ABSTRACT
Background:In current maternal mortality situation in India, it is pertinent to determine the relationship between booking status of mother and maternal and fetal outcomes. Material And Methods:In present study 1500 patients were studiedfrom July 2019 to June 2021 in department of Obstetrics and Gynaecology Smt. S.C.L general hospital, Ahmedabad. Amongst these 1000 were booked (>= 3 antenatal visits) and 500 were emergency (unbooke d) cases (<3 antenatal visits). Result:Majority of patients was between 21 to 30 year age group, lower socioeconomic class and from urban area. In booked patients incidence of Antepartum, Intrapartum, Postpartum complications, medical complications, blood transfusion requirement, rate of caesarean section, incidence of Preterm babies, low birth weight babies, NICU admission, perinatal mortality and maternal mortality was less. Conclusion:In booked cases fetomaternal outcome was good. Hence targeted, integrated, patient friendly, affordable, accessible health services need to be delivered in an equitable manner and through routine screening, monitoring and follow up complications, mortality and morbidity can be reduced.
ABSTRACT
The present study was conducted in Obstetrics and Gynecology Department in King George Hospital, Andhra Medical College on 300 antenatal women with hypertensive disorders. Patients were categorized according to National Blood Pressure Education Programme Work Group definitions as gestational hypertension, mild preeclampsia and severe preeclampsia. Blood pressure was measured using a mercury sphygmomanometer. Korotkoff sounds were monitored to measure diastolic blood pressure. Korotkoff 5 was taken as diastolic blood pressure. Data collected included socio-demographic details, obstetric history, presenting complaints, gestational age at delivery, mode of delivery, maternal complications, condition of baby and fetal outcome. Results were analyzed based on various parameters such as admission gestational age, gestational age at delivery, mode of delivery, severity of hypertension. Perinatal outcomes like IUGR, prematurity, 5 minute APGAR, etc. were analyzed in both Booked and Referred cases. Comparison between booked and referred cases was made employing chi-square test. P-value < 0.05 was considered as statistical significance.