Analytical study to assess maternal outcome in booked and unbooked obstetric cases
DOI:
https://doi.org/10.7439/ijbar.v7i12.3725Abstract
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 maternal outcomes. Methods : In the present randomized prospective study of 400 unbooked (study group) obstetric cases were evaluated and compared with 400 booked (control group) obstetric cases over a period of one year. Results : Unbooked mothers were relatively younger in age, with lower educational status, majority from rural area and belonged to lower socio-economic class, which prevent them to take benefit from available facilities, thus associated with more complications. Antenatal obstetric complications like rate of preterm labour pains, antepartum hemorrhage, PROM were higher among study group as compared to control group where rate of post term pregnancy was high. Intrapartum complications were higher in study group, with most common intrapartum complication being meconium stained liquor in both groups. Most common postpartum complication was hemorrhage in both groups with four maternal deaths in study group and one maternal death in control group. Conclusions : Findings of the study will help the programmers and service providers in identifying areas where emphasis has to be given in the development of strategies that will promote the utilization of antenatal services, to reduce adverse maternal outcome.Downloads
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