Saima Aziz Siddiqui, Nargis Soomro.
Perinatal outcome in high risk pregnant women according to antenatal attendance at a tertiary hospital.
J Dow Uni Health Sci Jan ;3(3):100-7.

Objective: To analyze the perinatal outcome in two categories of patients on the basis of number of antenatal visits to three or less against more than three visits. Study Design: Prospective analytical study. Setting: Obstetrics & Gynaecology Unit II, Civil Hospital Karachi. Methods: One hundred and twenty patients who attended high risk pregnancy clinic for one or more times during pregnancy, were prospectively followed till delivery for comparison of perinatal outcome in patients attending for three or less visits against more than three antenatal visits Outcome measures were analyzed by ‘z’ test and Fischer’s exact test with a level of significance <0.05 Results: Perinatal mortality rate (PNMR) was 61.22/1000 in group A (three or less visits) versus 14.08/1000 in group B with more than three visits(p>0.05). There was no significant difference in other pregnancy outcomes between the two groups but neonatal admission rate was significantly high in group A(p<0.05). Overall PNMR of the study population and that of group B was significantly lower than the annual PNMR of the department (p<0.05). Conclusion: Minimal antenatal attendance adversely affects perinatal outcome in high risk pregnant women as compared to regular antenatal attendance with more than three visits.

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