TY - JOUR AU - kalim, deeba PY - 2016/02/14 Y2 - 2024/03/29 TI - ASSESSMENT OF MATERNAL AND PERINATAL COMPLICATIONS AMONG BOOKED AND UN BOOKED ANTENATAL WOMEN JF - KHYBER MEDICAL UNIVERSITY JOURNAL JA - Khyber Med Univ J VL - 7 IS - 4 SE - Original Articles DO - UR - https://www.kmuj.kmu.edu.pk/article/view/174 SP - 179 AB - <p><strong>Objective</strong><strong>: </strong>To find out the frequency of<strong> </strong>the maternal and perinatal morbidity and mortality among booked and un-booked antenatal women.</p><p><strong>Methods</strong>: <strong> </strong>This cross-sectional prospective study was conducted at Moulvi Ameer Shah Memorial Hospital, Peshawar, Pakistan from January 2013 to December 2013 on 2000<strong> </strong>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.</p><p><strong>Results</strong><strong>:</strong> 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&lt;0.001). Emergency caesarean section rate was 8.89% in un-booked and 4.15% in booked patients (p&lt;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%) &amp; 40(2%) neonates of booked mothers (p&lt;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&lt;0.001). There was no maternal mortality.</p><p> </p><p><strong>Conclusion</strong><strong>: </strong>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.</p> ER -