Sadiya Butt, Madiha Noreen, Sadaf Zahra Syed, Afshan Mazhar.
Comparison of Maternal Outcome in Booked Vs Unbooked Women in Lady Willingdon Hospital, Lahore.
Pak J Med Health Sci Jan ;12(3):969-71.

Background: Antenatal services are of particular concern as they not only represent woman’s access to proper health provision but timely consultations with specialists can ensure that any complications in the process of childbirth are identified and dealt with in an effective manner. Aim: To determine the frequency of booked cases presenting in labour and to compare maternal outcome in booked and un-booked women in local population. Methods: This descriptive case series study was conducted at lady Willingdon Hospital Lahore for 6 months (date: from 1-6-15 to 31-12-15 ). The non-probability, consecutive sampling technique was used. After taking informed consent, demographic profile and Obstetric history was taken. All cases were labeled as booked or un- booked (as per operational definition) and their maternal outcome related to delivery (Pre-eclampsia, Maternal mortality, Normal vaginal delivery and Preterm birth) was taken in both booked and un-booked cases. Results: The mean age of the patients in our study was 28.20+/-5.83 years, 70% patients appeared with booked status and 30% patients appeared with unbooked status. Preeclampsia was noted in 60(23.1%) patients, maternal mortality occurred in 22(8.5%) patients, NVD done in 135(51.9%) pts and preterm birth occurred in 73(28.1%). Conclusion: According to our study results most of the patients were from booked group and adverse maternal outcome [CS, Preeclampsia and preterm birth] were noted significantly more in unbooked groups of patients as compared to booked group of patients.

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