Farzana Aamir, Atiya Fasih, Asha Mahesh, Emmanuel Qamar Charles.
A comparative review of maternal morbidity and perinatal outcome in booked and un-booked mothers.
Pak J Surg Jan ;28(4):280-4.

Objective: To assess and compare the maternal pregnancy outcomes in booked and unbooked mothers Design: Prospective study Patients and methods: A prospective study was carried out in Jinnah Medical College Hospital Korangi Industrial Area, Karachi for a period of 1 yr from 1st august 2010 to 31st July 2011. Th is study was carried out to assess and compare the impact of foetal and obstetrical outcomes in booked and unbooked mothers at Korangi Industrial Area, Karachi. All the women coming to labour room via the out- patient and Emergency department were included in the study. Women who have 3 antenatal visits are categorized as booked mothers (antenatal care) and those with less than 3 or no visit are labeled as unbooked mothers (without antenatal care). Results: Total 500 patients were recruited in the study, of which 300 received antenatal care (booked mothers) and 200 did not (unbooked mothers). It was observed that unbooked mothers were younger in age 139(27.8 %) as compared to booked mothers 91 (18.2%) [Pvalue(0.001)]. Besides belonging to the lower educational level, the majority of the unbooked mothers also belong to lower socio-economic class 160 (80%) as compared to booked mothers 145(48.33%) [P-value(0.001)]. It was observed that there was an increased prevalence of anemia, ante partum hemorrhage, obstructed labour, preclampsia, clampsia, preterm labour in unbooked mother as compared to booked mothers. Caesarean section rate was also found to be higher in unbooked mothers than the booked mothers [P-value(0.001)]. Perinatal morbidity and mortality were also found to higher in unbooked mothers as shown by apgar score in 1 min and in 5mins. Moreover, Intra uterine death rate was also higher in booked mothers. Conclusions: Th e pregnancy outcomes in booked mothers are far more successful than in unbooked mothers, besides being lower in morbidity

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