The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

Almarri, Saad S; Alzahrani, Yahya A.; Alsudais, Mousab S; Bamehrez, Maha; Alotaibi, Raseil K; Almalki, Bushra S; Almukhles, Asail S; Al-Wassia, Heidi

doi:10.7759/cureus.31020

Cited by 3 publications

References 18 publications

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Assessment of the knowledge and uptake of voluntary HIV testing and counselling services among mothers in Yenagoa, Bayelsa State

Ngwu,

Bassey,

Sule

et al. 2024

Int J Res Med Sci

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Background: Voluntary counselling and testing (VCT) for HIV has proven to be an effective way to tackle the problem of HIV/AIDS. Many however do not utilize these services for various reasons which acts as an impediment in the delivery of the services. This study aimed to assess the knowledge, attitude and utilization of VCT-HIV services among pregnant women and mothers in Bayelsa State. Methods: This was a hospital-based, descriptive analytic study among 301 adult mothers attending the antenatal and immunization clinics of the federal medical centre, Yenagoa, Bayelsa State. An interviewer-administered questionnaire having 6 sections was used to elicit data of the mothers’ knowledge, attitude and utilization of VCT-HIV services at the health facility as well as barriers affecting the utilization of the services. Descriptive and inferential analyses were conducted and the level of significance was set at 0.05. Results: The 59.1% of respondents had heard about VCT-HIV. Most had adequate knowledge 268 (89.0%) and good attitude 270 (89.7%) towards VCT-HIV. About 197 (65.4%) had utilized VCT-HIV services in the past, and 241 (80.1%) were presently willing to use these services. Fear of knowing their HIV status, discrimination, family stigma, among others, were factors hindering utilization of these services. Age, level of education, preferred place for delivery, knowledge and attitude towards VCT-HIV were significantly associated with the uptake of these services. Conclusions: there is the need for government to tackle issues of discrimination against HIV-infected persons as well as sustain the delivery of maternal healthcare through the primary healthcare initiative.

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Assessment of the knowledge and uptake of voluntary HIV testing and counselling services among mothers in Yenagoa, Bayelsa State

Ngwu,

Bassey,

Sule

et al. 2024

Int J Res Med Sci

View full text Add to dashboard Cite

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Fetal and Neonatal Outcomes in Booked vs. UnBooked Deliveries: A Systematic Review and Meta-analysis of the Global Literature

Mansoor,

Hafeez,

Khan

et al. 2024

Preprint

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Purpose A booked case is an indicator of antenatal care (ANC), embodying a proactive approach to pregnancy care, whereas unbooked deliveries describe scenarios in which pregnant women delay seeking ANC, which may cause adverse fetal outcomes and lead to neonatal morbidity and mortality. Despite extensive exploration of the effects of ANC on maternal and fetal health, a detailed review comparing fetal outcomes in booked versus unbooked cases was lacking. Our study aimed to quantify the effects of ANC on fetal and neonatal outcomes through a comprehensive meta-analysis of booked and unbooked cases. Methodology This review was registered in PROSPERO (Registration No: CRD42024526568). Two databases were systematically searched, PubMed and Google Scholar, with a time filter of 2003–2023. Quality was assessed on the basis of the Newcastle‒Ottawa scale for cohort studies and the modified version for cross-sectional studies. The main outcomes were neonatal mortality, low Apgar scores, low birth weight (LBW), macrosomia, meconium aspiration and birth asphyxia. The secondary outcomes were neurological symptoms, neonatal intensive care unit (NICU) admissions, congenital anomalies, jaundice and neonatal sepsis. A random-effects model was used to evaluate the pooled effect size of the odds ratio (OR). Results In total, 28 studies were included in the final review, with the majority (n = 24) originating from low to middle-income countries. For the majority of the outcomes, being booked was found to be protective on the basis of pooled ORs, i.e., neonatal mortality (OR 0.30; 95% CI 0.15–0.63, I² = 96%), low APGAR scores at 1 minute (OR 0.33; 95% CI 0.29–0.38, I2 = 92% and 5 minutes (OR 0.16; 95% CI 0.08–0.32, I2 = 91%), LBW (OR 0.36; 95% CI 0.30–0.43, I2 = 46%), jaundice (OR 0.48; 95% CI 0.19–1.25, I2 = 74%), MAS (OR 0.36; 95% CI 0.18–0.70, I2 = 64%), neurological symptoms (OR 0.34; 95% CI 0.13–0.85, I²=20%), neonatal sepsis (OR 0.56; 95% CI 0.37–0.86, I2 = 17%), asphyxia (OR 0.39; 95% CI: 0.32–0.49; I2 = 0%) and however, we did not find any difference between booked and unbooked deliveries in terms of macrosomia (OR 0.99; 95% CI: 0.53–1.83, I² = 32%) and congenital anomalies (OR 0.09; 95% CI 0.35–2.29 I2 = 83%). The publication bias was minimal. Conclusion This meta-analysis provides substantial evidence that booked deliveries have significantly better fetal outcomes across a broad spectrum than unbooked deliveries do; therefore, interventions that improve ANC coverage need to be implemented to reduce adverse fetal outcomes.

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A Comparative Study of Fetal and Maternal Outcomes in Registered and Unregistered Antenatal Cases in a Tertiary Care Center

Gaikwad,

Bhadoriya,

Gaikwad

2024

Cureus

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Background Antenatal care plays a crucial role in ensuring optimal maternal and neonatal health outcomes. However, disparities in access to prenatal care persist, with a subset of pregnant women failing to register for antenatal care, referred to as "unbooked" or “unregistered” pregnancies. This study aims to investigate the impact of registration status on pregnancy outcomes, considering various demographic, clinical, and socioeconomic factors. Understanding the factors influencing registration status and its implications on maternal and fetal health outcomes is essential for developing targeted interventions to improve prenatal care access and enhance overall pregnancy outcomes. Objective To see the difference in obstetrical complications along with feto-maternal outcomes in both registered and unregistered antenatal cases and to determine the correlation of maternal and fetal outcomes with antenatal care. Materials and methods This two-year observational study at Dr. D.Y. Patil Medical College's Obstetrics and Gynecology IPD in Pimpri, Pune, examined maternal and fetal outcomes in registered and unregistered pregnancies. Consent was obtained, and patients were categorized as registered and unregistered based on the number of antenatal visits. This was an observational prospective cohort study. Data on socioeconomic factors like income and education were analyzed to assess their association with registration status. Maternal outcomes included preterm delivery and complications such as preeclampsia, gestational diabetes, oligohydramnios, premature rupture of membranes, anemia, and postpartum complications. Fetal outcomes included birth weight and NICU admissions. Statistical analyses, including Chi-square tests, Fisher's exact test, and logistic regression, were used to examine relationships between variables and registration status. Results This study analyzed 502 cases, comprising 251 registered and 251 unregistered pregnancies, to investigate the impact of antenatal registration on maternal and fetal outcomes. Significant associations were observed between socioeconomic factors, such as lower income and education levels in unregistered pregnancies. Specifically, 46 (18.3%) unregistered cases were in the lowest income bracket, while 103 (41.0%) were in the lower-middle bracket, and the majority (132, 52.2%) had only completed secondary education. Unregistered pregnancies were linked to a higher prevalence of adverse outcomes, including preterm delivery (101, 40.23%), anemia (178, 70.9%), hypertensive disorders (30, 11.9%), gestational diabetes mellitus (16, 6.37%), fetal growth restriction (39, 15.3%), low birth weight (181, 72.1%), and NICU admissions (112, 44.6%), compared to registered pregnancies. Conclusion In conclusion, this study highlights the significant impact of registration status on pregnancy outcomes, emphasizing the need for comprehensive interventions to improve prenatal care access and to ...

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The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

Cited by 3 publications

References 18 publications

Assessment of the knowledge and uptake of voluntary HIV testing and counselling services among mothers in Yenagoa, Bayelsa State

Assessment of the knowledge and uptake of voluntary HIV testing and counselling services among mothers in Yenagoa, Bayelsa State

Fetal and Neonatal Outcomes in Booked vs. UnBooked Deliveries: A Systematic Review and Meta-analysis of the Global Literature

A Comparative Study of Fetal and Maternal Outcomes in Registered and Unregistered Antenatal Cases in a Tertiary Care Center

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