%), 208(10.4%) and 62 (3.1%) neonates of un-booked mothers and in 104(5.2%), 43 (2.15%), 61(3.05%) & 40(2%) neonates of booked mothers (p<0.001). The perinatal mortality rate was 3.6% (n=72) and 1.65% (n=33) in neonates of un-booked and booked mothers respectively (p<0.001). There was no maternal mortality.
Conclusion: The study showed a positive correlation between un-booked mothers and increased risks of maternal and fetal adverse outcomes. All the obstetric complications were more common among un-booked mothers.
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2. Fikree FF, Gray RH. Demographic survey of the level and determinants of perinatal mortality in Karachi Pakistan. Pediatr Perinatal Epidemal 1996: 10: 860-91.
3. Cambell S, Lee C. Obstetric emergencies. In: Obstetrics by ten teachers, Cambell S, Lee C, editors. London: Arnold, 17th ed. 2000; pp.93-17.
4. Abro S. T, Shaikh S, Shaikh H, and Baloch R. Obstetrical complication in grand multiparity. Med Channel 2009; 15: 53.
5. Brudage SC. Preconception health care. Am Fam Physicians 2002; 65: 2507-4.
6. Tucker A, Ogutu D, Yoong W, Nauta M, Fakokunde A. The unbooked mother: A cohort study of maternal and neonatal outcomes in a North London Hospital. Arch Gynecol Obstet 2010; 281: 613-6.
7. Mustard CA, Roos NP. The relationship of prenatal care and pregnancy complications to birth weight in Winnipeg, Canada. Am J Public Health. 1994; 84: 1450-7.
8. Philip N. Baker editor, ,Ostetrics by Ten Teachers,18 edition chapter2, p 14-33.
9. Ade Kanle DA, Adeyemi AS, Fadero FF. Booking status and caesarean section outcome in Lautech teaching Hospital Osogho. Niger J Med 2008; 17: 25-8.
10. Jaleel R, Khan A. Obstetric morbidity in the booked versus non booked patients. A comparative study at Lyari General Hospital. Pak J Surg 2008; 24: 196-202.
11. Tufail A, Hashimi HA. Maternal and perinatal outcome in teenage pregnancy in a community based hospital. Pak J Surg 2008; 24: 19-4.
12. Failing F, Ripa P, Tefuaran N, Vince J. A comparison of booked and un booked mothers delivering at the Port Moresby General Hospital: A Case control study. Papua New Guinea Med J 2004; 47: 174-80.
13. Sultana A, Riaz R, Tehseen I, Sabir SA. Assessment of pregnancy outcome with and without antenatal care. Pak J Med Res 2010; 49: 1-4.
14. Danish N, Fawad A, Abbasi N. Assessment of pregnancy outcome in primigravida: comparison between booked and un booked patients. J Ayub Med Coll Abbottabad 2010; 22: 23-5.
15. Gonied AS. Maternal complications and perinatal outcomes in booked and unbooked mothers. J Am Sci 2011; 7: 792-6.
16. Adelaja LM, Olufemitaiwo. Maternal and fetal outcome of obstetric emergencies in a tertiary Health Institution in South-Western Nigeria. International Scholarly Research Network, 2011: 1-4.
17. Shamshad. Perinatal mortality: an outcome of quality of perinatal care. Gomal J Med Sci 2010; 8: 166-71.