RESUMEN
Background: All pregnant women, by virtue of their pregnancy status, face some level of maternal risk. There are certain complications related to some pregnancies which are mainly associated with the health of mother
Objective: To enlist the risk factors and maternal outcome among booked and unbooked cases
Methodology: This was a cross sectional study done from 1st January to 31st March 2017. Randomly selected 300 study subjects participants were included in this study, from Obstetrics and Gynecology departments of Sheikh Zayed Hospital, Rahim Yar Khan. All the patients admitted through emergency and outpatient department, who had delivered in labour room were included. Ethical approval was sought from Institutional Review Board and took consent from individual patients. Booked patients were those who has atleast three antenatal care visits while unbooked patients included the ones who couldn't have any antenatal care during whole period of pregnancy. A predesigned performa was used for data collection. The performa included booking status, age of both partners, education of both partners, occupation of both partners, monthly income, residence, ethnicity, mode of delivery, number of antenatal visits, health provider at the time of antenatal visits gravida, parity, abortion, mode of delivery, gestational age, history of any disease during pregnancy and maternal consequences. The data was analyzed using SPSS version 16
Results: The mean age of patients was 26+/- 7.5 years, mean age of husbands was 30+/-6years, parity was 1.6+/-2.2, gravida was 3+/-2.4, abortion was 0.4+/-0.7, gestational age was 37.9+/-2.2, number of antenatal visits were 4+/-2.6, monthly family income [PKR] [Median] was 12000. 146 [48.7%] patients were illiterate. Out of total, 98 [32.7%] were booked patients and 202 [6.3%] were unbooked patients. Among booked cases, 84 [85.7%] were healthy, 7 [7.1%] has PPH, 2 [2%] were in ICU, 2 [2%] has ARF, 3 [3.1%] has hysterectomy. Among unbooked cases, 158 [78.2%] were healthy, 14 [6.9%] has PPH, 27 [13.4%] were admitted in ICU and 2 [1%] has hysterectomy. [p=0.00]
Conclusion: Our studyshowed that PPH and ICU admissions were significantly more among unbooked cases at tertiary care hospital. Overall ICU admissions followed by PPH and hysterectomy were more common maternal outcome noted in this study