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.

Objective: To compare the outcome of Gun Shot Wounds with and without skin closure in terms of wound healing time and wound infection. Study Design: Comparative Study. Setting: East Surgical Ward Mayo Hospital Lahore Pakistan. Period: 6 Months (from 1st January 2020 to 30th June 2020). Material & Methods: Sample size of 300 patients was used by consecutive convenient non probability sampling. Patients were divided into Group A and Group B with 150 patients in each group by lottery method. Group A patients underwent wound debridement and primary skin closure while group B patients underwent wound debridement and wound packing. Outcome was measured in terms of wound healing time and wound infection 24 and 48 hours post operatively. P-value less than 0.05 was taken as significant. Results: Two hundred and fourteen (n=214,71.33 %) patients were male and 86 (28.66 %) were female with mean age of 32 ± 7.56 years. The wound healing time in Group A patients was 6 days ± 2.18 days while in group B it was 13 days ± 3.87 days (P value 0.01). After 24 hours, Frequency of wound infection was 43 (14.3%) in Group A patients while 31(10.3%) in Group B patients (P value = 0.19). Similarly, after 48 hours wound infection rate was 17 (5.6%) in Group A while 11 (3.6%) in Group B (P value = 0.42). Conclusion: Applying skin stiches on Gun Shot Wounds after sufficient debridement and irrigation leads to early healing of the wound.