Analytical study to assess fetal and perinatal outcome in booked and unbooked obstetric cases

Chourasia, Sapna; Yadav, Kamlesh K

doi:10.18203/2320-1770.ijrcog20164658

Cited by 4 publications

(3 citation statements)

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“…Booked women delivered by elective cesarean section in contrast to unbooked women who delivered an emergency cesarean section, as they did not plan the mode of delivery. Emergency caesarian sections, though a life-saving procedure also it is associated with maternal morbidity and neonatal morbidities which similar to Chourasia et al study [34].…”

Section: Discussionsupporting

confidence: 64%

Untitled

2021

NCP

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BackgroundAdverse neonatal outcomes are affected by maternal and fetal factors, it is the occurrence of Low Birth Weight (LBW), preterm delivery, low Apgar scores at first and fifth minutes after birth, early or late neonatal death, small for gestational age, and/or severe neonatal conditions. PurposeThis study aimed to determine the association of adverse neonatal outcomes with demographic and obstetric factors among displaced women. MethodologyThis was a descriptive cross-sectional hospital-based study conducted at Algabalin Teaching Hospital, a public hospital in Southern Sudan from January 2023 to June 2023. Data were collected from patient notes, the maternal information, delivery events, and neonatal outcomes were recorded using an interview questionnaire. ResultsA total of 200 women and their neonates were included, adverse neonatal outcomes were 25 (12.5%), intrauterine growth restriction (IUGR) 4(16%), intrauterine fetal death 3(12%), preterm labor 5(20%), early neonatal death 4(16%), need resuccitation1 (4%), respiratory distress syndrome (RDS) 5(20%) and hypoglycemia 2(8%), APGAR score <7 was 14(7%). Gestational age 32-35 weeks were 6(3%), with adverse neonatal outcomes were 6(24%),35+1-36+6 weeks were 6 (3%) of the total. Neonatal weight less than2.5kg were 18(9%), with adverse neonatal outcomes16(64%), with normal outcomes 2(1.1%), weight >4kg was 6(3%), with adverse neonatal out-comess4(16%), with normal outcomes 2(1.1%). NICU was 22(11%), of 20(80%) of adverse neonatal outcomes and 2(1.1%) in normal neonatal outcomes cases.Associated with rural unbooked, advanced age, emergency cesarean section, preterm labor, and medical illness. Postpartum hemorrhage (PPH) 3(1.5%), amniotic fluid embolism 1(0.5%), Eclampsia 1(0.5%), maternal death 2(1%). ConclusionThe study concluded that adverse neonatal outcomes associated with advanced maternal age, rural residence, low education, primigravida, grand multiparous, unbooked women, maternal uncontrolled medical disorders with pregnancy, delivery by emergency cesareans section, early and late preterm fetus, low birth weight, macrosomia.

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Section: Discussionsupporting

confidence: 64%

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2021

NCP

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“…During the year 2018, we had 52 stillbirths and 37 early neonatal deaths out of 3224 deliveries and 3236 live births. A 'booked case', a common term used in Indian practice, was defined as a pregnant woman who had at least three antenatal clinic visits in our hospital [15,16]. All others, including those referred from local private practitioners and rural health centers, were categorized as 'Referred' cases [16].…”

Section: Discussionmentioning

confidence: 99%

“…A 'booked case', a common term used in Indian practice, was defined as a pregnant woman who had at least three antenatal clinic visits in our hospital [15,16]. All others, including those referred from local private practitioners and rural health centers, were categorized as 'Referred' cases [16]. We recorded a perinatal mortality rate of 27.5/1000 live births, with 6.1 among booked cases and 21.32 among referred cases.…”

Section: Discussionmentioning

confidence: 99%

What do the numbers say? - Introduction of the WHO ICD-PM classification and fetuses-at risk approach in perinatal audit, South India

Zulfeen

Upadhya²,

Amin

et al. 2021

Clin. Exp. Obstet. Gynecol.

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In India, despite a reduction in perinatal mortality rate from 2014 to 2019, still birth rate is still the same at the national average of 4/1000 live births. As yet there is no nation-wide audit in India except for facility based audits. Hence the need for a simplified yet e fective audit process exists. The aim of this study was to perform a qualitative perinatal audit and devise methods for future audits. Methods: We conducted a one year audit for all perinatal deaths using WHO ICD PM and 3-delay classification. Gestational age (GA) specific mortality was calculated for significant underlying factors using fetusesat risk approach. Results: We recorded a perinatal mortality rate of 6.1/1000 births among booked cases and 21.32/1000 births among referred cases. Fetal growth restriction was the most common antenatal condition, accounting to 33.3% of antepartum deaths. Prematurity accounted to 52% of neonatal deaths. Phase 2 delay with delayed referrals in severe pre-eclampsia and Phase 1 delay with late visit (> 24 h) to hospital a ter experiencing absent fetal movements were the most common identifiable delays. Hypertension stood out to be the single most common risk-factor. GA specific mortalities, calculated using fetuses-at risk approach, show a peak mortality rate at 30 weeks, 37 weeks and 38 weeks in pregnancies with early-onset preeclampsia, severe fetal growth restriction and medically treated gestational diabetes respectively. Conclusion: The audit identified significant contributing factors to the mortality. ICD-PM and 3-delay classification was simpler and easier to apply with wide areas of opportunities for secondary analysis.

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Assessment of Neonatal Outcome in Booked and Unbooked Pregnancy Cases in a Tertiary Care Centre

Dey

Lotha

Sahu

et al. 2021

Global Journal for Research Analysis

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Majority of neonatal deaths occurs in low and middle income countries indicating poor quality of health services provided by the government of the respective countries.In a developing country like India , a high morbidity and mortality serves as an sensitive indicator reecting the poor maternal and child health care services of the country.Most of the neonatal deaths can be attributed to avoidable factors which can be minimized by the effective utilization of antenatal services , early detection of high risk pregnancy and timely referral of these cases.The current study was conducted to determine the neonatal outcomes in booked and unbooked pregnancy cases in the tertiary care centre ,Assam Medical College and Hospital, Dibrugarh. METHODS: Close ended structured questionnaires were used to collect information from the parents (150 booked and 150 unbooked).Neonatal outcomes were categorised under groups of term and preterm ,live birth and stillbirts, birthweight, Gestational age, iugr, large for gestational age APGAR score ,NICU admissions and clinical course during hospital stay,course during rst 28 days of life along with complications,if any are all taken into consideration. RESULTS: During the study period 28.67% had low birth weight in booked cases and 41.33% had low birth weight in unbooked cases.The incidence of stillbirth and early neonatal deaths were 2%,4% respectively in booked cases and 4.67% , 6% respectively in unbooked cases.Higher incidence of MSL,prematurity ,birth asphyxia ,respiratory problems ,birth injuries,congenital malformations,infections and hyperbilirubinemia were seen in unbooked cases. CONCLUSIONS: The inference derived from the study ,showed that availability of antenatal care is directly proportional to the neonatal outcome .Thus unavailbility or lack of proper medical attention during the pregnancy results in unfavourable neonatal outcomes which can be prevented by increasing the range of availability , utilization and effectiveness of maternal and child health services alongwith ensuring booking of all the pregnancy cases in our country.

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Analytical study to assess fetal and perinatal outcome in booked and unbooked obstetric cases

Cited by 4 publications

References 3 publications

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What do the numbers say? - Introduction of the WHO ICD-PM classification and fetuses-at risk approach in perinatal audit, South India

Assessment of Neonatal Outcome in Booked and Unbooked Pregnancy Cases in a Tertiary Care Centre

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