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Background@#Many benefits are associated with early antenatal booking which include but are not limited to accurate dating, early detection of medical and obstetrical disorders that could make the pregnancy a high-risk pregnancy and affect its outcome, and objective assessment of maternal baselines such as identifying pre-existing risk factors, taking weight, blood pressure, blood sugar level and urinalysis. If done early, it may provide a picture of the pre-pregnancy condition of the woman. @*Aim@#In the time period and setting looked at in this research, it was found that majority of the mothers booked late, however reasons for booking late were not sought as this was only a quantitative retrospective cohort study. From the outcomes measured, it was seen that anaemia was the most significant outcome associated with late bookers. PPH was also found to be significant amongst late bookers however other statistical analysis deemed it insignificant.@*Results@#The results of this study found that majority of the women (76,58%) booked late. Of these, women who booked late fell in the 15 to 25 age range, were of I-taukei ethnicity, were married, did domestic duties, attended secondary level of education and were multiparous. The most significant pregnancy outcome that was associated with late booking was found to be anaemia. The remaining outcomes were found to be insignificant.
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Background: Anaemia is the commonest medical disorder in pregnancy. It is a leading cause of maternal morbidity and mortality. This study analyses the prevalence and pattern of anaemia and correlates it with booking status in a new medical college in rural Haryana.Methods: This retrospective study was conducted to analyze prevalence, severity and morphology of anaemia in hospitalized pregnant patients at the time of labour in a new medical college in rural Haryana. Antenatal booking status was correlated with haemoglobin levels and severity. The study was conducted over a period of six months from Nov ’18 to April’19.Results: 390 singleton labour patients at or near term with no other known medical complications were evaluated. Prevalence of anaemia in the centre serving as a referral with onsite blood bank facilities was as high as 79.7 %. 47.9% of patients did not have even a single antenatal visit. 50.8% had microcytic hypochromic anaemia followed by 32.3% who had normal morphological picture; dimorphic was 14% and macrocytic 2.8%. The prevalence in booked patients was 78.91% compared to 80.1% in unbooked.Conclusions: Anaemia continues to be a major challenge to the obstetric services despite targeted efforts by the government and various organizations to provide free prophylaxis. Iron deficiency or nutritional anaemia is the commonest. However, booking visits, counselling and free distribution of iron tablets doesn’t ensure that the patient is protected from anaemia. This raises concerns about compliance and hence effectiveness of oral iron therapy. An aggressive strategy for diagnosis, prophylaxis and treatment of anaemia as well as a method to ensure compliance must be developed.
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@#Antenatal care is widely acknowledged as an effective tool to prevent adverse outcomes in pregnant women and their children. In Malaysia, early entry to antenatal care refers to a first visit within the 12th week of gestation. Delayed access to antenatal care has not been extensively studied in Malaysia, whereas several studies have reported a high prevalence of late antenatal booking in developing countries. The objective of this study was to determine the factors and barriers associated with late antenatal booking and the level of knowledge about the timing of antenatal booking among women of childbearing age in the Lundu Districtof Sarawak.
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The current problem with the hospital registration system in our country is that many patterns among different hospi -tals are not standard which leads to poor efficiency and makes patients inconvenient .We analyzed these mussy patterns and suggested some solutions in combination with the practical situation in our hospital and finally designed a new registration booking system which solves the problem of "long time for payments , registration and treatment waiting"by providing online registration and payment in order to simplify the medical procedures .
ABSTRACT
The current problem with the hospital registration system in our country is that many patterns among different hospi -tals are not standard which leads to poor efficiency and makes patients inconvenient .We analyzed these mussy patterns and suggested some solutions in combination with the practical situation in our hospital and finally designed a new registration booking system which solves the problem of "long time for payments , registration and treatment waiting"by providing online registration and payment in order to simplify the medical procedures .
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Aim: To assess the factors influencing registration for antenatal care in Nigerian pregnant women. Study Design: A cross-sectional study. Place and Duration of Study: The antenatal clinic of the department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital from January 2013 to June 2013. Methodology: A cross-sectional study involving 600 pregnant women attending the booking visit at the antenatal clinic in UPTH from January 2013 to June 2013 was undertaken using an interviewer administered structured questionnaire. Data management was done using Epi Info™ 7.1.4 statistical software. Results: The mean gestation age at first antenatal attendance was 18.7±6 weeks. Only 133 women (22%) booked before 14 weeks gestation, most of these (89.5%) were primigravidae Majority of the women [409(68%)] had their first visit between 14 weeks and 28 weeks. Primigravida were significantly more likely to book early in pregnancy (p=0.01). Age and educational status did not appear to influence the gestational age at booking. Distance of residence from the hospital also affected the gestational age at booking as those residing more than 10 km from the hospital were significantly less likely to register early (p=0.03). However availability of funds was a major determinant of when a pregnant would register for antenatal care. Conclusion: Majority of our women register for antenatal care later in pregnancy than the prescribed first trimester due to poverty.
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Aim: This study aims at identifying some delivery outcome determinants in teenage mothers and evaluating the effect of booking in light of these parameters. Study Design: A retrospective study. Place and Duration of Study: Teenage mothers who delivered in a teaching hospital in Nigeria over a 5-year period (between 1st Jan, 2003 and 31st Dec, 2007). Method: Labour ward register and midwives report books were used to get their hospital numbers. These case notes were retrieved subsequently from the health records department and relevant data extracted. Results: There were 8,297 deliveries during the study period and 453 cases of teenage mothers giving a teenage delivery incidence of 5.5%. Of the total teenage deliveries, older teenage mothers (16-19 years) constituted 94.7% while younger teenage mothers were 5.3%. Booked teenage mothers were 83.5% while 16.5% were unbooked. Still birth rate was 87 per 1000. No maternal death was recorded among the teenage mothers. Older teenagers had better obstetric indices such as higher vaginal delivery rate, lower caesarean section and instrumental delivery rate, reduced blood loss, better Apgar scores and less intra uterine fatal deaths than younger teenagers. However, some of these were not statistically significant and in some cases, were barely marginal. Conclusion: Influence of age on teenage delivery and other biological risk factors may not be as much as earlier perceived. Paying special attention to the socio-economic condition of teenage mothers and by extension, their access to essential obstetric care, may obviate the poor obstetric outlook hitherto attached to it.
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As the investments from the state and society in universities increased rapidly, the scientific and technological resources gained huge promotion. However, the efficiency of some instruments remained low, and the repeated purchases of some instruments occurred frequently. Here the authors discussed about building a practical, reasonable and efficient system for lab management.
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This paper described the practice of real-time booking registration, in which the patients may freely choose their visit time points, by such means as the outpatient clinic, website, telephone or short messaging. Such booking registration is an important measure to improve service quality at outpatient clinics; information technology is a prerequisite for real-time booking registration; pooling of outpatient ID number resources is key to setting up the booking registration; the prepaid card deposit practice makes booking registration more efficient; enhanced management for supporting services safeguards booking registration; cooperation with qualified third parties is an effective way to accomplish booking registration in a convenient manner. This paper also probed into other issues in relation to real-time booking registration.
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The author analyses the chance and challenge of foreign periodicals booking in hospital libraries following China entering WTO and under the network environment,and proposes some effective solutions.