Impact of Antenatal Care in Feto Maternal Outcome
Objective: To determine the impact of antenatal care in feto maternal outcome at tertiary care Hospital.
Methodology: This was a comparative cross-sectional study, which was conducted at gynecology and obstetrics department of Isra University Hospital Hyderabad, Sindh, from October 2014 to March 2015. All the women with age of 18 to 40 years, presented with labour at gynecology department were studied and they underwent routine laboratory investigations and ultrasound for fetal wellbeing. Patients were interviewed regarding age, parity, antenatal care, socioeconomic status and educational status. All the information was recorded in the self-made proforma.
Results: Total 235 women were studied; the most common age group was 26 -35 years of 150 women. Pre-eclampsia/eclampsia, Antepartum haemorrhage, postpartum haemorrhage and mortality rate were significantly higher among un-booked patients in contrast to booked patients, p-value 0.001. According to the fetal outcome IUD, still birth, early neonatal death and poor Apgar score were markedly higher among un-booked patients as compared to booked patients, p-value 0.001.
Conclusion: It was concluded that un-booked pregnant females are at greater risk of adverse perinatal and maternal outcome due to poor antenatal care and late coming of subjects with complications can result in higher perinatal and maternal mortality and morbidity.
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