FREQUENCY OF MATERNAL AND PERINATAL COMPLICATIONS AMONG BOOKED AND UN-BOOKED ANTENATAL WOMEN

OBJECTIVE: To find out the frequency of the maternal and perinatal morbidity and mortality among booked and un-booked antenatal women. METHODS: This cross-sectional prospective study was conducted at Moulvi Ameer Shah Memorial Hospital, Peshawar, Pakistan from January 2013 to December 2013 on 2000 randomly selected antenatal women with single pregnancy. Patients were divided in two groups, booked and un-booked. Details of demographic features and antenatal complications were recorded on a pre-designed proforma. Significance of the difference between the booked and un-booked patients was calculated by Chi square test. RESULTS: Out of 2000 antenatal women, 1160 (58%) were booked and 840 (42%) were un-booked. Instrumental delivery rate was 3.6% among un-booked mothers versus 2.3% in booked mothers (p 0.001). Emergency caesarean section rate was 8.89% in un-booked and 4.15% in booked patients (p 0.001). Anemia, Pregnancy-induced hypertension and premature rupture of membranes were observed in 223 (11.15%), 109 (5.45%), 102 (5.1%) un-booked and 90 (4.5%), 38 (1.9%) and 53 (2.65%) booked patients respectively. Birth asphyxia, low Apgar score, low birth weight and septicemia were observed in 170 (8.5%), 76 (3.8%), 208 (10.4%) and 62 (3.1%) neonates of un-booked mothers and in 104 (5.2%), 43 (2.15%), 61 (3.05%) 40 (2%) neonates of booked mothers (p 0.001). The perinatal mortality rate was 3.6% (n=72) and 1.65% (n=33) in neonates of un-booked and booked mothers respectively (p 0.001). There was no maternal mortality. CONCLUSION: The study showed a positive correlation between un-booked mothers and increased risks of maternal and fetal adverse outcomes. All the obstetric complications were more common among un-booked mothers