Volume 5 ; Issue 1 ; in Month : Jan-Jun (2021) Article No : 132
Hassan THB, Elimam Ounsa MAAG, Zain H, et al.

Abstract

Background: Antenatal care is a routine follow-up during pregnancy to ensure a healthy mother and a healthy baby which can be provided in community and healthcare facilities. Utilization of antenatal care services by Sudanese women seems to be the lowest among African countries, so many complications are recognized among patients who do not attend antenatal care during the whole period of their pregnancy, when compared to patients who utilize antenatal care services. The aim of the study was to compare the pregnancy outcome between booked and un-booked primigravidae who came in labor in Omdurman New Hospital, Sudan. Methods: This cross-sectional and hospital-based study conducted in 290 primigravidae who attended Omdurman New Hospital during a period of 4 months. Subjects who voluntarily accepted to participate in the study were included. The data were collected by a pretested questionnaire that included clinical examination part. Data were collected by trained medical professionals and analyzed by SPSS version 23. Results: The results showed that there were 166 (57.2%) un-booked compared to 124 (42.8%) booked primigravidae. The main age group was 18-30 years old however, there were younger patients among un-booked group. Also, un-booked patients were less educated and more prone to be unemployed housewives, has no or little knowledge about the importance of the antenatal care and most of them were coming from rural areas. Also, there were also more cases of hypertensive disorder among umbooked group when compared to booked group who rates of diabetes and cardiac diseases were higher. Regarding baby’s outcome, un-booked mothers in this study were more prone to have preterm and postdates babies with lower birth weight, 29.6% of them were less than 2 kg compared to only 1.6% of the booked group. Also, un-booked patients have increased number of IUFD und early neonatal death compared to booked mothers. Conclusion: Most of the un-booked pregnant women are young, less educated, housewives and coming from rural areas. The rate of preterm and postdate deliveries are higher among the un-booked women. IUFD and Early Neonatal Death (END) are significantly higher among the un-booked pregnant women.

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