To study maternal complications in booked and unbooked cases

Abstract

Background: The high maternal morbidity and mortality rates are indicators of the poor state of health services and it is pertinent to determine the relationship between the booking status of mother and its outcomes. Methods: A prospective observational study was conducted over 200 booked and 200 unbooked pregnant women from December 2017 to June 2019 in obstetrics and gynaecology department of Muzaffarnagar Medical College, Muzaffarnagar. Patients admitted during the study period fulfilling the specified inclusion criteria after taking consent were assessed for eligibility. Women without any investigation or documentation were included and cases with gestational age less than 28 completed weeks were excluded.Results: The difference in the mean age among booked and unbooked cases was not significant. Primigravida was significantly more in booked cases (58%) whereas multigravida in unbooked cases (54.5%). Maternal complications, IUD, neonatal deaths were more among unbooked cases as compared to booked cases. Conclusions: Findings of the study shows that the maternal outcome in booked mothers is far better than in unbooked mothers and complications like hypertensive disorders of pregnancy, gestational diabetes anaemia are more common in unbooked mothers which will further affect their fetal outcomes. This study highlights the need of antenatal care to improve fetomaternal outcome.