Outcome of Pregnancy in Booked Vs Un-Booked Patients

Iqra Kanwal; Naureen Javed; Adnan Murtaza; Zeeshan Mustafa; Sana Iqbal; Shehreen Khan

doi:10.70749/ijbr.v3i5.1097

Authors

Iqra Kanwal Department of Allied Health Sciences, Allied Hospital / Faisalabad Medical University, Punjab, Pakistan
Naureen Javed Department of Gynaecology, Gynae Unit-III, DHQ Hospital / Faisalabad Medical University, Punjab, Pakistan
Adnan Murtaza Department of Gynaecology, Faisalabad Medical University / Allied Hospital, Punjab, Pakistan
Zeeshan Mustafa Department of General Physical and Surgery, Binzhou Medical University, China / Allied Hospital, Punjab, Pakistan
Sana Iqbal Department of Allied Health Sciences, Faisalabad Medical University, Punjab, Pakistan
Shehreen Khan Department of Allied Health Sciences, Faisalabad Medical University, Punjab, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i5.1097

Keywords:

Booking Status, Antenatal Care, Outcomes

Abstract

Objective: To determine the outcome of pregnancy in booked vs un-booked patients. Study Design: Comparative, cross sectional. Place and Duration of Study: Department of Obstetrics and Gynecology, Allied Hospital, Faisalabad. From 1st January 2025 to 31st March 2025. Methodology: Total 570 primigravida or multigravida of 18-40 years of age and both booked and un-booked. Women with known gestational diabetes mellitus, renal, liver, and heart conditions, as well as anemia (Hb<11g/dl), were not included. Patients were divided into two groups as per their booking status. Booked Patients were kept in group A and unbooked patients were kept in group B. Patients in both the groups were followed till delivery and outcome was noted in terms of preterm birth, emergency caesarean section, Intrauterine Death or Neonatal Death). Results: 20 patients (7.02%) in Group A delivered preterm, 17 patients (5.96%) had emergency cesarean section, 11 patients (3.86%) had intrauterine death, and there were 05 (1.76%) documented neonatal death. Group B, on the other hand, had adverse outcome: 53 patients (18.60%) reported preterm birth, 34 (11.93%) had emergency cesarean section, and 29 (10.18%) had intrauterine death. In Group B, 13 patients (4.56%) had neonatal death. We provide the p-values for preterm birth (p=0.0001), emergency cesarean section (p=0.0126), intrauterine death (p=0.0032) and neonatal death (p=0.0462). Conclusion: This study concluded that women who are unbooked throughout pregnancy have higher negative pregnancy outcomes.

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References

WHO. (2017). Global Health Observatory (GHO) data: Neonatal Mortality. World Health Organization. http://www.who.int/gho/childhealth/mortality/neonatal_ text/en/

Bangera, R. T., Bhavani, K., & Padmavathi, T. (2020). Comparative study of outcome of high risk pregnancies in unbooked and booked cases in tertiary care centre. history, 4, 8.

https://iaimjournal.com/wp-content/uploads/2020/01/iaim_2020_0701_09.pdf

Shahanaz, M., Sravya, R., & Mahesh, N. T. (2019). Study of maternal and perinatal outcome in booked versus unbooked pregnant women in a rural based medical college. Journal of Evidence Based Medicine and Healthcare, 6(11), 873-877.

https://doi.org/10.18410/jebmh/2019/184

Zaki, N., Memon, R., Parveen, U., & Lakhan, H. (2019). Impact of antenatal care in feto maternal outcome. Journal of The Society of Obstetricians and Gynaecologists of Pakistan, 9(3), 192-196.

https://www.jsogp.net/index.php/jsogp/article/view/290

Shahanaz, M., Sravya, R., Mahesh, N. T., & Pradesh, A. (2019). Study of maternal and perinatal outcome in booked versus unbooked pregnant women in a rural based medical college. Journal of Evidence Based Medicine and Healthcare, 6, 873-877.

Butt, S., Noreen, M., Syed, S. Z., & Mazhar, A. (2018). Comparison of maternal outcome in booked vs unbooked women in Lady Willingdon Hospital, Lahore. Pakistan Journal of Medical Health Sciences, 12, 969-71.

https://pjmhsonline.com/2018/july_sep/pdf/969.pdf

Setia, S., & Maheshwari, B. (2020). To study maternal complications in booked and unbooked cases. International Journal of Clinical Obstetrics and Gynaecology, 4(4), 89-93. https://doi.org/10.33545/gynae.2020.v4.i4b.629

Anyigor-Ogah, C. S., Egede, J. O., Ogeh, C. O., Agunanne, C. C., Ozioko, A. I., & Duru, C. C. (2024). Determinants and outcomes of pregnancies among booked versus unbooked patients in a tertiary hospital south east, Nigeria. Open Journal of Obstetrics and Gynecology, 14(01), 144-161.

https://doi.org/10.4236/ojog.2024.141014

Olamijulo, J., Olorunfemi, G., Osman, H., Ugwu, A., & Omole-Mathew, J. (2023). 44-Year temporal trends and causes of maternal mortality at the Lagos University teaching hospital, LUTH, Lagos, Nigeria (1976-2019). Nigerian Journal of Clinical Practice, 26(9), 1273-1282.

https://doi.org/10.4103/njcp.njcp_898_23

Barrera, C. M., Powell, A. R., Biermann, C. R., Siden, J. Y., Nguyen, B., Roberts, S. J., James, L., Chopra, V., & Peahl, A. (2021). A review of prenatal care delivery to inform the Michigan plan for appropriate tailored healthcare in pregnancy panel. Obstetrics & Gynecology, 138(4), 603-615.

https://doi.org/10.1097/aog.0000000000004535

Marsland, H., Meza, G., De Wildt, G., & Jones, L. (2019). A qualitative exploration of women’s experiences of antenatal and intrapartum care: The need for a woman-centred approach in the Peruvian Amazon. PLOS ONE, 14(1), e0209736.

https://doi.org/10.1371/journal.pone.0209736

Okojie, O., Ogboghodo, E., & Omoijuanfo, E. (2022). Maternal and neonatal outcomes of booked and UN-booked pregnancies in Benin City, southern Nigeria: A comparative study. Journal of Community Medicine and Primary Health Care, 34(2), 109-127.

https://doi.org/10.4314/jcmphc.v34i2.8

Shittu, M., & Ekwempu, C. (2012). Factors influencing utilisation of delivery services at the Jos University teaching hospital (Juth), Jos. Sahel Medical Journal, 15(1), 36.

https://doi.org/10.4103/1118-8561.145230

Fabamwo, A., Akinola, D., & Mojoyinola, O. (2010). The Tragic consequences of unsupervised pregnancies among Patients referred to a Tertiary Maternity Unit in Lagos, south west Nigeria. The internet journal of tropical medicine, 7(9), 21-5.

Ghafoor, M., Irum Qureshi, Q., Soomro, S., Shah, F., Mughis, A., & Maqsood, Z. (2022). Feto-maternal outcomes of labouring patients in booked and unbooked patients. Pakistan Journal of Health Sciences, 83-87.

https://doi.org/10.54393/pjhs.v3i06.291

Isaac, O. S., Ayeni, A. S., Ugwu, A. O., C, I. D., O, A. P., C, O. A., Akpan, M., Awoniyi, A., Adefemi, A. K., Nwogu, C. M., Fadeyi, D., & Okunade, K. S. (2024). A comparative study of fetal and maternal outcomes in booked and unbooked mothers delivering at a tertiary health care institute in lagos- Retrospective cohort study. Saudi Journal of Medicine, 9(11), 507-511.

https://doi.org/10.36348/sjm.2024.v09i11.005

Rouzi, A., Sahly, N., Kafy, A. M., Alamoudi, R. A., Abualsaud, R. M., Alsheri, W. A., Almehmadi, W. M., Khayyat, S. T., & Altumaihi, R. M. (2023). Mortality outcomes between pregnant women booked for antenatal care and unbooked pregnant women. Annals of Saudi Medicine, 43(6), 357-363.

https://doi.org/10.5144/0256-4947.2023.357

Adedokun, S. T., & Uthman, O. A. (2019). Women who have not utilized health service for delivery in Nigeria: Who are they and where do they live? BMC Pregnancy and Childbirth, 19(1).

https://doi.org/10.1186/s12884-019-2242-6

Akombi, B. J., & Renzaho, A. M. (2019). Perinatal mortality in sub-Saharan Africa: A meta-analysis of demographic and health surveys. Annals of Global Health, 85(1).

https://doi.org/10.5334/aogh.2348

Eshete, A., Alemu, A., & Zerfu, T. A. (2019). Magnitude and risk of dying among low birth weight neonates in rural Ethiopia: a community-based cross-sectional Study. International Journal of Pediatrics, 2019, 1-8.

https://doi.org/10.1155/2019/9034952

Ghimire, P. R., Agho, K. E., Renzaho, A. M., Nisha, M. K., Dibley, M., & Raynes-Greenow, C. (2019). Factors associated with perinatal mortality in Nepal: Evidence from Nepal demographic and health survey 2001–2016. BMC Pregnancy and Childbirth, 19(1).

https://doi.org/10.1186/s12884-019-2234-6

Ajmal, H., Said, S., Said, A., Rahim, R., & Rahim, R. (2022). Perinatal mortality in booked and UN-booked Pakistani mothers. Journal of Medical Sciences, 30(01), 68-70.

https://doi.org/10.52764/jms.22.30.1.14

Adenaya, O., Odelola, O., Ojo, O., Ade-Onojobi, A., Grillo, E., & Aderinwale, O. (2024). Superficial Myofibroblastoma of the vulva in an adolescent; A case report. Babcock University Medical Journal, 7(2), 56-59.

https://doi.org/10.38029/babcockuniv.med.j..v7i2.487

Alshenefy, A. A., Alosaimi, N. K., Alyahya, M. A., Aljuhaysh, R. M., Alonze, S. K., Alshehri, S. S., Yahya Alahmari, A. S., Alnosair, B. A., Al-Khaldi, A. K., Aljumah, M. A., & Almohareb, S. A. (2024). Maternal complications and perinatal outcome associated with UN-booked women in King Saud medical city in Riyadh, Saudi Arabia. World Journal of Advanced Research and Reviews, 24(2), 1962-1968.

https://doi.org/10.30574/wjarr.2024.24.2.3481

Khan, W., Khan, M., Manzoor, S., Bashir, M., Qazi, U., Malik, A., & Ali, A. (2024). Comparison of pregnant ladies with and without antenatal care booking and its effect on maternal and fetal outcome. Journal of Women Medical and Dental College, 2(4).

https://doi.org/10.56600/jwmdc.v2i4.92