The influence of antenatal care on pregnancy outcome in Primigravidae

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.