Objective: To determine the mean prolongation of pregnancy via human Chorionic gonadotropin (H.C.G) in patients presenting with preterm labor. Materials and methods: This descriptive case study was conducted in obstetrics and gynecology department, Women and children teaching hospital Dera Ismail khan from October 21, 2019, to April 20, 2020. Result: A total of 123 pregnant women with preterm labor were included in the study. Average age was 25.44 years+4.70sd with range 16-35 years. Prolongation of pregnancy by human chorionic gonadotropin (HCG) of more than 30 days. Fifty-eight (47.2%) of preterm women were observed with prolongation of pregnancy of less than 30 days. Practical implication: Suppression of Preterm Labor in the females using H.C.G. Conclusion: The trial concluded that HCG is the better option in the prolongation of pregnancy in women with preterm delivery. Keywords: Preterm delivery, Prolongation of pregnancy, NICU.

The main factor contributing to poor feto-maternal outcomes is lack of antenatal care and awareness among pregnant ladies for need of booking in hospitals for their delivery management. Up to 39% of all obstetric patients in underdeveloped countries are hospitalized due to complications of labor, and same is case with neonates. Objective: To determine the association between patient booking status and outcomes because high maternal morbidity and mortality rates are indicative of the poor state of health services. Methods: A total of 380 patients, 190 booked patients admitted in emergency and 190 unbooked patients with fetal and maternal problems were included. The demographic data of each patient were recorded to determine the fetomaternal outcomes. Results: Different causes of obstructed labour such as CPD (60.62%), malpresentation (17.98%), and malposition (23.34%) were recorded in patients. In booked patients, 9.47, 3.15, and 5.78% of wound infection, anaemia, and ruptured uterus were recorded, respectively, while 11.05, 4.73, and 6.84%, respectively in unbooked patients. Among booked patients, 80.52% had maternal complications while 95.26% of unbooked had complications. Fetomaternal is a disorder that can be avoided and is common in underdeveloped nations. The majority of patients were unscheduled patients who did not obtain adequate antenatal care and as a result, showed up late in advanced labour with obstructional symptoms. CPD was the most typical reason for labour obstruction. Conclusions: Puerperal pyrexia was the most frequent maternal consequence, followed by PPH and UTI. Birth asphyxia was the most frequent prenatal consequence, followed by neonatal infection.