COMPARISON OF EFFECT OF ANTENATAL CARE AMONG BOOKED AND UN-BOOKED PATIENTS WITH MEANS OF MEASUREMENT OF HEMOGLOBIN LEVEL

Main Author: Dr. Afifa Arif, Dr. Fariha arif, Dr. Namra Nadeem, Dr. Waqas Ahmad, Dr. Misha Imtiaz, Dr. Iqra Yasin
Format: Article
Bahasa: eng
Terbitan: , 2018
Subjects:
Online Access: https://zenodo.org/record/1402671
Daftar Isi:
  • Pregnancy is one of the most important period in the life of a woman. Antenatal care is shown to result in better outcomes. Poor care is associated with a variety of problems. Objective: To determine the effect of booking by measurement of hemoglobin levels at term among booked and un-booked patients. Study design: Case Control Observational Study Place and Duration: Department of Obstetrics and Gynecology of Services Hospital, Lahore from August to October 2017. Material and Methods: After approval from ethical board, 100 cases were included in our study. Cases were divided into two groups of 50. Group A included BOOKED patients. Group B included UNBOOKED patients. All patients had been admitted for delivery. Informed consent for inclusion in study was taken from all patients. We took a specimen of blood for the estimation of patient hemoglobin levels. A level of 10.5 g/dL was taken as cut off with patients having hemoglobin less than this level being considered anemic. Percentage of anemic in both groups was estimated and stratification was done Results: A 100 cases were included in the study. 50 patients were booked and 50 un-booked. Over all Incidence of anemia was found out to be 49%. Prevalence of anemic patients was more in un-booked patients. Percentage of anemic patients in group A was 34 %( 17 of 50 patients). Percentage of anemic patients in group B was 64% (32 of 50 %). P was 0.002 which showed a significant difference. Illiteracy and low socioeconomic status were found to be strongly related with anemic patients. Conclusion: Booked patients have a significant improvement in maternal outcomes. Poor outcomes are more common in illiterate and low socioeconomic class. Key words: Booking Status, Pregnancy outcomes, Anemia