Comparison of feto-maternal complications in booked and unbooked females presenting at time of delivery in Sir Ganga Ram Hospital,Lahore

Aim: to compare feto-maternal complications in booked and unbooked females presenting at time of delivery in a tertiary care hospital.study design: a comparative cross-sectional study.place and duration of study: obstetrics & gynae department of sir ganga ram hospital,lahore,pakistan,from june,2011 to december,2011.methods: 1400 cases; 700 cases in each group,was calculated with the help of who calculator and booked and unbooked cases were enrolled. informed consent was obtained and demographic profile of patients like name,age,gestational age,parity was noted. blood sample was obtained to assess the hemoglobin level of the patient and sent to laboratory of ganga ram hospital. if hb<11g/dl,then anemia was labeled. bp was noted on two occasions. if bp>140/90mmhg and proteinuria > 2+,then preeclampsia was labeled and if convulsion were present then eclampsia was labeled. intrauterine fetal death was noted from early available scan or during delivery. mode of delivery was noted as cesarean section or vaginal delivery. after delivery apgar score at 1 min and 5 min was noted.results: the mean age of all patients was 26.72±4.41 years. the mean age of females of booked and unbooked females was 26.99±4.08 years and 26.45±4.71 years respectively. the mean gestational age was observed as 37.35±3.36 weeks. mean gestational age in booked and unbooked cases was 37.47±3.36 weeks and 37.23±3.36 weeks respectively. there were 408(29.1%) females presented in labor at pre-term stage of pregnancy while 992(70.9%) females presented at term in active labor for delivery. data was stratified for term and preterm delivery as this factor is an effect modifier. there were 660(47.1%) females with complication of anemia,out of which 168 were booked and 492 were unbooked. there were total 176(12.6%) cases who had pre-eclampsia,out of which 60 were booked cases and 116 were unbooked cases. there were 188(13.4%) cases that underwent cesarean section,out of which 60 were booked and 128 were unbooked. there were 104(7.4%) delivered cases which showed poor apgar score,out of which 32 were booked and 72 were unbooked.conclusion: although the difference was insignificant but unbooked cases showed higher frequency of complications as compared to booked cases. more studies are required to overview more complications in unbooked cases so that the problem can be controlled. © 2014 pakistan journal of medical and health sciences. all rights reserved.