Zahida Noreen, Samia Hassan, Amna Kazi, Farah Shahbaz, Riffat Nawaz.
The Influence of Antenatal Care on Pregnancy Outcome in Primigravidae.
Pak J Med Health Sci Jan ;7(3):782-4.

Aim: To determine the mode of delivery in booked and un-booked primigravidae and determine the feto-maternal outcome in both groups. Methods: This descriptive case series study was carried out at Department of Obstetrics and Gynaecology, Unit-I, Services Hospital, Lahore from 27-9-2007 to 26-3-2008. All booked primigravidas presenting in Labour Room through OPD or Emergency and un-booked primigravidas presenting in Labour Room through OPD or Emergency were included. All pregnant women with previous pregnancies .resulting in either a live-birth or a miscarriage were excluded. Results: Mean age was 25.3±1.9 years and 24.1±2.1 years in group A and B respectively. 36 (72%) in group A, delivered by spontaneous vaginal delivery and 15(30%) in group B. Caesarean section was carried out in 12(24%), patients from group A and 28(56%), in group B. Assisted vaginal delivery as performed in 2(4%) patients from group A and 7(14%) patients in group B. Regarding maternal morbidity, 1(2%), in group A, and 7(14%) patients in group B had postpartum haemorrhage. In group B, 3(6%) women suffered from pyrexia, 5(10%), had wound infection and gaped episiotomy/hematoma occurred in 2(4%) patients. Conclusion: Pregnancy complications were more prevalent in unbooked patients. These included anaemia, pregnancy induced hypertension and gestational diabetes. Intrapartum and postpartum complications were also higher in the un-booked group. Booked patients had a better perinatal outcome.

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