Abstract

This retrospective study was carried out to determine the obstetric outcome of unbooked pregnant women who presented at the University of Uyo Teaching Hospital over a five year period. Five thousand nine hundred and sixty two women presented at the labour ward out of which 617 (10.3%) were unbooked. Majority of the patients were multiparous (61.2%) and the most common clinical presentations were obstructed labour (28.8%) and eclampsia (19.8%). There were 255 still births and 5 early neonatal deaths resulting in a perinatal mortality rate of 420/1000. Maternal mortality ratio was 7,800/100,000 live births and this was mostly from eclampsia (28.8%) and obstetric haemorrhage (19.8%). Grass-root education in our various communities highlighting the importance and advantages of formal antenatal care and the inclusion of this in the health education curriculum of primary and secondary schools is advocated. KEY WORDS: Unbooked pregnant women, Uyo, obstetric outcome

Highlights

  • Antenatal care (ANC) is a specialized pattern of care organised for pregnant women to enable them attain and maintain a state of good health throughout pregnancy (Onajole et al 2005)

  • This retrospective review was carried out to unfold our experience with unbooked pregnant women who present in our center

  • This study reveals a poor obstetric outcome in unbooked patients who present in our center

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Summary

Introduction

Antenatal care (ANC) is a specialized pattern of care organised for pregnant women to enable them attain and maintain a state of good health throughout pregnancy (Onajole et al 2005). It is an indispensable part of effective maternity care service that helps improve the chances of having safe delivery of healthy infants (Gharoro and Okonkwo 1999). Preliminary observational studies indicate that a significant proportion of obstetric emergencies at the University of Uyo Teaching Hospital, Uyo occur in unbooked pregnant women (Abasiattai and Umoiyoho 2009). This retrospective review was carried out to unfold our experience with unbooked pregnant women who present in our center

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